Infectious diseases Flashcards

1
Q

Mild/moderate cellulitis management?

A

oral flucloxacillin

if allergic to penicillin then oral clarithromycin, erythromycin (in pregnancy) or doxycycline

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2
Q

moderate/severe cellulitis management?

A

admit
oral/IV co-amoxiclav
OR
oral/IV clindamycin
OR
IV cefuroxime
OR
IV ceftriaxone

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3
Q

management of active TB?

A

Isoniazid, rifampicin, ethambutol, and pyrazinamide for 2 months
then
Isoniazid and rifampicin for a further 4 months.

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4
Q

management of ‘Tinea’?

A

topical anti-fungal such as clotrimazole and ketoconazole
OR
Systemic agents such as terbinafine or itraconazole for tinea capitis or onychomycosis

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5
Q

gastroenteritis viral causes?

A
  • rotavirus
  • noravirus
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6
Q

why should antibiotics be avoided in E.coli 0157?

A

increases risk of haemolytic uraemic syndrome

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7
Q

risk factors for campylobacter?

A
  • uncooked poultry
  • untreated water
  • unpasteurised milk
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8
Q

severe campylobacter - consider which antibiotic?

A

azithromycin
OR
ciprofloxacin.

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9
Q

Which organisms cause bloody diarrhoea?

A

E.coli 0157
campylobacter
shigella

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10
Q

Haemolytic uraemic syndrome triad?

A
  • AKI
  • microangiopathic haemolytic anaemia
  • thrombocytopenia
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11
Q

diarrhoea + dehydration + hypoglycaemia - what is it?

A

cholera

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12
Q

cholera treatment?

A

oral rehydration therapy
antibiotics = doxycycline, ciprofloxacin

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13
Q

Type of meningitis:
appearance: cloudy
glucose: low
protein: High
WBC: 10-5000 polymorphs

A

Bacterial

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14
Q

Type of meningitis:
appearance: clear/cloudy
glucose: 60-80% of plasma glucose
protein: normal/raised
WBC: 15-1000 lymphocytes

A

Viral

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15
Q

Type of meningitis:
appearance: slightly cloudy / fibrin web
glucose: low
protein: High
WBC: 30-300 lymphocytes

A

tuberculosis

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16
Q

Type of meningitis:
appearance: cloudy
glucose: low
protein: High
WBC: 20-200 lymphocytes

A

fungal

17
Q

benzylpenicillin uses?

A

neisseria meningitidis
gram +ve aerobes
Spirochetes (esp. Treponema pallidum)

18
Q

amoxicillin coverage?

A

gram +ve aerobes
gram -ve rods (not enterobacter)

19
Q

C.diff investigations?

A

stool C.diff toxin

20
Q

C.diff treatment?

A

oral vancomycin

21
Q

prolonged, non-bloody diarrhoea + travel = ?

A

giardiasis

22
Q

food poisoning symptoms + short incubation period + vomiting (no diarrhoea) = ?

A

staph aureus

23
Q

food poisoning from reheated rice?

A

Bacillus cereus

24
Q

What is Necrotising fasciitis caused by?

A

type 1 - mixed anaerobes and aerobes (often occurs post-surgery in diabetics).- most common type
type 2 is caused by Streptococcus pyogenes

25
Q

Most common site of Necrotising fasciitis?

A

perineum (Fournier’s gangrene)

26
Q

Management of Necrotising fasciitis?

A

urgent surgical referral debridement
intravenous antibiotics