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28 Cards in this Set
- Front
- Back
Sinus pain; low grade fever (sinusitis)
(a) MCC (b) pathogenesis (c) treatment |
(a) MCC: strep pneumo, H, flu, morzella catarrhalis
(b) pathogenesis S pneumo: capsule, IgA protease H flu: capsule, IgA protease, endotoxin Moraxella: beta lactamase (c) S pneumo: penicillin H flu: amoxicillin Moraxella catarrhalis: ceftriaxone |
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Sore mouth w/thick white coat that can be scraped off easily to reveal painful red base
(a) MCC (b) pathogenesis (c) treatment |
(a) MCC: candida albicans
(b) pathogenesis: overgrowth of normal flora, IC, overuse of antibiotics (c) treatment: nystatin |
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Inflammed tonsils/pharynx, abscesses, cervical lymphadenopathy, fever, stomach upset, sandpaper rash
(a) MCC (b) pathogenesis (c) treatment |
(a) MCC: GAS
(b) pathogenesis: exotoxin A (c) treatment: penicillin |
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White papules w/red baseon posterior palate and pharynx, fever: MCC?
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Coxsackie A; no treatment
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Pharyngitis w/severe fatigue, lymphadenopathy, fever +/- rash
(a) MCC (b) pathogenesis (c) treatment |
EBV; infect B lymphocytes by attachment of CD21; cause incr CTL's; supportive treatmen
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Low grade fever w/1-2d onset of membranous nasopharyngitis and/or obstructive laryngotreacheitis; abnormal ECG unvaccinated; bull beck from lymphadenopathy
(a) MCC (b) pathogenesis (c) treatment |
Corynebacterium diptheriae; diptheria toxin inactivates EF2 in heart, nerves, epithelium; pseudomembrane can cause airway obstruction; treat w/penicillin/antitoxin
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Rhinitis, sneezing, coughing; seasonal peaks: MCC(s)?
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Rhinovirus (summer/fall)
Coronovirus (winter/spring) |
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Red, bulging tympanic membrane; fever
(a) MCC (b) pathogenesis (c) treatment |
S pneumo/capsule, IgA protease/penicillin
H flu/capsule, IgA protease, endotoxin/amoxicillin Moraella catarrhalis/beta lactamase/ceftraixone |
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Ear pain w/otitis externa
(a) MCC (b) pathogenesis (c) treatment |
S aureus/normal flora enter abrasions/beta lactamase resistance penicillin
Candida albicans/normal flora enter abrasians/nystatin Proteus Pseudomonas/water source |
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Malignant otitis externa/severe ear pain in diabetic/life threatening
(a) MCC (b) pathogenesis |
Pseudomonas/capsule
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Inflamed epiglottitis; often 2-3 yrs old and unvaccinated
(a) MCC (b) pathogenesis (c) treatment |
H flu, capsule, IgA protease, ceftriaxone
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Infant w/fever, sharp barking cough, inspiratory stridor, hoarse phonation
(a) MCC (b) pathogenesis (c) treatment |
Parainfluenza (croup)/viral cytolysis w/multinucl giant cells; ribavirin
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Bronchitis; wheezy; infant or less than 5YO
(a) MCC (b) pathogenesis (c) treatment |
RSV; fusion protein creates syncitia/ribavirin
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Bronchitis greater than 5YO
(a) MCC (b) treatment |
Mycoplasma, viruses
Treat symptomatically |
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Typical lobar pneumonia: adults (incl alcoholics) w/rusty sputum
(a) MCC (b) pathogenesis (c) treatment |
S pneumo/capsule, IgA, third gen ceph or azithromycin
Hflu/capsule, IgA protease/3rd gen ceph, azithromycin |
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Typical pneumonia: neutropenic patients, burn patients, CGD, CF: MCC?
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Pseudomonas
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Typical pneumonia: foul smelling, aspiration possible: MCC
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Anaerobes/mixed infection
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Typical pneumonia: alcoholic, abscess, aspiration, capsuled organism, currant jelly sputum: MCC and pathogenesis?
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Klebsiella; capsule
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Atypical pnuemonia: poorly nourished, unvaccinated baby/child; giant cell pneumonia w/rash
MCC, pathogenesis, treatment? |
Measles, cytolysis in LN, skin, mucosa; supportive treatment
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Atypical pneumonia: teens/young adults; dry cough "walking pneumonia"
MCC; pathogenesis; treatment? |
Mycoplasma; adhesins to adhesion to mucus; O2 radical cause necrosis of epithelium; tetracyclin/erythromycin
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Atypical pneumonia: air conditioning; common showers esp >50YO, heavy smoker/drinker
MCC; pathogenesis; treatment? |
Legionella; intecellular in macs; erythromycin
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Atypical pneumonia: bird exposure +/- hepatitis
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Chlamydia; obligate intracellular; tetraceclin/erythromycin
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Atypical pneumonia: AIDs patients w/staccato cough; "ground glass" x ray; premature infants
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Pneumocystis jiroveci; attaches to type I pneumocytes, causes excess replication of type II pneumocytes; TMPSMX, pentamidine
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Acute pneumonia: >55YO, HIV+, or immigrants from developing country w/B symptoms: MCC
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MTB
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Acute pneumonia w/chronic cough, B symptoms, dusty environment w/bird or bat fecal contamination (missouri, ohio river valley): MCC, pathogenesis, treatment
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Histoplasma, facultative intracellular, ampB
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Acute pneumo w/chronic cough, wt loss, night sweats desert sand SW US
MCC, diagnosis, treatment |
Cocci, endospores in spherules, ampB
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Acute pneumonia: rotting, contaminated wood, east coast: MCC, treatment
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Blasto, ketoconazole
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Sudden acute respiratory syndromes: "four corners"
MCC, treatment |
Hantavirus, ribavirin
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