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46 Cards in this Set

  • Front
  • Back

Abdominal Rose spots

Typhoid


Psittacosis

Cysticercosis

Taenia solium (from pork)


Taenia saginata (beef)


Treated with niclosamide

Hydatid disease

Dog tapeworm (Echinococcus granulosus)


Liver cysts


Treated with albendazole

Leptospirosis

Aka Weils disease


Infected rat urine


Liver/renal failure


Subconjunctival haemorrhage


Meningitis

Gastroenteritis

Bloody diarrhoea


- shigella


- amoebic dysentery


- enterohaemorrhagic E coli (not enterotoxigenic)


- rarely campylobacter

Toxoplasmosis

Investigation: antibody test, Sabin-Feldman dye test


Treat: pyrimethamine + sulphadiazine


Reservoir: cat, rat

PCP staining

BAL - silver stain

Rabies

Dog, bat, raccoon, skunk


Acute encephalitis


Hydrophobia: water provoking muscle spasm


Hypersalivation


Negri bodies: cytoplasmic inclusion bodies found in infected neurons


Treat: HRIG + vaccine

Mycobacterium avium

Rifampicin + ethambutol + clarithromycin

Leishmaniasis - 3 types

Live attenuated vaccines/vaccines for HIV positive people

Live attenuated vaccine (the first 3 are contraindicated but the latter 3 are allowed if CD4>200)


TB (BCG)


Oral polio


Intranasal influenza



Varicella


MMR


Yellow

Brucellosis

Unpasteurised cheese, sheep, pigs


Fluctuating temp


Transient arthralgia/myalgia esp sacroilitis


Hyperhidrosis - "wet hay" smell



Rose Bengal plate, brucella serology


Doxycycline + streptomycin

Cat scratch disease

Bartonella hensellae

Antiparasitic

Benznidazole - wide range


Praziquentel - schistosomiasis


Miltefosine - leishmaniasis

Meningitis - management of contacts

False positive VDRL

Some - SLE


Times - TB


Mistakes - Malaria


Probably - pregnancy


Happen - HIV


Later - leprosy

Chronic Hep C

Larva currens vs larva migrans

Leprosy

Antiretroviral side effects

NRTIs: peripheral neuropathy


Zidovudine: anaemia, myopathy, black nails


Didanosine: pancreatitis



NNRTIs: rashes


Nevirapine: enzyme inducer



PI: diabetes, hylerlipidaemia, central obesity


Indinavir: renal stone, asymptomatic hyperbilirubinaemia


Ritonavir: potent enzyme inhibitor

Bacteria classification

Schistosomiasis types

Bladder - S. Haematobium


Liver - S. Mansoni, S. Japonicum


Intestinal - S. Intercalatum, S. Mekongi

Malaria investigation

Tetanus

HIV in pregnancy

Flu treatment

Neuraminidase inhibitor


Oseltamivir: nausea, vomiting, diarrhoea, headache


Zanamivir: INH/IV, may induce bronchospasm in asthmatics

BV vs TV

Malaria prophylaxis

African vs American trypanosomiasis

Antifungal MOA

Ankmal bites

Pasteurella multicoda


Co-amoxiclav

Tularaemia

Francisella tularensis


Rabbits, hares, pikas, beavers, muskrat, ticks


Ulcer at bite


Ulcerating regional lymphadenopathy


Doxycycline

False negative Mantoux

HPV strains

HPV 6 & 11 - genital warts


HPV 16, 18 & 33 - cervical cancer

Antibiotic resistance

Anthrax

Legionella vs mycoplasma pneumonia

Syphilis serology

1) non-specific antibodies against cardiolipin eg VDRL, RPR (rapid plasma reagin)


2) specific antibody - remains positive after treatment eg ELISA, haemagglutinin, chemiluminescence, particle agglutination

Dengue

Thrombocytopenia, transaminitis

Chlamydia in pregnancy

Azithromycin, erythromycin or amoxicillin

HIV diarrhoea

Pentamidin indication

- African trypanosomiasis


- leishmaniasis


- babesiosis


- PCP

LGV 3 stages

1st - painless ulcer, Groove sign


2nd - painful buboes


3rd - rectoproctitis

Wound suspicious of rabies/tetanus

For tetanus it depends whether the wound is high risk

Salmonella

Other types of vaccine