Week 4 Flashcards

1
Q

Factors in Charcot’s Triad

A

RUQ pain
Jaundice
Fever/Chills

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2
Q

Who’s the dead white guy that found that pushing up on an inflamed gallbladder hurts (and makes people stop inhaling)

A

Murphy (Murphy’s Sign)

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3
Q

Common organisms in biliary infection (3)

A

E coli
Klebsiella
Enterococcus

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4
Q

Common amoeba in liver abscess

A

Entamoeba histolytica

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5
Q

What part of the kidney is most susceptible to infection?

A

Medulla

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6
Q

12 major predisposing factors for UTI

A
Sex (buttsex and uncircumcisededness)
Genes
Menopause
Diabeetus
Abx
VUR
Anatomic weirdness
Preggertime
Obstruction
Catheters
Polycystic Kidney Disease
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7
Q

5 symptoms of cystitis

A
Frequency
Urgency
Dysuria
Suprapubic pain
maybe hematuria
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8
Q

Pyelonephritis symptoms

A

Cystitis symptoms plus
fever
flank pain
maybe nausea and vomiting

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9
Q

Nitrites on a dipstick indicate

A

Gram Negative Rods

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10
Q

When should asymptomatic bacteriuria be treated? (2)

A

Preggertime

Before invasive urologic procedures

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11
Q

Common bug for hematogenous pyelonephritis

A

Staph aureus

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12
Q

Potential treatments for uncomplicated cystitis

A
nitrofurantoin
sulfa/trimethoprim
cipro
amoxiclav
fosfomycin
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13
Q

Purulent vs Clear urethral discharge

A

Gonococcal: Purulent
Chlamidyal: clear

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14
Q

gram negative diplococci std

A

gonorrhea

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15
Q

Specific treatment for gonorrhea

A

Ceftriaxone 250 mg IM single dose

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16
Q

Specific treatment for chlamydia

A

Azithromycin 1g PO single dose

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17
Q

Gonorrhea vs chlamydia, which one is obligate intracellular

A

Chlamydia

Think of a clam hiding in it’s shell

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18
Q

6 barriers against infectious diarrhea

A
Gastric acidity
Bile
Mucosal layer
Intestinal motility
Normal flora
Immune response
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19
Q

Inflammatory or not?

Cholera

A

Non

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20
Q

Inflammatory or not?

Bacillus cereus

A

Non inflammatory

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21
Q

Inflammatory or not?

Shigella

A

Inflammatory

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22
Q

Inflammatory or not?

Salmonella

A

Inflammatory

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23
Q

Inflammatory or not?

Clostridium perferingens

A

Non

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24
Q

Inflammatory or not?

Clostridium difficile

A

Inflammatory

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25
Inflammatory or not? | ETEC
Non inflammatory
26
Inflammatory or not? | Staph aureus
Non
27
Inflammatory or not? | Campylobacter jejuni
Inflammatory
28
Inflammatory or not? | Rotavirus
Not
29
Inflammatory or not? | Giardia
Non
30
Inflammatory or not? | Campylobacter fetus
inflammatory
31
Inflammatory or not? | Yersenia enterolytica
inflammatory
32
Inflammatory or not? | Cryptosporidium parvum
Non
33
Inflammatory or not? | Entamoeba histolytica
inflammatory
34
Inflammatory or not? | microsporidium
non
35
Inflammatory or not? | Vibrio parahemolyticus
Inflammatory
36
Inflammatory or not? | Cyclospora caetanensis
Non
37
Inflammatory or not? | EIEC / EHEC
Inflammatory
38
Inflammatory or not? | Norwalks
Non
39
Inflammatory or not? | EPEC
Non
40
Non inflammatory mechanism
Enterotoxin / adherence
41
Non inflammatory location
small bowel
42
Stool findings in non inflammatory diarrhea
no fecal WBC
43
Inflammatory diarrhea mechanism
Cytotoxin / invasion
44
Inflammatory diarrhea location
colon
45
Inflammatory diarrhea stool findings
fecal WBC
46
Non inflammatory diarrhea style
watery, may be afebrile
47
inflammatory diarrhea style
bloody diarrhea, mucous, often febrile
48
4 common pathogens found in food poisoning
Bacillus cereus Campylobacter Salmonella Staph aureus
49
Bacillus cereus typical foods
Rice / grains / meat / veggies
50
Bacillus cereus incubation period
Emesis in 0.5-6 hours | Diarrhea in 6-24 hours
51
Campylobacter common foods
Poultry | Unpasteurized milk
52
Campylobacter incubation period
2-5 days
53
Salmonella typical food
Food of animal origin or fecal contamination
54
Salmonella incubation period
12-36 hours
55
Staph aureus diarrhea typical food
pastries / custards / salad dressings
56
Staph aureus diarrhea incubation period
2-4 hours
57
Staph aureus diarrhea duration
1-2 days
58
Vomiting in 3 hours, non inflammatory diarrhea in 8 hours, ate some old rice
Bacillus cereus
59
Inflammatory diarrhea 2-5 days after some raw milk
Campylobacter
60
Inflammatory diarrhea 12-36 hours after some meat
Salmonella
61
Non inflammatory diarrhea 2-4 hours after some custard
Staph aureus
62
Dude got some non-inflammatory squirts after he went camping and forgot his water filter like a stupid dummy
Giardia
63
Kid got some non-inflammatory squirts after swimming at the public pool
Likely cryptosporidium, maybe giardia
64
Congenital deafness, cataracts, heart disease
Rubella
65
Congenital hydrocephalus, diffuse intracranial calcifications, chorioretinitis
Toxoplasmosis
66
Congenital microcephaly, periventricular calcifications
CMV
67
Congenital diffuse edema (hydrops fetalis)
Parvovirus B-19
68
Congenital limb abnormalities and cicatricial lesions
Varicella zoster
69
Congenital skin lesions on palms and soles, dactylitis, osteochondritis, periostitis, rhinorrhea
Treponema pallidum
70
Congenital vesicular lesions, keratoconjunctivitis
HSV