FoEM CBR22- Infectious Disease Exam
Dx and Tx: Fish tank granuloma
Mycobacterium marinum, Tx: Clarithromycin + Ethambutol OR Rifampin
Dx: Rose thorn injury and rash
Sporothrix schenckii. Tx: Itraconazole (amphotericin B if systemic)
Dx and Tx: Dog and cat bite with rapid infection
Pas...
Dx and Tx: Diarrhea + flatulence + recent hiking and drinking from a freshwater stream
Giardia lamblia. Parasitic infection. Test for it w/ a stool antigen (not ova and parasite). Tx:
Metronidazole / tinidazole. People who are risk: hikers, children at daycare, and oral-anal sexual
conduct.
, Dx: Watery diarrhea + travel
Enterotoxigenic E. coli (toxin, ETEC); if no blood in diarrhea, give 1 dose of Cipro 750 mg. If pt traveled
to southeast Asia this is likely campylobacter and give 1,000 mg of azithromycin
SSx, Dx, Tx: Watery diarrhea + dark meat fish + rash/itching
Scombroid (histamine fish toxicity). Dark fleshed, peppery tasting fish: tuna, mahi-mahi, mackerel.
Excess histidine on fish broken down by bacteria to histamine. SSx: Histamine ingestion leads to
anxiety, flushing, headache, palpitations, vomiting. Tx: antihistamines
Dx: Bloody diarrhea + undercooked eggs/chicken + relative bradycardia
Salmonella typhi (invasive), cafeteria outbreaks, classically with high fever and relative bradycardia;
can cause osteomyelitis in sickle cell patients.
Dx: Bloody diarrhea (severe) + high fever + institutionalized
Shigella (invasive); can cause seizures in kids
Dx and Tx: Bloody diarrhea + followed by weakness
Campylobacter (invasive). Associated: appendicitis mimic & Guillain-Barré; Tx: Azithro/Erythro
(resistance to cipro)
Dx: Bloody diarrhea + farm animals + appendicitis ssx
Yersinia (invasive); pseudoappendicitis (appy mimic) can cause terminal ileitis
Dx: Bloody diarrhea + undercooked seafood + alcoholic who gets very sick
Vibrio parahaemolyticus (invasive)
Dx: Bloody diarrhea + poorly cooked ground beef/raw milk
E. coli O157:H7, associated with TTP (adults) and HUS (kids); NO ANTIBIOTICS
Dx and Tx: Profuse diarrhea after recent antibiotics
Clostridium difficile (invasive). Tx: PO vanco is first line now
Dx: Diarrhea + AKI ± low platelets
E. coli O157:H7 causing TTP/HUS
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.69. You're not tied to anything after your purchase.
