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EM Infectious
Emergency Medicine Infectious disease
36
Medical
Post-Graduate
01/21/2009

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Cards

Term
Virus of German Measles (Rubella)
Definition
-Rubivirus
Term
Si/Sx of German Measles (Rubella)
Definition
HA, malaise, sore throat, coryza, low grade fvr, post auricular & sub occipital LN, complex arthralgia (arthritis)
Term
Congenital Rubelal syndrome
Definition
First 1/3 pcy
Term
Types of allergic rxn
Definition
Type I: Immediata IgE, IgG *Most common
Type II: Cytotoxis: Blood type-hemolytic anemia
Type III: Immune complex: Td serum sickness-fvr, rash,arthralgias
Type IV: Delayed
Term
Tx & Rx for Brown recluse bite
Definition
Local tissue necrosis:
-Wash, IVF's, Observe x 6 hrs: eryth=infxn
-Td
-Dapsone 100 mg PO
-Antihistamie
Term
Si/Sx Enterobious vermicularis (pinworm)
Definition
Nocturnal pruritus ani, insomnia, eneuresis, UTI, vginitis
Term
Rx Enterobious vermicularis (pinworm)
Definition
Mebendazole (trade: Ovex, Vermox, Antiox) or albendazole (Albenza)
Term
Dx test Enterobious vermicularis (pinworm)
Definition
Cellophane tape test
Term
Gonoccocus gram stain
Definition
Gram (-), redish, intracellular diplococci (can also visualize some extracellular)

[image]
Term
55-year-old man presented with intermittent, crampy pain in the right lower quadrant of the abdomen. A colonoscopy was ordered and revealed multiple mobile 1-cm worms. Dx?

[image]
Definition
Enteroboius vermicularis
Term
Viral orchitis caused by
Definition
Mumps: insidious onset
Term
Tx for viral orchitis
Definition
Supportive bed rest, scrotal support, analgesia
Term
Rabies, from whom?
Definition
-skunks: 38%
-Raccoons: 31%
-Bats: 14%
-Fox: 4%
-Cattle: 4%
-Cats: 4%
-Dogs: 3%
Term
MCC of chronic, secretory diarrhea in AIDS pt (CD4<200)
Definition
Cryptosporidium: fecal-oral route, water borne
Term
Rx Cryptosporidium
Definition
Paromomycin 500 to 750 mg PO tid to qid
or
Azithromycin
or
Metronidazole
Term
What does Chancroid looks like on gram stain?
Definition
Gram neg rods in a linear or parallel arrangement
Term
Shigellosis complications
Definition
Dehydration, arthralgia, Reiter's Synd (urethritis, polyarthritis, conjuctivitis), HUS, FebS2, pneumonitis
Term
Describe optimal x-ray technique when considering retropharyngeal abscess as dx
Definition
Lat. neck - inspiratory slightly extended. Normal retropharyngeal space should be < 1/2 width of adjacent vertebral body
Term
Herpes on Tzank smear
Definition
Multinucleated giant cells
Term
Most useful test in Dx Post Strep glomerulonephritis
Definition
•U/A: dark tea colores, RBC's, WBC's, Casts •↑K, ↑ESR, mild normo-normo anemia
Term
Characteristics of Infectious mononucleosis lymphadnopahty
Definition
Posterior cervical
Term
Pathogens in AOM
Definition
Strep Pneumonia (30-40%); Non-typabe H.Flu (20-30%), Moraxella catarrhalis (<20%), Strep. pyogens Grp A (2-5%)
Term
Pathogens in AOM
Definition
Strep Pneumonia (30-40%); Non-typabe H.Flu (20-30%), Moraxella catarrhalis (<20%), Strep. pyogens Grp A (2-5%)
Term
Pathogens in AOM
Definition
Strep Pneumonia (30-40%); Non-typabe H.Flu (20-30%), Moraxella catarrhalis (<20%), Strep. pyogens Grp A (2-5%)
Term
Diarrhea w/ neg fecal leukocytes
Definition
Rotavirus, norwalk, enteric adenovirus, staph, bacillus cereus, ciguatera, enterogenic E.coli, C.perfinges, aeromonas, vibrio, giardia
Term
Which sinus if infected may lead to orbital celluitis
Definition
Ehtmoid
Term
Jarisch-Herxheimer Rx
Definition
Febrile Rx to parasitic-bacterial antigens released & destruction w/abx •Spirocheted •2-12% pt w/abx Tx ❑Tx: supportive, ↓fever
Term
Diphteria complications
Definition
Myocarditis, AV-block, endocarditis, nephritis, hepatitis, neuritis, MC ptosis w/strabism
Term
MC bacterial agent acute sinusitis
Definition
•H.Flu, Strep. pneumo •Others: Strep pyo, staph, moraxella
Term
Facial streptococcal cellulitis rash is caused by?
Definition
Erysipelas
Term
Bx of granuloma inguinate (calymmato bacterium granulomatis)
Definition
•Donovan bodies, monocytes engulfing clusters of organisms ❑ Tx: ery
Term
MC bacterial meningitis in over 50 y/o
Definition
•Strep. pneumo, Lysteria, neisseria, gram (-) bacilli ❑ Tx: amp + ceftriaxone
Term
MC opportunistic infxn in AIDS
Definition
PCP
Term
Typhoid fever is due to?
Definition
Salmonella typhi
Term
Si/Sx Typhoid fever
Definition
Fever, crampy abd, pain, cephalgia, prostration, cough, splenomegaly, leukopenia, maculopapular skin lesions (rose spots), relativ ebradycardia
Term
Tx Typhoid fever
Definition
Chloramph + ampi, bactrim, cipro
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