Infectious Diseases Flashcards
Woman with oral and genital ulcers, uevitis and DVT:
Behcet disease
Fit woman with a cat presents with low-grade fever, fatigue, and cervical lymphadenopathy, diagnosis and treatment:
Toxoplasmosis. No treatment unless severe symptoms (eye or CNS) or immunosuppressed
Treatment for Lyme disease in pregnant patient:
Amoxicillin, doxycycline is contraindicated
CF patient, LRTI, most common pathogen:
Pseudomonas aeruginosa
Patient has had a full course of tetanus vaccines, with the last dose > 10 years ago, treatment for tetanus prone wound and for high risk prone:
- Reinforcing dose of vaccine
- Reinforcing dose of vaccine + tetanus immunoglobulin
Meningitis with ICP signs, management:
IV ceftria/cefota + IV dexamethasone.
No LP if ICP.
No dexa if septic shock, meningococcal, immunocompromised or after surgery.
Patient with a skin wound with an uncertain tetanus vaccination history:
Booster vaccine + immunoglobulin, unless the wound is very minor and < 6 hours old
Standard test for HIV:
Combination of p24 antigen and HIV antibody tests
Treatment for Legionella:
Macrolides
Latent TB management:
3 months of isoniazid (with pyridoxine) and rifampicin, or
6 months of isoniazid (with pyridoxine)
Animal bite treatment:
Co-amoxiclav
Bloody diarrhoea 1-6 days after camping/bbq, prodrome of headache, malaise, organism:
Campylobacter jejuni
Patient with MRSA, treatment:
Nasal mupirocin + chlorhexidine for skin
Pt with previous tuberculosis, immunocompromised, cough and haemoptysis, target-shaped lesion and crescent sign on CXR, diagnosis:
Aspergilloma
Young patient, prolonged and insidious flu-like symptoms, dry cough, erythema multiforme, may have abdominal pain, hyponatraemia, haemolytic anaemia, thrombocytopenia, peri/myocarditis, encephalitis, diagnosis and treatment:
Mycoplasma pneumoniae, macrolides or doxycycline.
