Microbiology 🧫 Flashcards
In which HIV patients should get the varicella vaccine
Those with a CD for above 200. Remember it’s a live vaccine
Name the two methods for treating gentle warts, that are contraindicated in pregnancy
Podophylin and imiquimod
Which kind of adults are susceptible to SSSS
Those with a Renal in
When can a child return to school after impetigo
24 hours after treatment
Usually we do oral antibiotics for cellulitis. Name me five indications to do IV
Diabetes, extremes of age, hand/orbital involvement, systemic toxicity, Comorb 
Necr fasciitis. Tx. If strep main organism? If anaerobic? What to add to decrease exotoxin
Broad spec.
Penicillin G
Metronidazole or 3rd gen ceph
Clinda
Erysipelas Tx
Penicillin (mainly strep pyo)
Furuncle vs carbuncle
Deep infx of hair follicle. When adjacent one’s join it’s a carbuncle
aids patient with folliculitis that is resistant to Tx
Eosinophilic folliculitis
Hot tub folliculitis Tx
Usually self limited. But give cipro to cover pseudomonas if severe
Other than pregnancy issue, what’s the other thing with isotretinoin
LFT derangement
Pilonidal cyst Mx
Incise and drain. Then sterile packing. If sinus tract, do excision
Three tests to do monthly in girl taking Isotret
LFT, HCG, chol panel
Cushing’s syndrome a risk factor for malassezia.
Yes
Purpose of giving KOH for prep of some infx
To dissolve the skin cells, leaving just the organism
What is one hand two feet
Tinea pedis often involves two feet and one hand
Tinea Curis is usually associated with what
Tinea pedis
Scabies Tx overview
5% permethrin head to toe x 2. Do close contacts too
Of oral ivermectin
Combo if crusted scabies
Itching can continue for two weeks after
SCC on the lip or from ulcer… more or less likely to mets
More likely
Multiple BCC in younger patient or in areas not in sun
Gorlins
Ulceration is a poor Px marker for melanoma
Fact
Patient with an early melanoma….. Treated. Patient at risk for?
Dev of subsequent melanomas. So do good surveillance
Most common HIV associated malignancy
Kaposi
