Difference between revisions of "Infectious Disease"
Jump to navigation
Jump to search
Line 8: | Line 8: | ||
*A resident who intubates someone with N. meningitidis needs prophylactic treatment. | *A resident who intubates someone with N. meningitidis needs prophylactic treatment. | ||
*Meningitis that is slower onset and less severe may be '''early neurosyphilis'''. | *Meningitis that is slower onset and less severe may be '''early neurosyphilis'''. | ||
+ | *Lyme does not grow on standard cultures, get an ELISA instead. |
Revision as of 06:07, 14 January 2023
Missed Concepts
- Catscratch disease is the most common cause of chronic unilateral cervical adenitis in children. Complications include lymph node suppuration.
- Acute LE or facial rash that is elevated, edematous, sharply demarcated, red, painful, and associated with fever/chills/malaise: erysipelas caused by GAS.
- Varicella vaccine can still be administered to close contacts of immunocompromised people, but they should be monitored for a rash.
- Acute HIV infection has fever, fatigue, weight loss, lymphadenopathy, abdominal pain, diarrhea, and rash. Exudative pharyngitis and hepatosplenomegaly are not a common features.
- EBV infectious mononucleosis (IM) is diagnosed with the monospot (heterophiles antibody) test. Treatment is supportive, and avoid contact sports for 4-6 weeks.
- Management of a needlestick that is high-risk for HIV includes PEP for 4 weeks; HIV testing immediately, at 4 weeks, and 6 months; testing of the source patient (often legally mandatory).
- A resident who intubates someone with N. meningitidis needs prophylactic treatment.
- Meningitis that is slower onset and less severe may be early neurosyphilis.
- Lyme does not grow on standard cultures, get an ELISA instead.