Infectious diseases Flashcards
treatment for chlamydia ?
When pregnant ?
7 days doxycycline
Pregnancy : Azithromycin , erythromycin or amoxicillin
HAP treatment
within 5 days - Co amoxiclav or cefuroxamine
After 5 days - Pip+ Tax
UTI treatment
(women , pregnant , men, catheter)
- normal women = 3 days nitrofurantoin + MSSU ( before and after)
-Men - nitrofurantoin for 7 days - Women pregnant - Nitrofurantoin for 7 days but avoid near term , 2nd line is amoxicillin or cefalexin
- catheters - if asymptomatic don’t treat
signs of Typhoid
SSS
Spots
Splenomegaly
Slow HR
+ fever , abdomen pain , constipation , rose spots
Signs of Dengue
PP
Painful joints
Pyrexia
BV features and treatment
foul smelling discharge , gardenella vaginalis
pH>4.5
clue cells
Metronidazole
Campylobacter jejuni treatment and symptoms
1-6 days
+ bloody diarrhoea , headache , abdomen pain that mimics appendicitis
+ self resolves but you can give clarithromycin
Cholera signs and treatment
- rice water diarrhoea , dehydration and hypoglycaemia
+ oral rehydration
+ Doxycycline and ciprofloxacin
Signs of Hepatitis B
complications
treatment
+ fever
+jaundice
+Elevated liver enzymes
+ ground glass heaptocyteson microscope
Complications:
+ Hepatocellular carcinoma
+ glomerulonephritis
+ Polyarteritis nodosa
treatment:
Pegylated Interferon Alpha
what is the diagnostic test for HIV
HIV1/2 Antibody and antigen immunoassay
Klebsiella Pneumonia
associated with alcoholics , immunocompromised
+ red current sputum
+ upper lobes
Mycoplasma pneumonia symptoms
- AIHA
-erythema multiform
-SJS
-dry COUGH
do serology for diagnosis
management is doxycycline or erytho/clarithro
LegioNella
signs and treatment
hypoNatremia
lymphopenia ( low lymphocytes )
deranged LFTs
- bad air conditioning
treatment is clarithromycin or erythromycin
bacterial meningitis treatment
ceftriaxone or cefotaxime and IV dexamethasone to reduce neurological symptoms
prophylaxis is Ciprofloxacin
age >50 = IV Cefotaxime and amoxicillin
Hepatitis A symptoms
- flu like
- RUQ pain
- Tender hepatomegaly
- Deranged LFTs
viral meningitis CSF and causes
high protein , high WBC, normal glucose
clear CSF
adults - enteroviruses = cosackie B virus
treatment before they know that its a virus
- ceftraixone and acyclovir IV
Necrotizing fasciitis
Surgical debridement and IV antibiotics
genital herpes
virus
symptoms
treatment
diagnosis
HSV2
+ painful ulcers
+ oral acyclovir
so NAAT test for diagnosis
syphilis symptoms
painless ulcers resolves in 3-8 weeks
+ secondary = fever, warts, lymphadenopathy
+tertiary = neurosyphilis
+ argyle - Robertson pupil = constricted pupil that can accommodate but not react to light
treatment : IM benzathine
cellulitis treatment
mild-moderate - oral flucloxacilin
Severe ( systemic upset or signs ) - co amoxiclav IV or clindamycin or cefuroxime or ceftriaxone
PREGNANCY - clarithromycin ,erythromycin or doxycycline
Gardia lamblia symptoms
watery non bloody diarrhoea and bloating
Risk factors:
foreign travel
swimming/drinking water from a river or lake
male-male sexual contact
