Sore throat, Dyspnea, and Chest ID, Dysuria Flashcards
Most common etiology of Sore throat
VIRAL most common
Strep>Staph
Organism that causes tonsilitis and pharyngitis
Streptococcus and staphylococcus
Treatment: Pain management, drain abscess, penicillin or augmentin or clinda
Most common organism to cause pneumonia after flu illnesses
Staph aureus
What is the treatment of choice for CMV
Gaincyclovir
Which drug causes chance of tendonitis or rupture
Ciprofloxacin, levofloxacin (Fluoroquinolones)
Treatment of choice for histoplasmosis and coccidioidomycosis
Fluconazole
People who are on MABs are at risk for what type of pneumonia
Aspergillosis pneumonia- affects lower respiratory tract and is caused by aspergillus, very bad in people who are immunocompromized
Most common organism in the environment that causes pneumonias in immunocompromized patients
aspergillus - Fungal infection
Suspected bacterial sinusitis treatment
Augmentin (Amoxicillin/clauvlanate)
A childhood illness of red macular papules with a white halo that lasts 3-7 days with a fever is most like which disease
Roseola infantum- HHV-6
Seen in 6 months-4 years old. Fever lasts 3-7 days, red macular papular rash with white halo, neck and trunk
malaise, mild conjunctivitis, low-grade fever, adenopathy, and cold symptoms. The rash begins on the face as pink macules. Short prodrome– is most like which viral illness
Rubella- not serious!
Fever, cough, coryza, Koplik spots with non puritic macular papulars that start on face is most like which disorder
Rubeola (Measles)
Rifampin can cause which side effect
Rash
Bloody diarrhea, abdominal pain, vomitting, and headache, are characteristic of which disease
Salmonella- especially after raw egg injestion
Treatment for Hospital acquired PNA
For MRSA- Vanco
For Pseudomonas- ceftazidime, cefepime, meropenem, imipenem, and piperacillin-tazobactam (Zosyn)
Cryptococcus HINTS
In environment, but in pigeon droppings and eucalyptus trees, can cause cryptococcal meningitis
Diagnosis- Blood test for cryptococcal antigen. Available in serum and CSF.
Stains on INDIA ink, ink will not penetrate capsul, which is pathomnumonic.
Treat with Amphotericin B or High dose fluconazole.
What patient populaiton do you see aspergillus in
In immunocompromized patients or in patients who are on chronic steroids (COPD exacerbation, Airway acting up- may be aspergillus.).
To test for this: do Aspergillus test in blood or 1,3 Beta glucan, culture, to test for it.
Aspergellus in airway/broncahl infection- chest x-ray clear, needs to be treated with Steroids- they have mold in their airway- IgE is high. Have bronchosis aspergillosis.
