More Tb, ETC. Flashcards
How many weeks from illness can TST be positive
2-12 weeks
Treatment for Cat IA Tb
2HRZE/10HR
Treatment for Cat I Tb
2HRZE/4HR
Treatment for Cat II
2HRZES/1HRZE/5HRE
Treatment for Category IIa
2HRZES/1HRZE/9HRE
Treatment for Cat I, indications
New Pulmonary TB
New Miliary TB
New EPTB (except CNS/ bones or joints)
Treatment for Cat IA Tb, indications
CNS TB, TB of Bones or joints
Treatment for Cat II, indications
Retreatment of Rif susceptible PTB and EPTB (except CNS/ bones or joints)
Treatment for Category IIa, indications
Retreatment of Rif susceptible CNS, bones or joints
MC radiologic finding in primary Tb
Lymphadenopathy
Congenital Tb, definition
TB lesion + 1 or more of the ff: 1) present within the first week of life, 2) a primary hepatic complex or caseating hepatic granuloma, 3) TB infection of the placenta or endometrial TB in the mother; or exclusion of the possibility of postnatal transmission by excluding TB in other contact
Skin finding in cutaneous Tb
Papulonecrotic tuberculids
MCC of TB enteritis
Ileum
Corticosteroids are given in miliary Tb for
Prevention of microalveolar block
Major factors for recurrence of febrile seizures
1) Age <1 2) fever <24h before seizure 3) temp 38-39
Minor factor for recurrence of febrile seizures
1) Family hx
DOC cholera
Doxycycline
Major risk factor for poor prog in meningococcemia
Seizure
Surgical closure of cleft LIP is usually performed
3 months of age, satisfactory weight gain, free of any oral respiratory, or systemic infection
MC technique used in cleft lip repair
Millard-rotation-advancement technique
Initial repair of cleft lip may be revised when
4 or 5 yrs old
Immediate problem in an infant born with a cleft lip or palate
Feeding
Goals of cleft palate surgery
1) Union of cleft segments 2) Intelligible and pleasant speech 3) Reduction of nasal regurgitation 4) Avoidance of injury to growing maxilla
In an otherwise healthy child, closure of the palate is usually done when
Before 1 yr old, to enhance normal speech development
Indications for INH preventive therapy (IPT)
1) All children with HIV that was exposed 2) <5 with exposure to bacteriologically proven TB regardless of TST 3) <5 with exposure to clinically proven TB AFTER A TST POSITIVE
When to repeat CXR after Tb treatment
2 months
When is Hep A most infectious
2 weeks before and 7 days after jaundice appears
Rabies: Incubation period
1-3 months
Rabies: 2 clinical forms
1) Encephalitic/furious 2) Paralytic/dumb
In Encephalitic/furious rabies, death almost always occurs within ___ days in developing countries
1-2
T/F Neither rabies Ig nor rabies vaccine provides benefit once symptoms have appeared
T
Associated with clearance of salivary viral load and survival in rabies infection
Appearance of normal antibody response by 7 days
Rabies prophylaxis in someone with dog abrasions that did not bleed
Rabies VACCINE only
Neonate diagnosed with congenital Tb, what to do?
Give INH while waiting for diagnostics
MC cardiac pathology in CRS
PDA
MDR-TB length of treatment
At least 18 months
Day care teacher with PTB, what to do?
INH all children x 3 months, then do TST
Definitive diagnosis for tb adenitis
Culture
Drugs used for MDRTB prophylaxis
Pyrazinamide and Fluoroquinolone
