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
Q

Inflammatory or not?

ETEC

A

Non inflammatory

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26
Q

Inflammatory or not?

Staph aureus

A

Non

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27
Q

Inflammatory or not?

Campylobacter jejuni

A

Inflammatory

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28
Q

Inflammatory or not?

Rotavirus

A

Not

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29
Q

Inflammatory or not?

Giardia

A

Non

30
Q

Inflammatory or not?

Campylobacter fetus

A

inflammatory

31
Q

Inflammatory or not?

Yersenia enterolytica

A

inflammatory

32
Q

Inflammatory or not?

Cryptosporidium parvum

A

Non

33
Q

Inflammatory or not?

Entamoeba histolytica

A

inflammatory

34
Q

Inflammatory or not?

microsporidium

A

non

35
Q

Inflammatory or not?

Vibrio parahemolyticus

A

Inflammatory

36
Q

Inflammatory or not?

Cyclospora caetanensis

A

Non

37
Q

Inflammatory or not?

EIEC / EHEC

A

Inflammatory

38
Q

Inflammatory or not?

Norwalks

A

Non

39
Q

Inflammatory or not?

EPEC

A

Non

40
Q

Non inflammatory mechanism

A

Enterotoxin / adherence

41
Q

Non inflammatory location

A

small bowel

42
Q

Stool findings in non inflammatory diarrhea

A

no fecal WBC

43
Q

Inflammatory diarrhea mechanism

A

Cytotoxin / invasion

44
Q

Inflammatory diarrhea location

A

colon

45
Q

Inflammatory diarrhea stool findings

A

fecal WBC

46
Q

Non inflammatory diarrhea style

A

watery, may be afebrile

47
Q

inflammatory diarrhea style

A

bloody diarrhea, mucous, often febrile

48
Q

4 common pathogens found in food poisoning

A

Bacillus cereus
Campylobacter
Salmonella
Staph aureus

49
Q

Bacillus cereus typical foods

A

Rice / grains / meat / veggies

50
Q

Bacillus cereus incubation period

A

Emesis in 0.5-6 hours

Diarrhea in 6-24 hours

51
Q

Campylobacter common foods

A

Poultry

Unpasteurized milk

52
Q

Campylobacter incubation period

A

2-5 days

53
Q

Salmonella typical food

A

Food of animal origin or fecal contamination

54
Q

Salmonella incubation period

A

12-36 hours

55
Q

Staph aureus diarrhea typical food

A

pastries / custards / salad dressings

56
Q

Staph aureus diarrhea incubation period

A

2-4 hours

57
Q

Staph aureus diarrhea duration

A

1-2 days

58
Q

Vomiting in 3 hours, non inflammatory diarrhea in 8 hours, ate some old rice

A

Bacillus cereus

59
Q

Inflammatory diarrhea 2-5 days after some raw milk

A

Campylobacter

60
Q

Inflammatory diarrhea 12-36 hours after some meat

A

Salmonella

61
Q

Non inflammatory diarrhea 2-4 hours after some custard

A

Staph aureus

62
Q

Dude got some non-inflammatory squirts after he went camping and forgot his water filter like a stupid dummy

A

Giardia

63
Q

Kid got some non-inflammatory squirts after swimming at the public pool

A

Likely cryptosporidium, maybe giardia

64
Q

Congenital deafness, cataracts, heart disease

A

Rubella

65
Q

Congenital hydrocephalus, diffuse intracranial calcifications, chorioretinitis

A

Toxoplasmosis

66
Q

Congenital microcephaly, periventricular calcifications

A

CMV

67
Q

Congenital diffuse edema (hydrops fetalis)

A

Parvovirus B-19

68
Q

Congenital limb abnormalities and cicatricial lesions

A

Varicella zoster

69
Q

Congenital skin lesions on palms and soles, dactylitis, osteochondritis, periostitis, rhinorrhea

A

Treponema pallidum

70
Q

Congenital vesicular lesions, keratoconjunctivitis

A

HSV