Professional Documents
Culture Documents
. YEAST :)
. COCCIDIOMYCOSIS:
----------------. ARIZONA.
. Non specific lung syms + erythema multiforme + erythema nodosum +
Arthralgia.
. Any dog bite .. An attempt to capture the dog is tried 1st.
------------------------------------------------------------. If the dog is not captyred .. It is assumed RABID .
. Give post-exposure prophylaxis.
.
.
.
.
. Any transplant pt. should have TMP-SMX for prophylaxis against (PCP) pnemocystis carinii pneumonia.
. "AIHI" Auto-immune Hemolytic Anemia is one of the complications of INFECTIOUS
MONONUCLEOSIS.
. Empiric antibiotics for bacterial meningitis:
----------------------------------------------. VANCOMYCIN + AMPICILLIN + CEFEPIME + CORTICOSTEROIDS.
. HIV +ve pts are at high risk for T.B.
--------------------------------------. A pt with +ve PPD Tuberculin test i.e. > 5mm induration:
. should have INH (Isoniazid) & Vit.B6 (Pyridoxine) for 9 months as a prophylaxis.
. EHRILICHIOSIS:
---------------. SPOTLESS RMSF.
. TICK BITE.
. Sysytemic symptoms.
. LEUKOPENIA & THROMBOCYTOPENIA.
. ++ ALT & AST.
. Tx: DOXYCYCLINE.
. ENTERO-HEMORRHAGIC E-COLI:
---------------------------. Bloody diarrhea.
. Abd. pain.
. NO FEVER.
. No travel H/O.
. E-Coli = TRAVELER's diarrhea.
. Whenever a health care worker is exposed to HIV:
-------------------------------------------------. Draw his blood for HIV serology.
. Start anti-retro-viral therapy with 3 drugs without delay
. while awaiting the results of HIV serology.
. HIV pts with CD 4 cell count < 50:
-----------------------------------. require prophylaxis against MAV complex with AZITHROMYCIN.
. CRYPTO-COCCAL meningitis:
--------------------------. caused by encapsulated yeast
. HIV pt. with meningitis
. Tx: IV Amphotericin + FLUCYTOSINE.
. Tx of primary syphilis:
. PNEUMONIAS:
------------. POST-INFLUENZA ---------------> STAPH. AUREUS.
. HIV---------------------------> PCP.
. D.M. & Alcoholics-------------> KLEBSIELLA.
. C.F. & Bronchiectasis---------> PSEUDOMONAS.
. Atypical $ dry cough----------> MYCOPLASMA.
. Aspiration--------------------> ANAEROBES.
. o"H"io----> "H"ISTOPLASMOSIS:
------------------------------. HIV pt with CD 4 cell count <100.
. T.B. like pulm. syms with FHMA & weight loss.
. HEPATOSPLENOMEGOLY + Palatal ulcers.
. CXR: Bilateral reticulonodular opacities.
. Dx: URINE ANTIGEN.
. Tx: ITRACONAZOLE.
Dr. Wael Tawfic Mohamed
-------------------------