Y6 cards

Question 1

name organism responsible:

red/currant jam like sputum
cavitating lesion in lung -> abscess
FLAWS
hx of alcohol abuse / Diabetes / Bronchiectasis

Answer 1

Klebsiella pneumoniae

Question 2

man presents following flu like illness. he now has cold and pale hands when walking dog and target lesions on his legs. best test?

explanation for sx?

Answer 2

Serology for Mycoplasma

rash is mycoplasma multiforme

complication of mycoplasma is IGM cold agglutinin haemolytic anaemia which may present with reynauds

Question 3

what will chest xray show in mycoplsma pnuemonia?

what is the clinical course?

Answer 3

bilateral consolidation

starts from flu sx then progresses to cough

Question 4

which organisms are particularly risk of infecting people with CF, who hang around each other?

Answer 4

Pseudomonas aeruginosa
Burkholderia Cepacia

they are resistant and hard to treat.

Question 5

list contraindications to lumbar puncture in Meningitis

Answer 5

Meningococcal septicaemia

Signs of raised ICP: 6th nerve palsy
Cushings triad
Bleeding diatheses: cushings
Disseminated IC

Question 6

how do we treat post lumbar puncture headache?

Answer 6

bed rest
caffeine
etc

Question 7

lady is not compliant with her HIV meds, her CD4 is 150. CT head shows ring enhancing lesion. cause?

Answer 7

Toxoplasmosis gondii