OME - Day 22 Flashcards
Alternate for Ceftriaxone?
Ceftazidime
Alternate for Pip/Tazo?
Meropenem, Cefepime
Alternate for Vancomycin?
Linezolid
Antibiotics for a young woman with pyelo but ambulatory and can tolerate po?
Cipro
Antibiotics for a young woman with pyelo who’s toxic?
Ceftriaxone (Pip/Tazo not inappropriate)
Antibiotics for Cholangitis?
Gram negative and anaerobic coverage, Cipro + Metronidazole
Antibiotics for community acquired pneumonia?
Ceftriaxone and Azithromycin (moxifloxacin is appropriate)
Antibiotics for Diverticulitis?
Gram negative and anaerobic coverage, Cipro + Metronidazole
Antibiotics for Health Care Associated Pneumonia?
Vancomycin + Pip/Tazo
Young woman with a uti but no sepsis?
Nitrofurantoin, Trimethoprim-Sulfa
CD4 Count < 200?
PCP, Trimethoprim-Sulfa prophylaxis
CD4 Count < 100?
Toxo
CD4 < 50?
MAC, Azithromycin
PCP prophylaxis if G6PD deficient?
Atovaquone
PCP prophylaxis with a sulfa allergy?
Dapsone
Raised palpable purple lesions in an HIV patient?
Kaposi’s Sarcoma, HHV8
Risk factors for HIV?
Sex worker, frequent sex, UTIs, Needle drugs
What do you look for when the patient has flu-like symptoms, flu is negative, and the question is about HIV?
Viral load (NOT an Elisa)
White stuff you can easily scrape of the mouth, WITH dysphagia?
Esophageal candidiasis, oral fluconazole
White stuff you can easily scrape off the mouth, no dysphagia?
Oral candidiasis, nystatin swish and spit
AFB smear is positive for TB?
Isolation, RIPE
How do we screen someone with a positive ppd in the past that was treated for TB?
Chest X-rays
In TB, what do you do about a BCG vaccine?
Ignore it, or choose gamma-interferon release
The PPD is 11mm, who is that positive for?
Health-care workers
The PPD is 16mm, who is that positive for?
People who shouldn’t have been tested
The PPD is 6mm. Who is that positive for?
Immunocompromised and close contacts
What are the SIRS critieria? Name them without looking
WBC > 12, <4 . HR > 90 . Temp > 38, <36 . RR > 20
Sepsis + Low blood pressure?
Severe sepsis, give fluid bolus
What separates severe sepsis from septic shock?
Severe sepsis is responsive to fluids, septic shock is not
