Review Flashcards
Biomarker that detects a viral infection
Procalcitonin
Why give a steroid with antiviral?
To help reduce inflammation, ergo: predinisone and prazquantel
Toxoplasmosis TX
Pyramethamine
What are ADE that can occur with what cycle abendazole during tx?
The worm is dying so you feel worse but the worm is in fact dying
You find protozoa in the stool? What is it and how do you treat it?
Disease: Trichomonis Tx:Metronidazole
How do you treat histolitica enteroameobic
Tx: metronodazole
What is the tx for malaria in Haiti?
Chloroquine
Once a week Tx for Malaria typically used in long time travelers
Metholoquine
Malaria tx that can cause psych ADE?
Metholoquine do not give to pt w/ pmhx, and give 2-3 wks prior travel
Pinworm manifestation
anal puritis
Pinworm Tx and test
scotch tape test and pyrantel pamoate
How do you take abendazole?
On an empty stomach for pinworms and with food for systemic
What treats flukes and what should you advise your patient not to do?
Praziquantel treats flukes and advised patient not to chew these because it is very bitter
How do you treat Malaria with many resistant strands
Tx: Artesunate IV and doxycicline or artesuntae IV lumefantrine
Malaria with Gp6D
Quinine check for deficiency prior prescribing
Shingles Tx
Acyclover
HSV encephalitis Tx
acyclovir
How do you boost antivirals?
Protease inhibitors
How do you tx influenza?
Tamiflu- Oseltamivir, Baloxavir- marboxil
Oral candidiatis Tx?
Nystatin swish and spit
How long do you treat with truvada?
28 days
less than cd4 tx?
tmx/ smx- bactrim
Amphetericin B ADE
Renal toxicity
Severe fungal infection how do you treat?
Ampetherecin B
HIV belongs to what?
retrovirdae
HIV more worldwide location?
Sub saharan desert
HIV in the US where?
Southeast
Efavirenz ADE?
CNS and hepatotoxicity
Crystalized urine
Indevevir
Pneumocyctitis Jenejuni prophalaxis tx?
TMX/SMX (bactrim)
Which encephalitis has the highest mortality?
Eastern Equine encephalitis
Which mosquito illness has a vaccine?
Japanese
Rabies how do you detect it?
Negri bodies
Rabies causative agent worldwide?
Dogs
Rabies causative agent in us?
bats
Saddleback fever progression?
Dengue fever
Indinavir ADE?
crystal urine nephortoxicity
How doe healthcare workers get HIV?
needlesticks
how do you treat needlsticks?
emtricibine, raltegravir, tenofovir
HIV in elderly?
ED drugs, death of spouse, divorces, less knowledge
HIV in children pregnant women
vertical transmission
How often do you check counts on person who is on truvada?
every 3 months
What tests check for HIV monitoring?
cd4, VDRL, hiv rna
pediculosis
head lice
scabies
bed bugs, serpitous rash
Body lice can lead to what?
typhus
Pickle pork feet can harbor what infection?
tinea solum
Zika complications with pregnancy
microencephaly
Hiking around and now has a rash with a (+) torniquet sign?
dengue fever
Surfer just came back from costa rica now has conjunctivitis what is the cause?
Chagas DZ caused by Crusi tripizi
Toxoplasmosis complication late pregnancy
retinochroiditis
Complication following triganalosis causing death?
myocarditis
Necatoriasis is also named what?
hook worm
Nacatoriasis causes what?
iron deficiency microcytic anemia
Ascarias can lead to what ADE?
Respiratory sx
Walking on the beach and dude gets beach flukes what is this?
Schistomyosis and katayama fever
Hiv syphilis lab?
RPR
Borrelia burgdorferi
lyme dz, bulls eye rash, tick bite, erythema migrans
Chlamydia Psittaci
psittacosis
Where does psittacosis come from?
birds, parrots
yersinia pestis causes?
plague
Where does the plague come from?
fleas, prarie dogs, rats
bartonella hensalae comes from?
cat scratch, causese cat scratch dz
trichinella larva comes from?
pork and causes trichinosis
ricketsia ricketsi
rocky mountain spotted fever starts in the wrists then comes from in out
rocky moountain spotted fever comes from ?
ticks
tularemia comes from?
francisella tularensis
Ulcergrandular tularemia
ulcerrates dermis
oculargrandular tularemia
conjuctiva ulceration and chemosis with LAD preauricular enlargement
What does a Ct finding of a halo mean?
Suggestive of invasive aspergillosis
Who gets aspergillosis?
Children after organ transplants
Blastomycosis happens to who and when?
men when engaged in outdoor activities think 4 corners?
Coccidioidomycosis spread how?
inhalation dispersed in a dust storm
Where is coccidioidomycosis found?
arizona, mexico, CA
Cryptococcus can cause severe?
CNS, meningitis
Histoplasmosis occurs in what activity?
spelunking and excavation when disrupting soil
Histoplasmosis comes from?
bat caves, bird droppings
Mucormycosis is a dz..
invasive disease of sinuses, orbits and lungs
Most common Mucomycosis is ?
rhinocerebral dz
what dz has a reverse halo sign?
Mucormycosis
What is the causative agent of sporotrichosis ?
sporothrix schenckii
Sporotrichosis is also named what?
rose gardeners disease
Sporotrichosis can also be carried where?
cat paws spread by scratching
Sporotrichosis lesions follow what?
lymph-node chains
OTC pinworm treatment
Pamoate prantel
What are the ADE of abendazole?
none really well tolerated
What drug do yo use with sever fungal infections?
ampheterizine B
How do you treat hypersensitivity to artesunate IV?
antipyretics, antihistamine and steroids
Hantavirus comes from?
Mice poop, urine found in four corners
Cryptosporidiosis protozoal infection
causes watery diarrhea, non bloody
zika semen
can be detected 3- 6 mo after initial infection
dengue fever patterns
saddleback pattern and positive tourniquet test
ebola comes from
fruit bat
Truvada equals?
Tx for HIV tenofivir disoproxil fumarate and emtricitabine
VDRL GOES WITH
syphillis
HIV AIDS found mostly in
sub saharan africa
monitoring HIV labs
viral load HIV 1 rna levels = how many enemies are there? CD4 level how many soldiers are left
Crack users and HIV
quid pro
post exposure needle-stick tx
emcitabine, raltegravir and tenofovir
Kaposi sarcoma usually occurs when?
when CD4 levels are below 250
CD4 count less than 200 causes?
Pneumocystitis pneumonia
Pneumocystitis pneumonia is a what?
aids defining illness
Pnuemocystitis pneumonia tx?
bactrom trimethoprim- sulfamethoxazole
Tinea ungunium tx?
clotrimazole and miconazole
Malaria causative agent?
plasmodium falcuparum
poor prognostics for malaria
agitation, bleeding, hypothermia, anuria
Uncomplicated tx of malaria
artemether and lumefantrine
Spiramycin prevents what?
transmission og toxoplasmosis to baby
Katayama fever associated with ?
S mansoni and S japnoci
Enterobiasis are?
pinworms
loeffers syndrome
oneumonia esoniphillia
what additional therapy would you start when dc4 was 150 and now is cd4 50 ?
azithrmycin or clarithromycin agaianst mac group
hiv and hep b tx ?
tenofivr+ lemivudine and efavirenz
what is the first line tx of lymphatic filarisis?
diethylcarbamazine or abedazole and + ivermectin
ivermectin treats what?
strongloidiasis and onchocerciasis
wat is the toxicity associated wuth integrate tansferase inhibitos?
hypercholesteremia
tx for cmv?
Galgciclovir, valganciclovir
sympotamatic tc for entamoeba histoitica?
paramomcyomin and metro
treatments for tchichemonis ?
mebandazole and predinisone