Symptoms

Question 1

What are the associated symptoms of C. diff

Answer 1

Diarrohoea (type 6-7) often with mucus, offensive smell
Raised CRP/WCC
Pyrexia
Toxic confusional state in the elderly

Question 2

What are the clinical signs for pseudomembranous colitis?

Answer 2

Abdominal distension
High WCC
Diarrhoea

Question 3

What are the clinical signs of oral herpes?

Answer 3

Blisters on lip
painful ulcers
systemically unwell
swollen lymph nodes

Question 4

What are the clinical signs of eczema herpeticum?

Answer 4

Chronic dermatitis from the mouth to the non-intact skin

Disseminates to other organs

Question 5

What are the clinical signs of thoracic zoster?

Answer 5

coalescent large black areas of skin loss
Virus in bloodstream
Risk of varicella encephalitis , hepatitis, pneumocystitis

Question 6

What are the symptoms of acute gastroenteritis?

Answer 6

Diarrhoea ≥3 loose stools per day
nausea and vomiting
abdominal pain
fever

Question 7

What are the symptoms of S. American trpanosomiasis?

Answer 7

left ventricular aneurysm, cardiomyopathy
Romana’s sign
Smooth muscle damage

Question 8

What is the criteria for severe CAP?

Answer 8

Confusion (mini mental test 8 or less)
Urea >7
respiratory rate >30
blood pressure (systolic BP<90 or diastolic <60
65 or more years old

Question 9

What are the symptoms associated with lower UTI?

Answer 9

dysuria
frequency
urgency
suprapubic pain
sometimes haematuria
sometimes fever
cloudy, smelly urine

Question 10

What are the symptoms associated with pyelonephritis?

Answer 10

loin pain and tenderness
fever
sometimes nausea and vomiting
lower tract symptoms

Question 11

What are the symptoms associated with syphilis?

Answer 11

Primary- often non-painful chancre, may heal spontaneously, local lymphanedopathy
Secondary- macular, coppery rash, may involve palm and soles, core generalised lymphadenopathy, condylomata lata
Tertiary- dissect aorta, dementia

Question 12

What are the complications of gonorrhoea?

Answer 12

conjunctivitis 
septic arthritis
pharyngeal infection
peri-hepatitis
disseminated disease

Question 13

What are the complications of meningitis?

Answer 13

death
subdural collection
cerebral vein thrombosis
hydrocephalus
9-15% deafness (Hib)
convulsions
visual/motor/sensory deficit

Question 14

What are the symptoms associated with meningitis?

Answer 14

headache
neck and back stiffness
nausea and vomiting
photophobia

Question 15

What are the symptoms associated with meningitis in children?

Answer 15

flaccid- later opisthotonus
bulging fontanelle due to increased ICP
fever and vomiting often the only sign
strange cry
convulsions

Question 16

What are the physical signs associated with meningitis?

Answer 16

rash petechial/purpuric
photophobia
Kernig’s positive due to hamstring spasm
Neck stiffness
Brudzinskis sign- flexing the patients neck causes flexion of the patients hips and knees
Unable to curl forward to put nose on knees