infectious diseases Flashcards
red itchy vagina with thick discharge
vulvovaginitis
diper rash
infective endocarditis
fever, altered state of consciousness, seizures, personality change, CN palsy, speech problems
encephalitis
sudden onset nausea, diarrhoea and vom
gastroenteritis
ring enhancing lesions in brain, nodular shaddowing, irreg white painless plaques on lateral tongue that cannot be scraped off
HIV
toxoplasma gondi, pneumocystic pneumonia, hair leukoplakia
pink/purple patch of skin often found in mouth of pt with HIV
kaposi sarcoma
fever, roth spots, osler nodes, murmur, janeway lesions, anaemia, nail bed haemorrhages, emboli
infective endocarditis
fever, posterior cervical node lymphadenopathy, hepatosplenomeg
infective mononucleosis (glandular fever)
photophobia, neck stiffness, headache and fever
in v young or v old
meningitis
anterior cervical node lymphadenopathy, pain on swallowing, fever
tonsilitus
generalised rash on face and trunk
chicken pox
tingling in dermatomal sensation followed by unilateral rash and painful lesions
shingles
infection in neonates, extended labour, infection in previous preg
group B strep
what is ecephalitis
inflam of brain perenchyma
management for HSV
topical/oral/iv acyclovir
inv for HIV
ELISA western blot serum HIV rapid test HIV DNA PCR CD4 count viral load
inv for inf endocarditis
3 blood cultures 1 hour apart,
rheumatoid factor
urgent echo
how is glandular fever spread
saliva, kissing disease
management of inf mononucleosis (glandular fever)
support - paracetamol + ibuprofen
corticosteroids if severe
amoxicillin is contraind
management of meningitis
ceftriazone, vancomycin
budinski sign
flex neck - knees and hips flex
meningitis
kernigs sign
cannot straighten leg when lip flexed 90 degrees
meningitis
