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internal med eor > Internal med infectious disease > Flashcards

Internal med infectious disease Flashcards

1
Q

etiology of botulism

A

home canned food

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2
Q

s/s of botulism

A
  • dry mouth
  • slurred speech
  • dysphagia
  • blurred vision
  • respiratory failure
  • n/v/abdominal cramps
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3
Q

treatment of botulism

A
  • supportive
  • antitoxin
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4
Q

s/s of candidiasis

A

White, thick, curdy discharge

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5
Q

diagnosis of candidiasis

A

KOH prep

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6
Q

treatment of candidiasis

A

fluconazole

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7
Q

S/S of chlamydia

A
  • often asymptomatic
  • purulent discharge
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8
Q

treatment of chlamydia

A

azithromycin or doxycycline

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9
Q

etiology of cholera

A

ingestion of contaminated food or water

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10
Q

s/s of cholera

A

rice water stool

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10
Q

etiology of cryptococcosis

A

spores found in soil and pigeon dung

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11
Q

treatment of cholera

A

doxy

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12
Q

s/s of cryptococcosis

A
  • pulmonary failure
  • skin nodular lesions
  • meningitis
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13
Q

treatment of cryptococcosis

A
  • pneumonia: fluconazole
  • meningitis: amphotericin B + flucytosine
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14
Q

s/s of CMV

A
  • fever, malaise, arthralgias
  • newborns: hepatitis, MR, hearing loss
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15
Q

treatment of CMV

A

Ganciclovir

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16
Q

s/s of diphtheria

A

grey membrane covering tonsils

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17
Q

treatment of diphtheria

A
  • antitoxin
  • PCN or erythromycin
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18
Q

s/s of EBV

A
  • malaise
  • sore throat
  • tonsillar enlargement
  • lymphadenopathy
  • splenomegaly
  • palatal petechiae
  • maculopapular rash
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19
Q

diagnosis of EBV

A
  • monospot
  • antibodies
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20
Q

treatment of EBV

A

supportive

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21
Q

s/s of gonorrhea

A
  • may be asymptomatic
  • yellow-green purulent discharge
    *& erythematous cervix
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22
Q

treatment of gonorrhea

A

rocephin

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23
Q

HSV 1 vs 2

A

1 - oral
2 - genital

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24
Q

s/s of HSV

A
  • prodrome
  • vesicles
  • form into crusts
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25
Q

diagnosis of HSV

A
  • tzank smear
  • PCR
26
Q

treatment of HSV

A

antivirals

27
Q

etiology of histoplasmosis

A

-bird and bat droppings

28
Q

s/s of histoplasmosis

A
  • splenic calcification
  • lymph node calcification
  • fever
  • dyspnea
  • miliary infiltrates
29
Q

treatment of histoplasmosis

A
  • itraconazole
  • amphotericin B
30
Q

s/s of influenza

A
  • fever and chills
  • fatigue
  • HA
  • myalgias
31
Q

diagnosis of influenza

A
  • rapid flu swab
  • viral culture
32
Q

treatment of influenza

A
  • supportive
  • tamiflu if in first 48 hours
33
Q

coverage of tamiflu vs amantadine

A

tamiflu: flu A and B
amantadine: flu a only

34
Q

s/s of lyme disease

A
  • Bull’s eye rash
  • flu like sx
35
Q

diagnosis of lyme

A
  • ELISA
  • western blot
36
Q

treatment of lyme

A

Doxycycline

37
Q

s/s of pertussis

A
  • catarrhal: URI sx
  • paroxysmal: whooping cough
  • convalescent: chronic cough
38
Q

treatment of pertussis

A

azithromycin

39
Q

etiology of pneumocystis

A

HIV/AIDS patients

40
Q

treatment of pneumocystis

A

Bactrim

41
Q

s/s of pneumocystis

A
  • fever
  • tachypnea
  • SOB
  • nonproductive cough
  • bibasilar lung crackles
42
Q

s/s of rabies

A
  • flu like sx for 2-3 days
  • neuro sx for days 2-10
  • then death
43
Q

treatment of rabies

A
  • immunoglobulin into wound
  • vaccine on days 1,3,7, and 14
44
Q

S/S of Rocky Mountain Spotted Fever

A

rash on wrists and ankles that spreads centrally

45
Q

treatment of rocky mountain spotted fever

A

doxycycline

46
Q

etiology of salmonella

A

contaminated food or drink

47
Q

s/s of salmonella

A
  • bloody pea soup diarrhea
  • rose spots
  • n/v
  • fever
48
Q

treatment of salmonella

A

cipro

49
Q

s/s of shigella

A
  • bloody diarrhea
  • lower abdominal cramps
  • fever
  • WBC
50
Q

treatment of shigella

A
  • rehydration
  • cipro or bactrim
51
Q

s/s of syphilis

A
  • primary: painless ulcer
  • secondary: rash
  • tertiary: gummas and neuro sx
52
Q

treatment of syphilis

A

PCN

53
Q

s/s of tetanus

A
  • stiffness
  • difficulty swallowing
  • HA
  • trismus
  • tonic muscle spasms
54
Q

treatment of tetanus

A
  • immune globulin
  • tetanus vaccine
  • PCN or flagyl
55
Q

s/s of toxoplasmosis

A
  • mono-like
  • encephalitis with brain lesions
  • retinochoroiditis
56
Q

diagnosis of toxoplasmosis

A

antibodies and PCR

57
Q

treatment of toxoplasmosis

A
  • none in immunocompetent persons
  • pregnancy: spiramycin
  • immunodeficiency: pyrimethamine and sulfadiazine
58
Q

S/S of tuberculosis

A
  • fever
  • night sweats
  • loss of energy/appetite
  • weight loss
  • hemoptysis
59
Q

treatment of TB

A
  • Isoniazid
  • Rifampin
  • Pyrazinamide
  • Streptomycin
60
Q

s/s of varicella

A
  • vesicles
  • flu like sx
61
Q

treatment of varicella

A

antivirals

62
Q

s/s of herpes zoster

A
  • dermatomal vesicles
  • neuralgia
63
Q

treatment of herpes zoster

A

antivirals

internal med eor (16 decks)

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