severe sepsis Flashcards
1
Q
droplet
A
nesseria Meningitdes
Rubella (German measles)
2
Q
Contact
A
MRSA & MDRD
Scabies
3
Q
Maculopapular rash
A
- Rubella (german measles)
- Measles (Rubeola)
- Roseola (exanthema subitum, usually HHV6)
- coxsackievirus
- Erythema infectiosum-5th disease (Parvovirus)
- Secondary Syphilis
- Drug eruptions
4
Q
Ulcer
A
Bacillus Anthracis (animal hides, soil) Francisella Tularensis herpes Leishmania Buruli ulcer (mycobacterium ulcerans)
5
Q
Nodules and papules
A
Fungal: - coccidoides - cryptococcus - histoplasma - sporotrichosis Viral: POX virus (molluscum contagiosum) Bacterial: - Nocardia - bartonella henslae (cat scratch disease) - Mycobacterium - MRSA
6
Q
Vesicles (
A
Herpes viruses- "Dew drop on a rose petal" Varicella zoster (chicken pox) - Primary infection= chicken pox - seondary reactivation= shingles HSV1&2 coxsackie
7
Q
Bullous (>0.5)
A
S. aureus
Vibrio vulnificus
8
Q
Vesicopustular
A
N. Gonorrhoeae
Disseminated infection
9
Q
Erythema
A
Cellulitis -Staph & strep Erysipelas (group A strep) Lymphangiti- (Group A, staph) Erythema migrans (Lyme disease, Ixodes tick vector, Borrelia burgdorferi)
10
Q
Airborne spread
A
Varicella
measles
11
Q
C. perfringes toxin
-produces crepitation (palpable gas)
A
alpha-toxin:
- diffuses through tissue killing cells thus producing more necrotic growth areas for organism
Theta toxin: toxic for heart muscle and capillaries-similar to streptolysin O in beta strep
Enterotoxin
-collagenase, DNAase, Hyaluronidase, Protease
12
Q
Endocarditis physical exam
A
Roth spots Janeway lesions osler's nodes (painful) conjunctival petechiae hypopion (pus in anterior chamber)
