Flashcards in PANCE/PANRE Deck (44)
This TB drug can cause hepatitis and peripheral neuropathy (which can be prevented by giving with B6)
This TB drug causes orange colored secretions as a SE
Candida esophagitis DOC
Associated with intracellular RBC parasites seen on peripheral thin and thick smears
Associated with pathognomonic TETRAD inclusions**** seen within RBCs
**fevers, chills, myalgia with a red maculopapular rash that starts at the wrists and ankles, spreading to the palms and soles as well as centrally
rocky mountain spotted fever
*erythema migrants, arthritis, neurological and cardiac symptoms
A PPD of ____ mm is considered positive in an HIV patient, or pts with granulomas seen on XRay
(induration only! NOT erythema)
A PPD of ___mm is needed for a positive in a pt with no risk factors
(induration only!! not erythema!!)
A PPD of ___mm is needed for a positive result in a prisoner who is at risk for TB exposure
A PPD of ___mm is a positive result for a health care worker
Kaposi sarcoma (human herpesvirus 8) is seen in...
immunodeficient pts (ie AIDS)
Administering macrolides too quickly can cause...
Red Man syndrome
Darkfield microscopy is a direct method to diagnose...
Treponema pallidum is a spirochete and the causative agent of...
India ink is used in the diagnosis of...
(can also use Cryptococcal antigen)
Isoniazid plus pyridoxine (B6) for duration of 9 months is the treatment for...
positive PPD with negative Xray
(not active TB)
Pt with high fevers, HA, joint pain and CP.
ECG shows second degree heart block
Lumbar puncture consistent with lyme meningitis
43 yo male went camping where he hunted and ate rabbits. 5 days later he develops HA, fever and nausea. On his hand, there is an ulcerated papule with a central eschar and tender regional lymphadenopathy. There is also splenomegaly and diarrhea. What is likely the dx?
Caused by Francisella tolerances, a gm negative coccobacilli
*transmitted via tick or inset bite or from handling rodent or rabbit tissues
This CNS histologic finding is seen in a patient with rhabdovirus (rabies)
Leads to encephalitis
*definitive diagnosis is the presence of NEGRI BODIES** in the brain, especially in the hippocampus
Eosinophilic inclusions in the cytoplasm of neurons
Negri bodies (seen in rabies)
An 11 yo boy presents to the pediatric clinic with persistent temperatures. Exam shows significant lymphadenopathy, giving the child a "bull neck" appearance. There are gray/white membrane on the posterior pharynx that bleed when scraped. What is the management of choice?
Diphtheria antitoxin plus Penicillin
Treatment for baby who develops botulism from eating honey
botulism antitoxin with respiratory support
Infant who is vomiting and physical exam shows: flaccid paralysis, dry mouth, feeble cry, fixed dilated pupils. Dx?
65 yo female who spent 2 months on Martha's Vineyard presents to the urgent care with gradual onset of fever, chills and jaundice. No rash present. Labs show hemolytic anemia. Peripheral smear shows parasites within RBCs in a tetrad formation. Likely dx?
Parasitic infection see in the northeast US that infects RBCs
**tetrad seen in RBCs!!