Infectious Diseases and GUM Flashcards by Miranda King

Dengue Features (4)
Complication

Fever
Headache
Myalgia
Maculopapular Rash

Can become haemorrhagic fever

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Sequence of Yellow Fever
Features (2)

Unwell with viral illness > recover > unwell
Jaundice
Haemorrhage

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Testing for Syphillis
- Prove Infection (3)
- Repeat Infection (1)

Prove
- TB haemoglutination assay
- TP particle agglutination assay
- Chemiluminescence assay

Repeat
= rapid plasma reagin test
Should be negative after treatment

RPR test = refinement of VDRL

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What is the recommendation for hepatitis C exposure?

Monthly Hep C virus surveillance

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HbsAg
What is it?
Antibody?

First marker of acute infection
If present less than 6 months = acute infection
Persists in chronic infection
Antibody
= anti-HBS
- Produced in response to infection OR in vaccination
= either resolved infection or vaccination

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Hepatitis serology in vaccination

anti-HBS positive ONLY

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Brucella melitensis

Bruce the Cow
= unpasteurised milk

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Bartonella henselae

Bartonella the Cat
= cat scratch disease

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Short duration - reactive arthritis, skin involvement

Gonorrhoea

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Types of Malaria

Falciparum - most common

Vivax
Ovale
Malariae

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Falciparum Vivax
- where found
- reproductive cycle

Most common NON falciparum
Central America and India
Every 48 hours

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Falciparum Ovale
- where found
- reproductive cycle

Africa
Every 48 hours

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Falciparum Malariae
- reproductive cycle
- association

Every 72 hours
Nephrotic syndrome

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Features of falciparum malaria (3)

Fever
Thrombocytopaenia
Mild anaemia

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Complications of Malaria (5)

Seizures
ARDS
Renal failure
DIC
Hypoglycaemia

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Indication for IV treatment of malaria

> 2% parasite count
- if >10% may need exchange treatment

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Schistomiasis associated with bladder infiltration/calcification

Haematobium

Features of acute schistomiasis (5)

FUMDE
Fever
Urticaria
Myalgia
Diarrhoea
Eosinophilia

Treatment of Anthrax

Ciprofloxacin

Treatment of Pubic Lice

Malathion or peremethin
- should be applied to all body hair, retreated and then re-examined

Immediate complication of measles

Pneumonia

Lassa virus - how is it spread?

Rats

Cause of polycythaemia
- why?

Uterine fibroids
Due to exogenous production of epo

Consequence of diptheria

Heart block - causes myocarditis

Acute HIV testing

HIV 1/2 Ab/Ag assay - can detect within 10 days If inconclusive then consider NAAT or p24

Plasmodium vivax prophylaxis

Primaquine

Presentation of Strongoloides Where can be found Treatment

= parasitic infection Rash of the buttocks and feet Can be found in Americas, Asia Treated with ivermectin

Where do you find plasmodium knowlesi?

Thailand/South East Asia No lessi of a traveller on their gap yah

Diagnosis of Lyme's Disease

ELISA

-gravir

= integrase inhibitors Used in HIV

What is blackwater fever?

A complication of malaria Presents like malaria, dark urine, red blood cells everywhere

Bacterial vaginosis - dominant bacteria

Gardenella vaginalis

Treatment of Schistomiasis

Praziquantel

Conjunctivitis Viral prodrome Facial Maculopapular rash

Measles

Cat scratch Ipsilateral lymphadenopathy Starry staining

Bartonella

Which malaria has the shortest reproductive cycle?

Plasmodium knowlesi 24 hour reproductive cycle

Features of dengue fever (5)

5-7 day history Tropical location Thrombocytopaenia Lymphopaenia - both are mild Rash

Malaria management

Artemether-lumefantine (ACT) or Chloroquine

Hepatitis B exposure

Booster vaccination

Vaccination that must be avoided in HIV

BCG