Infectious Diseases Flashcards
Describe the symptoms and vaginal discharge in bacterial vaginosis (Gardnerella)?
white or grey; fishy odor; non-pruritic, no vaginal erythema; pH above 4.5
Describe the symptoms and vaginal discharge of trichomonas infection.
yellow-green and pruritic; may have “strawberry cervix”; malodorous; pH above 4.5
Describe the symptoms/vaginal discharge of vaginal candidiasis.
odorless, cottage cheese-like discharge w/ significant irritation and inflammation
What vaginal infection shows clue cells on Pap smear?
gardnerella
What is the treatment for vaginal candidiasis?
vaginal clotrimazole or oral fluconazole
What is the treatment for bacterial vaginosis?
metronidazole or clindamycin; oral or vag
In 25% of cases, drug fever is accompanied by _______ and _______.
eosinophilia and rash
What Dx can be made w/ 2 or more of the following in the absence of an unknown cause: temp >38.0 or 90; RR > 20 or Pco2 12,000 or 10% band forms?
SIRS
How do you define sepsis?
SIRS in response to a confirmed infectious process
How do you define severe sepsis?
Sepsis w/ evidence of end-organ damage
How do you define septic shock?
Sepsis-induced hypotension or hypoperfusion abnormalities despite adequate fluid resuscitation.
What anti-influenza agent is most appropriate for an asthmatic pt?
oseltamivir
What kind of anit-influenza drugs are oseltamivir and zanamivir?
neuraminidase inhibitors
Name one of the preferred initial treatments for acute bacterial rhinosinusitis.
3-10 days of a narrow-spectrum antiobiotic: amoxicillin, TMP-SMX, or doxycycline
What is the preferred empiric treatment for pyelonephritis in a compliant pt w/ no nausea and vomiting? (drug and duration)
oral levofloxacine - 7-14 days
