Week 4 Flashcards
Factors in Charcot’s Triad
RUQ pain
Jaundice
Fever/Chills
Who’s the dead white guy that found that pushing up on an inflamed gallbladder hurts (and makes people stop inhaling)
Murphy (Murphy’s Sign)
Common organisms in biliary infection (3)
E coli
Klebsiella
Enterococcus
Common amoeba in liver abscess
Entamoeba histolytica
What part of the kidney is most susceptible to infection?
Medulla
12 major predisposing factors for UTI
Sex (buttsex and uncircumcisededness) Genes Menopause Diabeetus Abx VUR Anatomic weirdness Preggertime Obstruction Catheters Polycystic Kidney Disease
5 symptoms of cystitis
Frequency Urgency Dysuria Suprapubic pain maybe hematuria
Pyelonephritis symptoms
Cystitis symptoms plus
fever
flank pain
maybe nausea and vomiting
Nitrites on a dipstick indicate
Gram Negative Rods
When should asymptomatic bacteriuria be treated? (2)
Preggertime
Before invasive urologic procedures
Common bug for hematogenous pyelonephritis
Staph aureus
Potential treatments for uncomplicated cystitis
nitrofurantoin sulfa/trimethoprim cipro amoxiclav fosfomycin
Purulent vs Clear urethral discharge
Gonococcal: Purulent
Chlamidyal: clear
gram negative diplococci std
gonorrhea
Specific treatment for gonorrhea
Ceftriaxone 250 mg IM single dose
Specific treatment for chlamydia
Azithromycin 1g PO single dose
Gonorrhea vs chlamydia, which one is obligate intracellular
Chlamydia
Think of a clam hiding in it’s shell
6 barriers against infectious diarrhea
Gastric acidity Bile Mucosal layer Intestinal motility Normal flora Immune response
Inflammatory or not?
Cholera
Non
Inflammatory or not?
Bacillus cereus
Non inflammatory
Inflammatory or not?
Shigella
Inflammatory
Inflammatory or not?
Salmonella
Inflammatory
Inflammatory or not?
Clostridium perferingens
Non
Inflammatory or not?
Clostridium difficile
Inflammatory
Inflammatory or not?
ETEC
Non inflammatory
Inflammatory or not?
Staph aureus
Non
Inflammatory or not?
Campylobacter jejuni
Inflammatory
Inflammatory or not?
Rotavirus
Not