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Infectious Disease > UTi/Meningitis/pneumonia > Flashcards

UTi/Meningitis/pneumonia Flashcards

1
Q

pathophys of UTI

A

cases bacteria establish infection in the urinary tract by traveling from the urethra into the bladder and kidneys

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2
Q

MCC UTI in young people

A

E. Coli

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3
Q

how to tx cystitis

A

healthy females-bactrim or quinolones 3 days (7 days for >65/diabetics)
pregnant-amox, cephalexin, nitro 7 days
healthy men <50 bactrim or quinolones 7 days

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4
Q

vital signs are T- 103.30 F, P-100, R-20, BP-110/70. She c/o nausea, vomiting and right sided abdominal and flank pain.

A

pyelo

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5
Q

how to tx pyelo?

A

outpt-PO quinolones 7-14 days, bactrim 14 days, amox/augmentin 14 days
inpt-IV quinolones, ceftriaxone, unsyn, zosyn….switch to oral when stable

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6
Q

definitive dx of prostatitis

A

microbiologic exam of expressed prostatic fluid or urine. Positive is defined by WBC >10 per high powered field

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7
Q

how to tx prostatitis

A

acute-cipro 14 days or bactrim 4 weeks

chronic-cipro or bactrim for 4-6 weeks

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8
Q

when to treat asymptomatic bacteriuria

A

pregnancy, before instrumentation or post renal transplant

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9
Q

MC type of bacterial meningitis

A

strep pneump
H influenza
N meningitides

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10
Q

how to treat strep pneumo meningitis

A

PCN
Ceftriaxone
Vanco

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11
Q

how to treat H influenza meningitis

A

ampicillin for sensitive organisms, otherwise ceftriaxone

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12
Q

how to treat staph aureus meningitis

A

MSSA-nafcillin

MRSA-vanco

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13
Q

how to treat gram - bacilli meningitis

A

Cefipime, ceftazidime,

Meropenem

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14
Q

how to treat L monocytogenes meningitis

A

ampicillin

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15
Q

how does fulminant meningococcemia present?

A

rash, petechiae, ecchymosis, DIC, hypotension and death

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16
Q

H.influenzae, M.catarrhalis: pneumonia occurs in presence of

A

cardiopulmonary disease

17
Q

symptoms: cough, sputum production, chest pain, fever, chills

A

pneumonia

18
Q

CURB 65

A 
used to see if pt that has pneumonia can go home
confusions
urea >7
RR >30
BP SBP<90 DBP<60
19
Q

outpt tx of pneumonia

A

macrolides-azithromycin
respiratory fluoroquinolones-levo
trat for at least 5 days

20
Q

outpt tx of pneumonia w/comorbidities such as chronic heart, lung, liver, or renal disease; diabetes mellitus; alcoholism; malignancies; asplenia; immunosuppressing conditions

A

b-lactam plus a macrolide

amox

21
Q

inpt tx of pneumonia

A

b-lactam plus a macrolide

cefotaxime, ceftriaxone, and ampicillin

22
Q

Signs/Sx: fever,weakness, fatigue, weight loss over weeks to months.

A

TB

23
Q

quantiferon gold

A

can differentiate b/w acute vs latent

24
Q

how to tx TB?

A

Isoniazid (INH), Rifampin, Ethambutol, vitamin B6 for 6-9 months
add pyrizidamine for multi drug resistant

Infectious Disease (6 decks)

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