v sy/sg Flashcards

1
Q

Skin vesicles = dew on a rose petal: a fluid filled vesicle on top of a red base.
o The fluid becomes cloudy, ruptures, and then scabs over.
o Multiple vesicles can occur together to form a crop.

A

varicella (chickenpox) from varicella zoster virus

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2
Q

mucocutaneous infections, the liver, lungs, and GI

A

Disseminated herpes from HSV 1/2

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3
Q

fever, “slapped face” rash on cheeks

A

erythema infectiosum (5th dis) in kids: parvoviridae

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4
Q

cervical dysplasia and carcinoma

A

cervical cancer from papilloma virus

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5
Q

small red vesicles on the back of the throat.

A

Herpangina: coxsackie virus A:

-also w mild self-limiting illness characterized by fever, sore throat, and

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6
Q

myalgias

A

HIV: acute viral illness

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7
Q

mild fever, lymphadenopathy, flu-like symptoms, and maculopapular rash that goes from the forehead to the face to the torso to the extremities lasting 3d

A

rubella from rubivirus

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8
Q

hemmorrhagic fever

A
  • ebola and marburg virus: filoviridae

- hantavirus pulmonary synd of bunyavirus in eu and asia

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9
Q

protozoal infections in AIDs pts

A
  • Toxoplasma gondii

* Cryptosporidium, microsporidia, and isospora belli:

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10
Q

hemorrhagic cystitis in bone marrow transplant recipients

A

BC polyomavirus

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11
Q

seizures

A
  • ebola virus from filoviridae

- congenital: cytomegalovirus

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12
Q

vesicles in a u/l dermatomal pattern

A

varicella zoster virus (chickenpox and shingles)

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13
Q

fever, headache, lower thoracic pain on breathing (pleuritic pain)

A

Pleurodynia: coxsackie virus B

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14
Q

smoldering wasting dz that is characterized by fever, night sweats, weight loss, diarrhea, and elevated liver enzymes

A

Mycobacterium acium-intracellulare (MAI) in AIDS pts

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15
Q

severe genital and oral outbreaks.

A

Herpes simplex

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16
Q

congenital chorioretinitis

A

rubella from rubivirus when cross placenta

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17
Q

esophageal sores

A

HIV: acute viral illness

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18
Q

colitis (leading to diarrhea).

A

CMV in:

  • AIDs pts
  • immunocomp pts
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19
Q

atypical lymphocytes on blood smear

A

mononucleosis from EBV (are large activated T cells)

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20
Q

microcephaly

A

cytomegalovirus

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21
Q

white hair-like projections coming off the side of the tongue.

A

oral hairy leukoplakia (OHL) when EBV in AIDS pts

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22
Q

severe brain and liver dis when give aspirin if have flu or chicken pox

A

Reyes synd

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23
Q

swelling of parotid gland

A

mumps virus

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24
Q

lymphadenopathy and splenomegaly

A

mononucleosis from EBV (from the proliferating B cells)

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25
Q

small 1-2mm white bumps that have a central dimple.

A

molluscum contagiosum from poxiviridae

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26
Q

conjunctivitis/swelling of the eyelids/photophobia,

A

prodrome (during incubation, before rash) of measles virus

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27
Q

mononucleosis

A

EBV if + monospot test

cytomegalovirus if - monospot test

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28
Q

cough and hypoxa.

• CXR: interstitial infiltrates or be normal.

A

Pneumocystis jiroveci pneumonia (PCP) in AIDS pts

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29
Q

URI: flu-like symptoms/URI

A

parainfluenza virus

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30
Q

brain mass: present as seizures, weakness, aphasia.

A

Toxoplasma gondii in AIDs pts

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31
Q

Fevers, myalgia, chills, and later dry cough, chest pain (pleurisy), and dyspnea, possibly a sore throat

A

SARS from coronavirus

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32
Q

encephalitis: fever, brain inflammation, headache, and focal neurological deficits

A

alpha virus of togaviridae (VEE, EEE, WEE)

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33
Q

chorioretinits resulting in blindness.

A

CMV in AIDs pts

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34
Q

severe resp illness (maybe polio like too)

A

enterovirus C68

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35
Q

HIV co infections when T cell count of 200-400 (after 7y)

A

(weight loss, fever, night sweats, adenopathy)

• Infections = severe athletes foot, oral thrush (candida albicans), herpes zoster become more common.

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36
Q

swollen gums with painful vesicles in the mucous membranes and where the entry occured

A

Gingivostomatitis from HSV 1/2

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37
Q

congenital interventricular defects

A

rubella from rubivirus when cross placenta

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38
Q

oral thrush and esophagitis.

A

Candida albicans in AIDs pts

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39
Q

the hepatitis that does not cause liver dis

A

HGV

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40
Q

negri bodies in cytoplasm

A

rabes from rhabdoviridae

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41
Q

red-purple plaques or nodules all over the body skin.

A

Kaposi’s sarcoma

• Can remain limited with only some skin involvement or can progress and go after the LNs, Lungs, and GI tract too

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42
Q

cardiomyopathy

A

-myocarditis/pericarditis: coxsackie virus B

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43
Q

hemmorrhage

A

dengue fever from flavivirus

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44
Q

Subacute sclerosing panencephalitis (SSPE)

A

slow form of encephalitis that is caused by measles v.

•can progress to CNS dz, mental deterioration, and incoordination.

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45
Q

nephritis and ureteral stenosis in renal transplant pts

A

BC polyomavirus

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46
Q

Red, flat or maculopapular rash that spreads from the forehead to the face, neck, torso and feet by the third day.
–> thicker and then disappear in the same pattern

A

measles virus

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47
Q

Koplik’s spots

A

measles virus: 1-2 days before the rash, pt develops small red lesions with blue-white centers in the mouth

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48
Q

hyperactivity and agitation –> confusion , meningismus, seizures, aggressive, fearless, disoriented

A

acute enchphalitis of rabes from rhabdoviridae

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49
Q
  1. eventually, low blood O2 levels, infiltrates in multiple parts of the lung and no evidence of heart failure
A

RDS (non-cardiogenic pulmonary edema): Bird flu pandemic (H5N1) from Orthomyxoviridae

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50
Q

myelopathy and peripheral neuropathy

A

AIDS

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51
Q

massiver generalized lymphademopathy; also more bac and skin infections at the end

A

acute viral pd or clinical latency pd of HIV

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52
Q

orchitis

A

mumps virus: - swelling of the testicle and stretch the capsule to cause intense pain and rarely cause infertility.

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53
Q

1 mo after infection, fever, malaise, lymphadenopathy, and pharyngitis.

A

acute viral illness of HIV

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54
Q

high WBC, high RBC, and low platelets.

A

hantavirus pulmonary synd of bunyavirus

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55
Q

dramatic motor paresis or paralysis

A

neuroinvasive dis from west nile virus from flavivirus

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56
Q

congenital patent ductus

A

rubella from rubivirus when cross placenta

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57
Q

painful backache, muscle and joint pain, fever and severe headache.

A

dengue fever from flavivirus

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58
Q

scarring and cirrhosis of liver

A

HBV

59
Q

eye damage

A

measles virus

60
Q

lesions Most dense on face and palms (centrifugal spread)

A

smallpox from poxiviridae

61
Q

Blood has heterophile ab

A

mononucleosis from EBV ( ab against EBV that reacts and agglutinates with sheep RBCs to give a + monospot test that is useful for differentiating from CMV and quickly diagnosing EBV mono)

62
Q

HIV co infections when T cell count is below 50

A

the immune system is almost nonexistent and can allow mycobacterium acium-intracellulare and CMV to come in

63
Q

endemic diarrheal dis

A

enteric adenoviridae

64
Q

painful muscle spasms => atrophy and loss of reflexes

A

paralytic poliomyelitis from poliovirus

65
Q

hypergammaglobinemia that creates auto-abs and immune-complex formation

A

HIV

66
Q

synchronous lesions

A

smallpox from poxiviridae

67
Q

confusion

A

ebola virus from filoviridae

68
Q

infects tonsils, payer’s patches and the motor neurons (anterior horn)

A

poliovirus

69
Q

URI: bronchitis

A

parainfluenza virus

70
Q
  1. after 2-4 day incubation: high fever, headache, myalgias, diarrhea, abdominal pain, vomiting, sore throat, rhinorrhea, cough, SOB, and sputum production.
A

Bird flu pandemic (H5N1) from Orthomyxoviridae

71
Q

chest pain

A

ebola virus from filoviridae

72
Q

congenital microcephaly

A

rubella from rubivirus when cross placenta

73
Q

memory loss, poor speech, and incoordination

A

BC polyomavirus: progressive multifocal leukoencephalopathy (PML). - CNS white matter damage

74
Q

cranial n dysf –> painful contractions of the pharyngeal muscles –> not wanting to swallow (hydrophobia) –> foaming at the mouth from over collection of saliva

A

classic brainstem enchphalitis of rabes from rhabdoviridae

75
Q

fever, rash, and joint pain/swelling, which lasts a while

A

chickungunya virus (alpha virus from togaviridae)

76
Q

URI: sinus congestion

A

parainfluenza virus

77
Q

paraplegia/quadriplegia

A

paralytic poliomyelitis from poliovirus

78
Q

acute infectious diarrhea

A

rotovirus

79
Q

asymmetric paralysis,,, or even (worse in pts over 15)

A

paralytic poliomyelitis from poliovirus

80
Q

painful vesicles develop in the dermatome distribution or can be disseminated and not reside in a dermatome.

A

Herpes zoster in AIDS pts

81
Q

chronic diarrhea

A

Cryptosporidium, microsporidia, and isospora belli in AIDs pts

82
Q

respiratory muscle failure

A

paralytic poliomyelitis from poliovirus

83
Q

heart failure

A

-myocarditis/pericarditis: coxsackie virus B

84
Q
  1. progress to pnemonia w patchy infiltrate on CXR –> consolidation with air-bronchiograms in more than 1 lung zones
A

Bird flu pandemic (H5N1) from Orthomyxoviridae

85
Q

tender enlarged liver and mildly elevated liver enzs

A

chronic hepatitis: HBV, HCV, HDV (when superinfection after HBV)

86
Q

arrhythmias

A

-myocarditis/pericarditis: coxsackie virus B

87
Q

HIV co infections when T cell count below 400.

A

TB

88
Q

URI: pharyngitis

A

parainfluenza virus

89
Q

HIV co infections when T cell count goes below 200

A

killing infections: pneumocytosis carinii pneumonia, Cryptococcus neoformans, and toxoplasma gondii.

90
Q

develop hepatitis with jaundice, fever, headache, back ache, nausea, and vomiting after a week incubation period

A

yellow fever from flavivirus

91
Q

congenital mental retardation

A

rubella from rubivirus when cross placenta

92
Q

hemorrhage of the GI tract

A

ebola virus from filoviridae

93
Q

viral infections in AIDs pts

A
  • Herpes zoster
  • EBV
  • Herpes simplex
  • CMV
94
Q

kids have no jaundice and no symp

A

HAV

95
Q

Croup

A

parainfluenza virus: laryngealtracheobronchitis that happens in kids to cause airway narrowing, stridor, and a seal barking cough
-in 20% of kids w metapneumovirus

96
Q

can yeild acute, fulminant, or chronic hepatitis

A

HBV

97
Q

recurrent infections, limited to UR tract

A

Respiratory syncytial virus (RSV)

98
Q

periodic outbreaks of diarrhea in kids and elderly

A

astrovirus

99
Q
  1. flu-like: fatigue, low grade fever, myalgias, joint aches, cough, rhinitis, and pharyngitis.
  2. 1-2 wks: jaundice and increased liver enzs
  3. 2 wks: even more jaundice and liver enzs, painful hepatosplenomegaly
A

acute viral hepatitis:

  • HAV, HEV
  • (early stage of HCV)
  • HDV when a co-infection w HBV
100
Q

high fevers up to 105, hacking cough, rhinitis, and malaise

A

prodrome (during incubation, before rash) of measles virus

101
Q

decreased level of consciousness

A

neuroinvasive dis from west nile virus from flavivirus

102
Q

CXR or CT showing alveolar consolidation that could progress to acute respiratory distress synd (ARDS).

A

SARS from coronavirus

103
Q

genital, laryngeal, common warts

A

warts from papilloma virus

104
Q

conjunctivitis

A
  • ebola virus from filoviridae

- URI from adenoviridae

105
Q

lymphoproliferative dis

A

EBV

106
Q

cause of fever of unk origin (FUO)

A

Mycobacterium acium-intracellulare (MAI) in AIDS pts

107
Q

headache and occasional maculopapular rash for a wk

o continue for months as fatigue, weakness, and difficulty concentrating.

A

west nile fever from west nile virus from flavivirus

108
Q

resp ctr dysf

A

cause death from rabes from rhabdoviridae

109
Q

intranuclear inclusion bodies

A
herpesvirdae viruses:
HSV 1 and 2
varicella zoster
cytomegalovirus
EBV
110
Q

Fever, shills, sweats, headaches, and a very painful pharyngitis

A

mononucleosis from EBV

111
Q

lymphoma

A

ebv

112
Q

cancers in AIDS pts

A
  • B cell lymphoma
  • Kaposi’s sarcoma
  • Non-Hodgkin’s lymphoma
  • Hodgkin’s lymphoma
  • Cervical cancer from HPV co-infection
  • anal intraepithelial neoplasia
113
Q

bronchiolitis

A

metapneumovirus

114
Q

fever, oral vesicles, and small tender lesions on the hands, feet, and butt.

A

Hand, foot, and mouth syndrome: coxsackie virus A:

115
Q

myocarditis

A

measles virus

116
Q

Young women can develop a self-limiting arthritis.

A

rubella from rubivirus

117
Q

Infection of the brain cells → cell death and swelling → sudden onset of fever and focal neurological deficits

A

Encephalitis from HSV 1/2

118
Q

infection of the finger → becomes swollen, hot, bright red, painful

A

Herpetic whitlow: from HSV 1/2

119
Q

abortion and premature delivery

A

measles virus (not cause fetal defects)

120
Q

like the flu: high fevers, muscle aches, myalgia, cough nausea, vomiting, tachycardia, and tachypnea

A

hantavirus pulmonary synd of bunyavirus

121
Q

Initially: abrupt onset of fever, chills, malaise, nausea, vomiting, diarrhea, and abdominal pain

A

ebola virus from filoviridae

122
Q

Rash can develop by day 5-7.

A

ebola virus from filoviridae

123
Q

o High fever, chills (maybe shaking chills), headaches, malaise, and myalgias.
o Also URI viral symptoms: dry cough, sore throat, and rhinorrhea (runny, clogged nose).

A

Orthomyxoviridae

124
Q

liver and spleen enlargement

A

HIV: acute viral illness

125
Q

Fever, malaise, headache and rash that begins on the face and trunk and then spreads to the entire body including mucous membranes like mouth and vagina

A

varicella (chickenpox) from varicella zoster virus

126
Q

chest pain

A

-myocarditis/pericarditis: coxsackie virus B

127
Q

esophagitis

A

CMV in AIDs pts (pain with swallowing)

128
Q

fever, headache, sore throat, fatigue, nausea, and painfully sensitive nerves around the wound site –> fasciculating muscles.

A

prodrome of rabes from rhabdoviridae

129
Q

congenital pulmonary artery stenosis

A

rubella from rubivirus when cross placenta

130
Q

URI: rhinitis

A
  • parainfluenza virus

- adenoviridae

131
Q

congenital cataracts

A

rubella from rubivirus when cross placenta

132
Q

renal failure

A

hantavirus pulmonary synd of bunyavirus in eu and aisa

133
Q

paralytic dz in the tropical islands (Japan, Caribbean, parts of S. America, and Africa)

A

tropical spastic paraparesis from HTLV-1

134
Q

retinitis (leading to blindness), and

A

CMV in AIDs pts

135
Q

URI leading to rhinitis, conjunctivitis, sore throat, and cough

A

adenoviridae

136
Q

chronic hepatitis w cirrhosis

A

HCV, HBV, HDV (when superinfection after HBV)

137
Q

burning vesicles in a u/l dermatomal pattern

A

zoster (shingles) from varicella zoster virus

138
Q

fever, headache, vaginal and urethral discharge, enlarged LNs, followed by painful blisters and painful or painless ulcers.

A

Genital herpes from HSV 1/2

139
Q

congenital deafness

A
  • rubella from rubivirus when cross placenta

- cytomegalovirus

140
Q

congenital defects or intrauterine death.

A

Neonatal herpes from HSV 1/2

141
Q

primary hepatocellular carcinoma

A

HBV

142
Q

bac infections in AIDS pts

A
  • Strep pneumoniae
  • TB reactivation
  • Mycobacterium acium-intracellulare (MAI)
143
Q

fungal infections in AIDs pts

A
  • Candida albicans
  • Crytococcus neoformans:
  • Histoplasma capsulatum and coccidiodes immitis
  • Pneumocystis jiroveci pneumonia (PCP)