ID

any surgical foreign body must be reomved.

• always tx with IV antibiotics - except occult bactremia with Strep. Pneumonia

Eryhromycine can cause transit hearing loss

only for tularemia or TB

MRSA is never a contamination. Treat always.

for endocarditis: add Rifampin,

most common cause of cath and foreign body related bactremia

likely contamination.

PNC: 10 ds

Mengitis: PNC 15 dsOsteo: PNC 4 w

Always treatMengitis: Dexa for 2 ds Prophylaxis: Riafa

causes lymphadenitis no responsive to abxtx: excesion

Fish tank bacilus: skin ulcers along lymphatic tracts.

initial pulmonary ds: in lower lobeslater activated dis: in upper lobesPericaridal effusion is neg for the organism; Menengitis: casue tuberculmoa: mimic brain tumor.skin test: nor reliable in baby under 6 ms. can take 10 w after exposure to turn Poif skin test PO do CXR and sputum to r/o active dis. if both neg: tx with INH for 9 ms

cause menegitis. need CT head to r/o abcess

only in Arkansas: skin ulcer and lymphadenitis: can mimic cat scrath disease

NO antibiotics!! it increases the risk for HUS

Always treatcan cause SZProlapse rectum

Causes OM Amoxicllin does not work; lactamase producer.

Prophylaxis for immates or oral secretion exposure (intubation)Rifa, Cirpo or One shot Ceftriaxone

eye infection: less than 2 ds: chemical reaction2-7 ds: N. Gonorrhea< 7 ds Chlamydia - erythromycine eye ointoment does not prevent.

IV cath; Penetrating wounds

comp: cardiomoypathy

Tick borneFlu like disease with neutropenia; no rash or lymphadenities.

• Rocky mountian fever: distal ext rash, petechia from tick bite. • Dx: serology • Tx: Doxy or chloramphenicol

Pneumonia + splenomegaly

wheezing

Erythromycine OR Tetracycline

newborn Pneumonia up to 4 ms.not preventable

Cat scratch disease; lymphadenitisimproves spontaneusly but Eryrthro can speed it up,

Pencillinsresistant

supporative lymphadinitis.

hemorrhagic pneumonia, very contagious , unlike anthrax pneumoniaTetracycline, chlormaphinicol

Pseudo appendisits.Bactremia in SSD

contact with infected animal; swimming with a dogDx: early: blood c/s; late: urine c/s

PCN or Doxycyline

Sulfur granules discharges

cervicofacial swelling from dental sourcecauses PID if IUD presents

PNC or Tetracycline

inimmunocomprimised pt with central line or foleyin dissiminated froms can have petechial like skin lesions

remove the line or the cathneed amphotericine for septicemia

Tinea versiculur

invasive in premie with TPN Tx: amphotericine ; D/c TPN

the OTC tx with tolnaftate may not cure if there is candida coinfection; then it needs clontrimazole or Miconazole

acid fast stain of stool

4 typesFalciparum is the most fatal

P. Vivax, Ovale, Malariae

Vivax and Ovale to prevent relapses as those two can hide in liver

Most malignant; causes cerebral malria

most are resistant.

causes febrile hemolytic anemia like malariaoccur from tick biteintra RBC maltese cross.

clindamycine + quinineexchange transfusion

liver abcess.liver aspirate is neg.dx: serology

sleeping dsfrom tsetse fly

self limitedcan cause Cardiac, GI and CNS dx

cause eosinophilia

adolecsents: need acyclovirtransit cerebellar ataxia: benign and transitcan complicate with skin bacterial infection: causes toxic shock synd.Pneumonia: in pregnant womenin pregnant women: give VZIG but not the vaccine; VZ can cause intra uternie infection and skin scarring.

vancyclovir: decrease neurolagia

>10 atypical lymphcyteAmp/amox: cause rash if given with EBV

worse in vit A deficiency

increased risk for IDDM

URI symptoms in summerURI + GI cystitis

Echo, Coxsaki, polio