MS Flashcards

1
Q

Four categories of NSTI

A

Type 1: Polymicrobial
Type 2: Monomicrobial (beta hemolytic strep)
Type 3: gram neg (usually clostridium, also marine organisms)
Type 4: Fungal (i.e., candida)

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2
Q

What MRI findings may be seen with NSTI?

A

Thickened fascia with high signal intensity in T2 images.

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3
Q

What is advantage of clindamycin over penicillin for NSTI?

A

Clindamycin remains effective in “stationary phase”, turns off exotoxin synthesis, inhibits streptococcal M-protein synthesis (which facilitates mononuclear phagocytosis) and suppresses LPS induced monocyte synthesis of TNF.

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4
Q

Why are FQ contraindicated with NSTI?

A

May cause bacteriophage-induced lysis of S. canis, enhancing its pathogenicity.

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5
Q

What area is most commonly affected by HOD?

A

metaphysical regions of long bones.

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6
Q

What virus has been isolated in association with HOD?

A

Distemper

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7
Q

What muscle should be biopsied for MMM? What is the most useful test for diagnosis of this condition?

A

Temporalis muscle biopsy (NOT frontalis)

Serum assay for detection of muscle type 2M fiber autoantibodies

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8
Q

T/F the 2M antibody titer is negative with extra ocular muscle myositis?

A

T

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9
Q

What breeds are predisposed to polymyositis?

A

newfoundland and vizsla.

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