Microbiology - Symptoms Differentials Flashcards

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1
Q

What are the SX for Bacterial Sinusitis?

A

Inflammed sinuses. Thick, purulent nasal discharge, congestion, facial pain, headache.

Less common SX - toothache, halitosis (bad breath)

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2
Q

What are the SX for otitis media? When does it usually occur?

A

Inflammation of middle ear, Otalgia (ear pain), otorrhea (discharge), diminished hearing, fever. Usually occurs after a viral URTI.

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3
Q

What are the general SX for oral cavity infections?

A

Swelling of soft tissue along angle of jaw and neck or in oral cavity. May develop draining sinus tract with yellow granules pus (sulfur granules) and infection may spread to adjoining tissue.

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4
Q

What are the SX of Pharyngitis? What is absent?

A

Sore throat, fever, chills, abdominal pain, inflamed uvula, pharynx; enlarged tonsils with grayish-white patchy exudate (NO COUGH OR CONGESTION)

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5
Q

What are the SX of epiglottitis?

A

Inflamed epiglottis, SEVERE sore throat, fever, dysphagia (difficulty swallowing) and muffle voice.

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6
Q

What are the SX of pneumonia? (general)

A

Infection of lung parenchyma, cough, fever, tachycardia, dyspnea, chest pain, increased RR and use of accessory muscles.

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7
Q

What are the SX of CA-Pneumonia (with gram stainable bacteria)?

A

Fever, dyspnea, productive cough, chest pain.

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8
Q

What are the SX of CA-Pneumonia (with atypical bacteria)?

A

Fever, dyspnea, chest pain and NON PRODUCTIVE COUGH, extra pulmonary findings are common.

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9
Q

What are the SX of Legionaire’s disease?

A

HIGH FEVER, chills, SLIGHT productive cough (SPUTUM MAY HAVE BLOOD), diarrhea, abdominal pain, headache, confusion, changes in mental status

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10
Q

What are the SX of Pontiac Fever?

A

Malaise, fatigue, myalgias, fever and headache (mild and self limiting disease)

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11
Q

What are the SX of mycoplasma pneumoniae pnemonia?

A

Fever, malaise, headache, sore throat, nasal congestion, non-productive cough

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12
Q

What are the SX of chamydophila pneumonia? - atypical pneumonia

A

Fever, malaise, headache, sore throat, nasal congestion, non-productive cough

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13
Q

What are the SX of chlamydophila psittaci (psittacosis)? - atypical pneumonia

A

HIGH FEVER, chest pain, muscle aches, non productive cough, can produce severe pneumonia

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14
Q

What are the SX of francisella tularensis penumonia?

A

Non productive cough, dyspnea, chest pain

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15
Q

What is an important differential for hospital acquired pneumonia regarding the patients cough?

A

Likely unable to cough enough to provide a sputum sample for culture

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16
Q

What are the general SX of VAP?

A

Fever, PURULENT SECRETIONS, leukocytosis (increased WBC)

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17
Q

What are the SX of aspiration pneumonia?

A

Cough w/ purulent sputum, fever, chills, malaise, myalgias, dyspnea and chest pain

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18
Q

What are the SX of lung abscesses?

A

Cough w/ purulent sputum, fever, chest pain, night sweats, fatigue and anemia (common)

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19
Q

What are the SX of active TB?

A

PRODUCTIVE COUGH, fever, weight loss, night sweats, hemoptysis (cough up blood), chest pain and fatigue (remember that TB can infect pulmonary or extrapulmonary or both)

20
Q

What are the SX of inhalation anthrax?

A

Fever, chills, dyspnea, cough, headache, vomiting, chest and abdominal pain, progresses to HIGH FEVER, EDEMA, ENLARGED MEDIASTINAL LYMPH NODES and meningitis

21
Q

What are the SX of diptheria?

A

Sudden sore throat, malaise, LOW GRADE FEVER, EXUDATE THAT FORMS A PSEUDOMEMBRANE, Severe cardiac and neurological complications caused by toxin

22
Q

What are the SX of pertussis (whooping cough)?

A

Catarrhal stage: runny nose, sneezing, low grade fever (1-2 wks)

Paroxysmal stage: Whooping cough, vomiting, exhaustion

Covalescent stage (several weeks)

23
Q

What are the signs/SX for osteomyelitis?

A

Pain, low grade fever, markers of inflammation (increased ESR, CRP)

24
Q

What are the SX of brucellosis?

A

Fever, night sweats, chills, musculoskeletal SX (arthralgia, low back pain, hip pain), fatigue, myalgia, headache, ENDOCARDITIS (RARE)

25
Q

What are the SX of meningitis?

A

Headache, fever, nuchal rigidity, altered mental status

Sometimes…nausea, vomiting, photophobia

26
Q

What are the SX of meningitis (early onset in neonates) by listeria?

A

Severe form - granulomatosis infantiseptica - abscesses and granulomas

27
Q

What are the SX of meningitis (late onset in neonates) by listeria?

A

Meningitis or meningoexephalitis with septicemia

28
Q

What is the major differentiating symptom of neisseria meningitis when patient presents with meningitis?

A

Nonblanching petechial or purpuric rash

29
Q

What are the SX of mild leptospirosis?

A

Flu like illness (fever, chills, headache, nausea, vomiting, abdominal pain - may have rash)

Immune phase results in fever and myalgia (may lead to meningitis)

30
Q

What are the SX of severe leptospirosis (Weil’s syndrome)

A

Hemorrhage, jaundice and acute kidney injury (death due to septic shock)

31
Q

What are the SX of brain abscesses?

A

Heache, fever, local neurologic defect

32
Q

What are the SX of peptic ulcer disease?

A

Epigastric pain after eating, gnawing or burning sensation

33
Q

What are the SX of s. aureus diarrhea?

A

Watery diarrhea, vomiting, abdominal pain

Incubation: 2-6
Duration: <24

34
Q

What are the SX of B. cereus diarrhea?

A

Watery diarrhea, abdominal cramps

Incubation: 8-12
Duration: <24

35
Q

What are the SX of of B cereus vomiting?

A

Vomiting, nausea, abdominal cramps

Incubation: Within 6 hours
Duration: <24 hours

36
Q

What are the SX of C. perfringens?

A

Watery diarrhea, abdominal cramps

Incubation: 8-24 hours
Duration: <24 hours

37
Q

What are the SX of ETEC diarrhea?

A

Watery diarrhea, nausea, vomiting, abdominal cramps

Incubation: 12-72 hours
Duration: 3-5 hours

38
Q

What are the SX of EPEC diarrhea?

A

Watery diarrhea, nausea, vomiting, abdominal cramps

Incubation: 1-2 days
Duration: 5-15 days

39
Q

What are the SX of EAEC diarrhea?

A

Watery diarrhea, nausea, vomiting, fever, abdominal cramps

40
Q

What are the SX of V. cholera?

A

Watery diarrhea, vomiting, muscle cramps, NO WATER, rice water appearance and fishy odor of diarrhea

Incubation: 1-2 days

41
Q

What are the SX of V. parahaemolyticus diarrhea?

A

Watery diarrhea, abdominal cramps, nausea, vomiting, fever

Incubation: 4 hours-4 days

42
Q

What are the SX of Listeria monocytogenes diarrhea?

A

Mild watery diarrhea, headache, nausea, vomiting, fever

Incubation: 24 hours + cold environment

43
Q

What are the SX of nontyphoidal salmnella diarrhea?

A

Nausea, vomit, H20 diarrhea, FEVER, ab. cramps

44
Q

What are the SX of enteric (typhoid) fever?

A

Gradually increasing fever, headache, ab pain, diarrhea, constipation

RASH rose spots (fade 2-5 days)

45
Q

What are the SX of diverticulitis?

A

Severe localized ab pain, FEVER, constipation or diarrhea –> could lead to abscess formation and peritonitis

46
Q

What are the SX of appendicitis?

A

Severe ab pain RLQ, nausea, vomit, constipation or diarrhea

47
Q

What are the SX of peritonitis?

A

Severe ab pain, FEVER