Urgent Care

Question 1

Cat bite

Answer 1

Organism: paterurella multocida

Tx: Amoxicillin- Clavulate (augment) 875/125mg po bid or 500/125mg po did x 5-7days with close follow up

Question 2

Pneumocystitis Jirovecii Pneumonia

Answer 2

fungal infection (found in the ground), infects rmmunocompromissed people, tx is BACTRIM!

Question 3

Cat scratch

Answer 3

azithromyocin

Question 4

measles

Answer 4

Spread via droplets and vaccine preventable disease

Pro-drome (precedes the rash by 2-3 days):

• Classic “3 C’s” (SevereCough(dry, hacking); Coryza(Rhinitis); Conjunctivitis; HighFever(up to 105 F or 40.5 C)
• Malaise
• Irritability
• Photophobia

Koplik spots in the mouth (precedes the prodromal phase) and is indicative of measles!

Rash spreads from forehead to trunk and then to extremities (1-2 days later). Patients are contagious 4 days prior to rash onset. Rash is blanchable!

Question 5

posterior LAD or occipital LAD

Answer 5

MONO! Need to do a rapid mono spot! Rapid mono spots are not as effective on children less than 12yo because they don’t make herdophil antibodies which the tests looks for .