infectious diseases Flashcards

1
Q

bacterial causes of bloody diarrhoea

A

e coli
campylobacter
shigella

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2
Q

viral caues of diarrhoea

A

-norovirus
-rotavirus
-CMV (can lead to colitis in immunocompromised)
-

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3
Q

parasites that can cause diarrhoea

A
  • entamoeba histolytica

- immunocompromised: cryptosporidium, Isospora belli, Giardia lamblia, Cyclospora and Miicrosporidia

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4
Q

how do you treat CMV infection in non HIV immunocompromised people?

A

Ganciclovir

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5
Q

name 2 opportunistic infections:

A
  • candida

- pseudonomas aeriginosa

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6
Q

what would be the clinical features of necrotizing fasciitis?

A

-pain out of keeping with the clinical signs

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7
Q

what investigations would you do in necrotizing fasciitis?

A

-USS

would show thickening of the subcutaneous tissues and fluid collecting along the fascial plane

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8
Q

how would you manage necrotizing fasciitis ?

A

surgical debridement

IV antibiotics

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9
Q

what are the two types of necrotizing fasciitis?

A

type 1 : mixed anaerobes and aerobes. often occurs post surgery and in diabetics
type 2: caused by strep pyogenes (Group A strep)

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10
Q

risk factors for cellulitis

A
diabetes
venous stasis 
lymphoedema
obesity
pedal oedema ( CCF)
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11
Q

most common causes of cellulitis

A
  • staph A

- group A strep (strep pyogenes)

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12
Q

risk factors for complicated influenza

A
BMI >40
pregnancy
immunosuppression
>65 yrs
Diabetes 
Other diseases
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13
Q

following the flu, what is a serious complication that can occur?

A

-secondary bacterial pneumonia .
caused by strep pneumoniae
staph A
Haemophilus Influenzae

-myositis and rhabdomyolysis are most common in children but are overall rare

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14
Q

what drugs can be used for influenza prophylaxis?

A

neuroaminidase inhibitors

Oseltamivir or Zanamivir

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15
Q

how would you treat candidaemia/

A

IV antifungal eg caspofungin

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16
Q

how do you test for infectious mononucleosis?

A

monospot test

17
Q

what are the differentials for a hyperechoic liver lesion on USS

A
  • liver mets
  • hepatocellular carcinoma
  • liver abcess (pyogenic)
  • hyatid cyst
  • liver abcess (amoebic)
18
Q

clinical signs of a liver abscess

A

fever

RUQ pain

19
Q

how would you manage a liver abscess

A

commence broad spectrum antibiotics
send for blood cultures
arrange image guided percutaneous drainage of the abscess

20
Q

what could fever be a sign of

A
  • infection
  • autoimmune condition
  • malignancy
  • drug reaction