NEJM Flashcards
1
Q
measles clinical syndrome
A
- fever
- rash - cephalocaudal and centrifugal distribution
- exposure history
- prodrome of 3C’s (cough, coryza, conjunctivitis)
2
Q
cough, coryza, conjunctivitis
A
measles prodrome
3
Q
cephalocaudal and centrifugal rash
A
measles
4
Q
measles transmission
A
aerosolized droplet (extremely contagious! infectious 4d before and 4d after onset of rash)
5
Q
measles treatment
A
supportive + Vitamin A supplementation
6
Q
UA - nitrites
A
E coli, Klebs, and Proteus produce nitrite from nitrate.
Pseudomonas, enterococcus, and S. sapro do NOT.
FYI: 4h bladder incubation required for the conversion, so can be negative.
7
Q
UA - def of pyuria
A
> 5-10 WBCs
8
Q
UA - def of hematuria
A
> 3/hpf
9
Q
Outpatient UTI treatment
A
- nitrofurantoin 100mg BID for 5-7d (avoid if pyelo or CrCl
