Term
|
Definition
*illness lasting > 3 wks
*fever > 38 C/100.4 F on several occassions
*Dx NOT MADE after 3 outpt or 3 days in hospital
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|
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Term
|
Definition
unusual manifestations of common dz
(TB, endocarditis, ect) |
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Term
| Most common causes of Infection/systemic FUO |
|
Definition
TB>endocarditis>mycoses>viral
In HIV--> opportunistic |
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|
Term
| Most common causes of neoplastic FUO |
|
Definition
| Lymphoma>leukemia>liver>kidney |
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Term
|
Definition
|
|
Term
in __% pts with FUO,
fever resolves spontaneously |
|
Definition
|
|
Term
| what is done on EVERY pt w/ FUO |
|
Definition
|
|
Term
| what meds should NOT be given to pts w/ FUO |
|
Definition
|
|
Term
| type of meningitis who seek tx in 1-2 days of sx onset? |
|
Definition
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|
Term
| dx of purulent meningitis done by |
|
Definition
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|
Term
| most common causes of purulent meningitis in 18-50yr: > 50 |
|
Definition
18-50: s. pneumo, neissseria men
> 50: s. pneumo, listeria
post op: staph aureus |
|
|
Term
| most common cause of chronic meningitis |
|
Definition
| mycobacterium TB> fungi> spirochetes |
|
|
Term
| aseptic meningitis causes |
|
Definition
VIRUS!
mumps, enterovirus |
|
|
Term
| what type of meningitis affects sensorium and causes seizures? |
|
Definition
encephalitis
herpes, rabies, ect |
|
|
Term
| vomiting, fever, change in mental status, focal neurological manisfestations are s/sx of |
|
Definition
brain abscess
CT scan! then LP if (-) |
|
|
Term
| if meningitis is supsected what test should be done 1st? |
|
Definition
CT--> r/o space occupying lesions
If (-) -->LP to determine type |
|
|
Term
| this type of meningitis is seen in immunocomp pts w/ cutaneous lesions |
|
Definition
granulomatous amebic
Acanthoamoeba spp |
|
|
Term
| type of meningitis found in pts w/ recent H2O exposure (kids/young) |
|
Definition
Primary amebic: Naegleria
RARE CURE! |
|
|
Term
| polymorphic neutrophils, low glucose, high protein, and incr opening pressure = |
|
Definition
|
|
Term
| lymphocytes, low glucose, high protein, and incr opening pressure = |
|
Definition
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|
Term
| lymphocytes, normal glucose, high protein, normal-slightly incr opening pressure= |
|
Definition
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|
Term
| lymphocytes, normal or low glucose, high protein, slightly elevated opening pressure |
|
Definition
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|
Term
| incr cells (lymphocytes), normal glucose, normal-high protein, variable opening pressure = |
|
Definition
|
|
Term
| normal across board for cells, glucose, protein, and opening pressure = |
|
Definition
|
|
Term
| tx of incr ICP in meningitis pt |
|
Definition
|
|
Term
| tx of strep pneumo/neisseria men |
|
Definition
vanco+ cefotaxime
(if > 50 + ampicillin) |
|
|
Term
| tx of pneumococc men in adults |
|
Definition
|
|
Term
|
Definition
drain and abx for organism
usually metronidazole + ceftrizoxime |
|
|
Term
| most common cause of aerobic infxn for animal bites |
|
Definition
|
|
Term
|
Definition
|
|
Term
| common anaerobes in bites |
|
Definition
| prevotella, fusobacterium |
|
|
Term
| aspiration pneumo in drug users usually caused by |
|
Definition
normal mouth flora
anaerobic and aerobic |
|
|
Term
| common organisms of infective endocarditis in IV drug users |
|
Definition
staph aureus, candida, enterococc, psuedomonas
|
|
|
Term
| if CXR is suggestive of CAP, what tx is initiated |
|
Definition
3rd gen cephs
ceftriaxone +/- azithromycin/doxycycline |
|
|
Term
| CXR suggestive of septic emboli, tx w/ |
|
Definition
** presume endocarditis
vanco+gentamycin
*** also if normal CXR! |
|
|
Term
| frequent bloody stools, sm volume, fever, cramps, tenesmus = what type of diarrhea |
|
Definition
|
|
Term
| causes of inflammatory/bloody diarrhea |
|
Definition
shigella, salmonella, campylobacter, yersinea, e.coli c. diff
***dx by stool cx |
|
|
Term
| large vol diarrhea, watery, N/V, cramps |
|
Definition
non-inflamm/watery
--> caused by virus and is milder |
|
|
Term
| causes of non-inflamm diarrhea/watery |
|
Definition
viruses:
rotavirus, norwalk, eneric, E. coli, giardia |
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|
Term
|
Definition
|
|
Term
| tx of traveler's diarrhea |
|
Definition
| single dose fluoroquinolone |
|
|
Term
| most common bacterial causes of traveler's diarrhea |
|
Definition
| e. coli, shigella, campylobacter |
|
|
Term
| chronic watery traveler's diarrhea usually caused by what pathogens |
|
Definition
|
|
Term
| what vaccines should NOT be given to preggo |
|
Definition
|
|
Term
| what viral infxn is teratogenic to fetus |
|
Definition
|
|
Term
| which vaccination is CI in a pt w/ neomycin allergy? |
|
Definition
|
|
Term
| pneumococcal pneumo vaccine is effective against what bug? |
|
Definition
|
|
Term
|
Definition
MMR
polio (live and unattenuated)
yellow fever
varicella |
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