Infectious disease case studies Flashcards
what is the leading cause of acute otitis media (viral, bacterial, fungal)?
viral
what is the protocol for treating acute otitis media?
wait 48 hours to initiate treatment
what test can differentiate between staph and strep?
catalase
what is the treatment of choice for strep pneumo (for ear infections)? what if it is contraindicated?
amoxicillin
TMP-SMX, azithromycin, cefuroxime
what are some complications associated with otitis media?
perforation of TM tympanosclerosis cholesteatome mastoiditis lateral sinus thrombosis meningitis / brain abscess
what is the treatment for acute bacterial sinusitis?
amoxicillin
decongestants (NO antihistamines)
mucolytics
does salmonella ferment lactose?
NO
entamoeba histolytica causes what type of diarrhea?
bloody
what is the most appropriate treatment for RSV?
watching waiting
a positive Tzanck smear has what type of cells?
large (“giant”) multinucleated cells
what is the catalase test used for?
differentiating staph from strep
what is the treatment for pseudomonas sinusitis?
IV fluoroquinolone
what are the complications of pseudomonas sinusitis?
meningitis
cavernous sinus thrombosis
bony invasion of orbit
strep pyogenes has what hemolysis pattern?
beta
is s. pneumo optochin sensitive or resistant?
sensitive