Term
What is the most sensitive Physical finding of otitis media?
What is the MATest?
When should this be chosen? x2 |
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Definition
Immobility of the tympanic membrane
Tympanocentesis
Chosen when multiple recurrences or No response to antibiotics |
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Term
What is the Next appropriate step for Sinusitis after clinical presentation
What is the MATest
when is that done? |
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Definition
Treat: Amox/clavulanic acid, doxy, or TMP/SMX
MAT: sinus Biopsy or aspirate
done with recurrent or resistant infections |
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Term
What is the BITest for pharyngitis?
what is the treatment for Pharyngitis?
if there is an Adverse effect? |
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Definition
Rapid stress test
Pen or amox is best initial therapy
Rash- give cephalexin
anaphylaxis - use clindamycin or macrolide |
|
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Term
What is the most appropriate next step for the flu?
What is the Treatment? |
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Definition
NBS- within 48 of onset of symptoms perform a nasopharyngeal swab or wash
Within 48 give oseltamivir, zanamivir.
greater than just symptom releif |
|
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Term
what is the BIT for blood or WBC in stool
What is the MATest? |
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Definition
Blood and fecal lactoferren if lactoferrin is not an answer leukocytes
Stool culture |
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Term
What is Scombroid?
What is the treatment? |
|
Definition
Histamine in fish causes reaction
treat with antihistamines |
|
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Term
| What is the treatment for infectious diarrhea? |
|
Definition
Mild: fluid replacement
Severe: Fluid replacement and Antibiotics such as Cipro |
|
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Term
what is the treatment for
Giardia?
Cryptosporidiosis |
|
Definition
Metronidazole, tinidazole
Treat underlying AIDS, nitazoxanide |
|
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Term
what is the Best initial Treatment for otitis media?
if no responce? |
|
Definition
Amoxicillin
another G+ and G- working drug like Macrolids, Cefs, Quinilones? CI in children |
|
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Term
What is the treatment for?
Viral diarrhea?
B. cereus?
Staphylococcus? |
|
Definition
| Fluid support as needed for all |
|
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Term
What is the BITest for Hepatitis?
A,B,C,D,E ?
What are the tests for resolution of the conflict? |
|
Definition
For all the BITest is IgM antibody
For All the resolution is IgG antibody |
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Term
What is the treatment for Hep A, and E?
What are the adverse effects for interferon? x5 |
|
Definition
A and E resolve spontaneously
Arthralgia/myolgia
Leukopenia
Thrombocytopenia
Depression
Flu like symptoms |
|
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Term
| What is the Treatment of Acute and Chronic Hep B? |
|
Definition
Acute hep B resolve spont.
if e antigen positive and elevated level of DNA polymerase then:
Give ONE of the following:
entecavir,adefovir, lamivudine, telbivudine, interferon, tenofovir
interferon not the best first choice due to AE |
|
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Term
What is the treatment for Acute and chronic Hep C?
what is the goal of therapy? |
|
Definition
The same treatment?
1. interferon,
2. ribavirin, and
3. either boceprevir or telaprevir
the goal is to achieve an undetectable viral load |
|
|
Term
Who gets a lot of endocarditis?
What are the ass.s
what is an association of Streptococcus bovis endocarditis? |
|
Definition
IV drug users
fever + new murmur
polyps and colon cancer
if found get a colonoscopy |
|
|
Term
What is the BITest of endocarditis?
how is a dx of culture negative endocarditis established? |
|
Definition
Blood cultures and/or Echocardiogram
1. Oscillating vegetation on echocardiography
The Minor Criteria: Fever >100.3, Risks sucha s injection drugs or prosthetic valve, Signs of embolic phenomena |
|
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Term
what is the best Empiric therapy for endocardits? while waiting for results?
What is the treatment for Viridians endocarditis? |
|
Definition
Vancomycin and gentamicin
Ceftriacone x4 weeks |
|
|
Term
What is the the treatment for Staphyloccus aureus endocarditis?
Fungal |
|
Definition
Oxacillin, nafcillin, or cefazolin
Amphotericin and valve replacment |
|
|
Term
What is the treatment for Staph epidermidis?
resitant Staphylococcus
Enterococci? |
|
Definition
Vancomycin
Vancomycin
Ampicillin or gentamicin |
|
|
Term
what is the most common culture negative endocarditis?
What is the single strongest indication for surger for endocarditis? |
|
Definition
Coxiella
Acute valve rupture and CHF |
|
|
Term
| what is the treatment for culutur negative endocarditis? |
|
Definition
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|
Term
If rash is present and nothing else( in lyme) what is the best next step?
What about joint pain
Cardiac and neurologic (not nerve 7 palsy) |
|
Definition
Treat: no need for serologic testing?
Rash: Doxycycline, Amoxicillin or Cefuroxime
For all other manifistations serology is needed
for joint :same as rash
Cardiac and neurologic (not 7palsy):
IV Ceftriaxone |
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