Sinusitis and Otitis MEdia Flashcards

1
Q

Otitis Media

A

Infiltrates in mid ear, pus, bulging membrane = bacterial. With fever and otalgia. Treat with amoxicillin

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2
Q

Sinusitis

A

Purulent nasal discharge with pain over sinuses. Fever, cough, loss of sense, halitosis

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3
Q

Picornaviridae: Rhinovirus Clinical

A

Otitis media with erthema tympani, common cold

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4
Q

Picornaviridae: Rhinovirus Char

A

Pos sense ssRNA w/o env

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5
Q

Picornaviridae: Rhinovirus RF

A

Young children

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6
Q

Strep Pneumoniae Clin

A

Otitis media and sinusitis

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7
Q

Strep Pneumoniae Char

A

Gram pos diplococci

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8
Q

Strep Pneumoniae VF

A

capsule, IgA protease, pneumolysin

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9
Q

Strep Pneumoniae Diag

A

Neufeld Rxn, bile soluble, Optochin sensitive, alpha hemolysis

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10
Q

Strep Pneumoniae Vccn

A

Capsular and conjugate vccn

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11
Q

Strep Pneumoniae Tx

A

Beta lactams

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12
Q

Haemophilus Influenza Clin

A

Otitis media and Sinusitis

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13
Q

Haemophilus Influenza Char

A

gram neg rod. Hib has PRP capsule.

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14
Q

Haemophilus Influenza Diag

A

Chocolate Agar (with X and V factors)

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15
Q

Haemophilus Influenza Vccn

A

Hib vccn

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16
Q

Moraxella Caterrhalis Clin

A

Otitis media and sinusitis

17
Q

Moraxella Caterrhalis Char

A

Gram neg diplococci, norm flora

18
Q

Moraxella Caterrhalis Diag

A

Culture, DNase and oxidase pos

19
Q

Moraxella Caterrhalis Tx

A

Beta-lactamase producer so use augmentin

20
Q

Rhixopus and Mucor spp Clin

A

Sinusitis and Rhinocerebral mucor/mucomycosis (CNS invasion)

21
Q

Rhixopus and Mucor spp RF

A

Immunocomp

22
Q

Rhixopus and Mucor spp Char

A

Monomorphic fungi (hyphae) trans via sporangiospheres

23
Q

Rhixopus and Mucor spp Diag

A

KOH - nonseptate hyphae branches at right angles. Rhizopus with nodal rhizoids and mucor lacks rhizoids

24
Q

Mucormycosis

A

Invasion of bv’s of oral mucosa and sinuses. RG = Diabetic ketoacidosis, neutropenia, corticosteroids

25
Q

Rhinocerebral mucor

A

Infect orbits, palate and brain