systems Flashcards
bugs that cause bloody diarrhea (7)
- campylobacter (c. jejuni)
- EHEC
- EIEC
- Salmonella
- Shigella
- yersinia enterocolitica
- entaemoeba histolytica (protozoa)
bugs that cause watery diarrhea (6)
- c difficile
- c perfringens
- ETEC - traveler’s diarrhea
- vibrio cholera
- viruses (rotavirus, norovirus)
- protozoa (giardia, cryptosporidium)
comma- or S-shaped organism
grows at 42 degrees
causes blood diarrhea
campylobacter
protozoan
amebig dysentry
liver abscess
bloody diarrhea
entaemoeba histolytica
can cause HUS
makes shiga-like oxin
bloody diarrhea
EHEC
invades colonic mucosa
bloody diarrhea
EIEC
lactose negative
flagella
animal reservoir
bloody diarrhea
salmonella
lactose negative
Shiga toxin
bloody diarrhea
Shigaella
day-care outbreaks
pseudoappendicitis
bloody diarrhea
yersinia enterocolitica
pseudomembranous colitis
watery diarrhea, sometimes bloody diarrhea
c. diffficile
gas gangrene
watery diarrhea
c. perfringens
traveler’s diarrhea
heat labile and heat stable toxin
watery diarrhea
ETEC
comma-shaped
rice-water diarrhea
infected seafood
watery diarrhea
vibrio cholera
PNA bugs in neonates
2
- GBS
2. E coli
PNA in children (4wk - 18yr) (5)
- RSV
- mycoplasma
- chlamydia trachomatis
- chlamydia pneumoniae
- strep pneumoniae
Runts May Cough Chunky Sputum
PNA in young adults (3)
- Mycoplasma
- Chlamydia pneumoniae
- strep pneumo
PNA in older adults (5)
- strep pneumo
- h flu
- anaerobes
- viruses
- mycoplasma
PNA in elderly (5)
- strep pnuemo
- influenza virus
- anaerobes
- h flu
- GN rods
PNA in alcoholics and IVDU’s (3)
- strep pneumo
- klebsiella
- staph
PNA in aspiration (1)
anaerobes
atypical PNA (3)
- mycoplasma
- legionalla
- chlamydia
CF PNA (3)
pseudomonas, staph, strep pnemo
PNA in immunocompromised (5)
- staph
- enteric GN rods
- fungi
- viruses
- pneumocystis
nosocomial PNA (3)
- staph
- pseudomonas
- enteric GN rods
postviral PNA (3)
- staph
- h flu
- strep pneumo
Newborn meningitis bugs (3)
- GBS
- E coli
- Listeria
childhood meningitis bugs (4)
- strep pneumo
- meningococcus
- h flu B
- enterovirus
adult meningitis bugs (4)
- strep pnuemo
- meningococcus
- enterovirus
- HSV
elderly meningitis bugs (3)
- strep pneumo
- GN rods
- listeria
treating meningitis
`ctx and vanc + amp if listeria suspected
CSF of fungal meningitis
- opening pressure
- cell type
- protein
- sugar
- elevated pressure
- lots of lymphocytes
- lots of protein
- less sugar
CSF of TB meningitis
- opening pressure
- cell type
- protein
- sugar
- elevated pressure
- lots of lymphocytes
- lots of protein
- less sugar
CSF of bacterial meningitis
- opening pressure
- cell type
- protein
- sugar
- elevated pressure
- lots of PMNs
- lots of protein
- less sugar
CSF of viral meningitis
- opening pressure
- cell type
- protein
- sugar
- normal to increased pressure
- lots of lymphocytes
- normal to elevated protein
- normal sugar
most common osteomyelitis
staph aureus
osteomyelitis in sexually active
septic arthritis
or
neisseria gonorrhoeae
osteomyelitis in DM and IVDU (2)
- pseudomonas
2. serratia
osteomyelitis in sickle cell (1)
salmonella
osteomyelitis in prosthetic joint replacement (2)
- staph aureus
2. staph epidermidis
osteomyelitis w/vertebral involvement (1)
Pott disease *( mycobacterium)
osteomyelitis with cat and dog bites (1)
pasteurella multicodia
UTI lab markers: leukocyte esterase indicates what
bacterial UTI
UTI lab markers: nitrite test + indicates what
GN bacterial UTI
top three UTI bugs
- E coli
- staph saprophyticus
- klebsiella pneumoniae
which UTI bug causes struvite stones and why
Proteus mirabilis b/c it has urease
which UTI bug causes blug-green pigment and fruity odor
pseudomonas
three common vaginal infections
- bacterial vaginosis
- trichomoniasis
- candida vulvovaginitis
signs and symptoms of bacterial vaginosis (3)
no inflammation
thin, white discharge
fishy odor
signs and symptoms of trichomoniasis (2)
inflammation
frothy,green-grey foul-smelling discharge
signs and symptoms of candida vulvovaginitis (2)
inflammation
thick, white cottage cheese discharge
lab findings of bacterial vaginosis
clue cells
pH > 4.5
lab findings of trichomoniasis
motile trichomonads
pH > 4.5
lab findings of candida vulvovaginitis
pseudohyphae pH normal (4.0-4.5)
treatment for bacterial vaginosis
metronidazole
treatment for trichomoniasis
metro for both pt and partner
treatment for candida vulvovaginitis
-azoles
TORCHHeS infections
- toxo
- rubella
- CMV
- HIV
- HSV-2
- Syphilis
what infection can cause hydrops fetalis?
parvovirus B19
what does neonatal toxo infection look like?
- triad
- chorioretinitis
- hydrocephalus
- intracranial calcifications
what does neonatal rubella infection look like
- triad
- and look
- PDA
- cataracts
- deafness
blueberry muffin rash
what does neonatal CMV infection look like
- 4)
- hearing loss
- seizures
- petechial rash
- blueberry muffin rash
what does neonatal HIV infection look like? (2)
- recurrent infections
2. chronic diarrhea
what does neonatal HSV-2 look like (2)
- encephalitis
2. herpectic (vesicular lesions)
what does neonatal syphilis look like if baby survives? 5)
- notched teeth
- saddle nose
- short maxilla
- saber sinus
- CN VIII deafness
Red rashes of childhood (7)
- Coxsackie A
- HHV-6 (roseola)
- Measles virus (paramyxo)
- Parvovirus B19
- rubella virus (togavirus) - German measles
- Strep pyogenes
- VZV
Hand foot mouth disease by what bug
coxsackievirus A
Coxsackie A rash presentation
palms and soles: vesicular rash
oral mucosa: vesicles ulcers
HHV-6
- what syndrome
- presentation
Roseola
all over body: macular rash after several days of fever
Measles virus
- what kind of virus
- what is Measles also called
- presentation
Paramyxovirus
Rubeola
First CCCK: cough, coryza, conjunctivitis, koplik …
then
Head –> moves down: rash
parvovirus b19
- what syndrome does it cause
- presetnation
- what can it cause if in pregnant woman
- erythema infectiosum (fifth disease)
“slapped cheek” rash on face
hydrops fetalis
rubella virus
- what syndrome
- presentation
rubella
head –> down: rash
trunk: fine rash
postauricular LAD
strep pyogenes
- what syndrome does it cause
- presentation
Scarlet fever
- sand-paper rash
- fever and sore throat
VZV
- what syndrome
- presentation
chicken pox
trunk –> face and extremities: vesicular rash
rocky mountain spotted fever
- what bug
- presentation
- rickettsia rickettsii
- wrists and ankles –> trunk palms and soles
typhus
- what bug
- presentation
- rickettsia typhi (fleas)
- rash from inside out; spares palms and soles
chancroid
- what is it
- what causes it
- painful genital ulcer with inguinal adenopathy
- haemophilus ducreyi (do cry b/c it’s painful)
condylomata
- what causes it
HPV 6 and 11
lymphogranuloma venereum
- what is it
- what causes it
infection of lymphatics
painless genital ulcers
painful LAD called buboes
- chlamydria trachomatis (L1-L3)
chlamydia or gonorrhea more common?
chlamydia
RF for nosocomial candida albicans (1)
hyperalimentation
RF for nosocomial CMV or RSV
newborn nursey
RF for nocosomial proteus or e coli infection
urinary cath
German measles vs. measles
- what infection
- rash progression
- other presentation
- rubella vs. paramyxo
- both head down
- Germans have LAD vs. regular has CCCK
Respiratory infections in un-immunized children
epiglottis 2/2 h flu
pharyngitis 2/2 corynebacterium diphtheria
Asplenic risk for what organisms (3)
SHiN
- Strep pneumo
- h flu
- neisseria
Branching rods in oral infection with sulfur granules
Actinomyces
chronic granulomatous disease
catalase + organisms
cats go PLACESS
- pseudomonas
- listeria
- aspergiolosis
- candida
- e coli
- staph aureus
- salmonella
currant jelly sputum
klebsiella
dog or cat bite
pasteurella multocida
facial nerve palsy
borrelia burgdorferi (Lyme)
fungal infection in diabetic or immunocomp
Mucor
or
Rhizopus spp
neutropenic pts
candida albicans or aspergillus
organ transplant pt what bug
CMV
PAS + bug
tropheryma whipplei (whipple disease)
PNA in burn pts
pseudomonas
pus, empyema, abscess
staph aureus
rash on hands and feet
coxsackie A, treponema pallidum, rickettsia rickettsii
surgical wound infection
staph aureus
traumatic open wound infection
c perfringens `
how does c perfringens cause damage
Phospholipase toxin that attacks cell MB and causes death -
- extensive tissue damage, necrosis
Erythema infectiosum caused by what
parvovirus B19
presentation of erythema infectiosum (2)
malar rash with “slapped cheek”
lacelike rash on trunk and extremities
complications of erythema infectiosum (2)
- aplastic crisis in sickle cell
2. aplastic crisis in immunocompromised
what does Rubella virus cause
German measles aka Rubella
presentation of rubella
- maculopapular rash: head to trunk and extremities
2. occipital and postauricular LAD
imp[ortant complications of rubella
congenital rubella syndrome (blueberry muffin)
Measles is caused by what
Rubeola aka measles virus
presentation of measles (2)
- maculopapular rash: head to trunk and extremities
2. rash preceded by CCCK: cough, coryza, conjunctivitis, Koplik spots
complications of measles (2)
- bronchopneumonia
2. encephalitis
roseola is caused by what
HHV6
presentation of rosela (2)
- high fever 3-5d THEN rash
2. macules and papules: trunk to extremities
which of the pediatric erythemas are self-limited?
roseola
scarlet fever is caused by what
strep pyogenes
presentaion of scarlet fever (2)
- sandpaper-like rash: neck, armpits, groin, then
generalize - a/w fever and sore throat
complications of scarlet fever (2)
- rheumatic fever
2. glomerulonephritis
Hand foot and mouth disease caused by what
Coxsackievirus A
presentation of hand foot mouth disease (3)
- fever
- ulcers on tongue and oral mucosa
- maculopapular rash on palms and soles