INFECTIOUS DISEASES Flashcards
VACCINES
Live Attenuated - 1
Inactivated - 2
Toxoid/Inactivated Toxin - 3
Subunit/Conjugate - 4
1 - BCG Influenza (intranasal) MMR Yellow fever Oral Polio/Rota/Typhoid
2 - Rabies/Influenza (I.M.)/Hepatitis A
3 - Diphtheria/Pertussis/Tetanus
4 - Pneumococcus Meningococcus Haemophilus Hep B HPV
Antibiotics In Respiratory System
Exacerbation of chronic bronchitis - 1
Uncomplicated CAP - 2
Atypical Pneumonia - 3
HAP - 4
1 - Amoxicillin/Tetracycline/Clarithromycin
2 - Amoxicillin (Doxy/Clarithro if Pen allergy; + Fluclox if staph/influenza)
3 - Clarithromycin
4 - <5d —> Co-Amox/Cefuroxime
>5d —> PIP-ZO/Ceftazidime/Ciprofloxacin
ANTIBIOTICS IN URINARY SYSTEM
Lower UTI - 1
Acute Prostatitis - 2
APN - 3
1 - TMP/Nitrofurantoin. Alt —> Amox/Cephalosporin
2 - TMP/FQ
3 - Cephalosporin/FQ
ANTIBIOTICS IN GENITAL SYSTEM
Gonorrhoea - 1
Chlamydia - 2
PID - 3
Syphilis - 4
Bact Vaginosis - 5
1 - I.M. Ceftriaxone + P.O. Azithro
2 - Doxy/Azithro
3 - M.O. (Metronidazole + Ofloxacin both P/O)/C.M.D (Ceftriaxone i.m. + Metronidazole + Doxy P/O)
4 - Benzylpenicillin/Doxy/Erythromycin
5 - Metronidazole top, po/Clinda top
ANTIBIOTICS IN GI SYSTEM
C. Diff - 1
Campylobacter - 2
Salmonella (non typhoid) - 3
Shigella - 4
1 - Metronidazole for 1st, Vancouver for subsequent
2 - Clarithromycin
3 - Cipro
4 - Cipro
ANTIBIOTICS IN SKIN INFECTIONS
Impetigo - 1
Cellulitis - 2
Erysipelas - 3
Animal/Human Bite - 4
Lactational Mastitis - 5
1 - Top Fusidic Acid —> Topical retapumulin —> Topical
Mupirocin MRSA /Oral Fluclox or Erythro if widespread
2 - Near eyes/Nose —> co-amox (PA - Clarithro + Metronidazole)
If not —> Fluclox (PA - Clarithro/Erythro/Doxy)
3 - Fluclox (PA - Clarithro/Erythro/Doxy)
4 - Co-Amox (PA - Doxy + Metro)
5 - Fluclox
ANTIBIOTICS IN ENT
Sinusitis - 1
Otitis Externa - 2
Otitis Media - 3
Periodontal/Periapical abscess - 4
Gingivitis - 5
Throat Infection - 6
1 - Amox/Doxy/Erythro
2 - Fluclox (PA - Erythro)
3 - Amox (PA - Erythro)
4 - Amox
5 - Metro
6 - Phenoxymethylpenicillin (PA - Erythro)
Complications of Hep B Infection
Fulminant Liver Failure
Chronic Hepatitis
HCC
PAN
Cryoglobulinaemia
Glomerulonephritis
Congenital Rubella Syndrome has the following features
________
Congenital cataracts Salt & Pepper Chorioretinitis SND Microphthalmia Cerebral Palsy Growth Retardation Purpurin skin Rash PDA Hepatosplenomegaly
HIV OPPURTUNISTIC INFECTIONS
CD4+ 200 - 500 —> 1
CD4+ 100 - 200 —> 2
CD4+ 50 - 100 —> 3
CD4+ <50 —> 4
1 - Thrush/Shingles/Hairy Leukoplakia/Kaposi
2 - Toxoplasmosis/Cryptosporidiosis/Dementia/PCP/Progressive Multifocal Leukoencephalopathy (JC Virus)
3 - Aspergillosis/Candidiasis Oeso/Cryptococcal Meningitis/CNS Lymphoma
4 - CMV Retinitis/MAC inf
NON FALCIPARUM MALARIA
Most common form is 1)_____
1) = 2)____ , 3)___= Africa, 4)____ = Southeast Asia
5) ____ has cyclical fever of 6)___ and is subject to 7)___ due to 8)___ stage.
3) has cyclical fever of 9)___ and is associated with 10)___
Rx in Chloroquine Sensitive areas is 11)__ and that in Chloroquine resistant areas is 12)__
13) __ is avoided in pregnancy
14) ___ is given in 5) to 15)___
1 - P. Vivax
2 - Central America + India
3 - P.malariae
4 - P. knowlesii
5 - P.vivax/ovale
6 - 48 hrs
7 - Relapse
8 - Hypnozoite stage
9 - 72 hrs
10 - Nephrotic Syndrome
11 - Chloroquine/ACT
12 - ACT
13 - ACT
14 - Primaquine following acute Rx with Chloroquine
15 - Destroy Liver hypnozoites and prevent relapse
FALCIPARUM MALARIA is the 1)__ of all malaria
Rx of choice in Uncomplicated type is 2)__ and that in Severe type is 3)__
Severe Falciparum Malaria is characterised by 4)___
1 - Commonest
2 - oral ACT
3 - I.V. Artesunate
4 - Temp > 39
Parasite is > 2%
Schizonts on blood film
Hypoglycaemia
Acidosis
Anaemia
Complications like - Cerebral Malaria (Seizures, Coma)
ARDS
ARF (Blackwater fever secondary to IVH)
DIC
Hypoglycaemia
PRIMARY SYPHILIS - 1
SECONDARY SYPHILIS - 2
TERTIARY SYPHILIS - 3
CONGENITAL SYPHILIS - 4
1 - Painless Chancre/Non tender lymphadenopathy
2 - Maculopapular rash on trunk palms soles/Condylomata Lata/Buccaneers snail track ulcers
3 - Gumma/Ascending Aortic Aneurysm/Neurosyphilis (GPI,ARP,Tabes Dorsalis)
4 - Rhagades/Snuffles/Saddle nose/Hutchinson teeth/Mulberry Molars/Keratitis/SND/Sabre shins
COMPLICATIONS OF HEP C
Cirrhosis HCC Membranous GN PCT Cryoglobulinaemia Sjogren’s/Arthritis
ANTIBIOTICS IN MENINGITIS
Initial Empiric therapy Age 3mo - 50y —> 1
Initial Empiric therapy Age <3mo + >50y —> 2
Confirmed Meningococcal Meningitis —> 3
Confirmed Pneumococcal Meningitis —> 4
Confirmed Haemophilus Meningitis —> 5
Confirmed Listeria Meningitis —> 6
1 - IV Cefotaxime
2 - IV Cefotaxime + Amox
3 - IV Cefotaxime/Benzylpenicillin
4 - IV Cefotaxime
5 - IV Cefotaxime
6 - IV Amox + Genta