systems-most likely Flashcards
pneumonia in cystic fibrosis patient
pseudomonas
pneumonia in an alcoholic/IV drug user
S. pneumo
Klebsiella*
S. aureus
hospital acquired pneumonia
S. aureus
Pseudomonas
other enteric gram- rods
someone has meningitis, what 2 antibiotics do you give empirically? what should you add if you suspect listeria
give cefriaxone and vanco
add ampicillin to cover listeria (babies and old ppl)
bacterial meningitis CSF findings opening pressure: cell type: protein: sugar:
opening pressure: increased
cell type: PMNs increased
protein: increased
sugar: decreased
fungal/TB meningitis CSF findings: opening pressure: cell type: protein: sugar:
opening pressure: increased
cell type: lymphocytes increased
protein: increased
sugar: decreased
so fungal and bacterial CSF findings are the same except for the elevated cells found (bacterial is PMNs and fungal is lymphocytes)
viral meningitis CSF findings opening pressure: cell type: protein: sugar:
opening pressure: normal or slightly increased
cell type: lymphocytes increased
protein: normal or increased
sugar: normal
*so big diff for viral CSF findings is sugar is NORMAL. also protein & opening pressure can be normal
osteomyelitis in someone sexually active (besides staph)
N. gonorrhoeae (septic arthritis more common)
osteomyelitis in prosthetic joint?
staph aureus and staph epidermidis
osteomyelitis and there has been a cat or dog bite
pasteurella multocida
osteomyelitis in a IV drug user
pseudomonas
Candida
S aureus
what are the top 3 causes of UTI
- e coli
- staph saprophyticus- sexually active
- klebsiella pneumoniae
UTI with a bug that produces a red pigment
serratia marcescens
hot tub follicles
pseudomonas
UTI with a bug that causes swarming on agar
proteus-produces urease and causes struvite stones
UTI with a bug that has a fruity odor
pseudomonas aeruginosa
produces a blue green pigment
vaginal infection and you see clue cells
bacterial vaginosis
strawberry cervix
trichomoniasis
frothy green foul smelling discharge
what congenital infection causes hydrops fetalis
B19
what is the classic triad seen in congenital rubella infection
PDA (or pulmonary artery hypoplasia)
cataracts
deafness
can also blueberry muffin rash
congenital infections with hearing loss, seizures, petechial rash, periventricular calcifications
mom had sex with new partner during pregnancy
CMV
what are some baby signs of a congenital syphilis infection
notched teeth saddle nose short maxilla saber shins CN VIII deafness snuffles
infant has a high fever (so high that you could see febrile seizures) and then gets a asymptomatic rash on body
roseola (HHV6/7)
rash starts on forehead and works its way down with postauricular lymphadenopathy
rubella
rash starts behind ears and on neck
rash is proceeded by cough, coryza, conjunctivitis
measles
blue white spots on buccal mucosa
koplik spots seen in measles
sandpaper like rash
scarlet fever from strep pyogenes
painful genital ulcer with exudate and inguinal adenopathy
haemophilis ducreyi
you cry with ducreyi
condylomata acuminata
genital warts
koilocytes
HPV 6 and 11
painful genital ulcers and vesicles
can have systemic infections: fever, headache myalgias
genital herpes
painLESS genital ulcer with painFUL lymphadenopathy
lymphogranuloma venereum
what is the chandelier sign? when is it seen?
cervical motion tenderness seen with PID
what is fitz hugh curtis syndrome? what causes it?
can result from PID
infection of liver capsule and violin string adhesions of peritoneum to liver
asplenic patient, what 3 bugs are they esp at risk for
encapsulated bugs
s. pneumo
H. influenza (type B)
N. meningitis
current jelly sputum
klebsiella
what organism should pop into your head with an organ transplant patient
CMV
3 organisms causing rash on hands and feet
coxsackie A virus
treponema pallidum (secondary)
rickettsia rickettsii
