3-4
What trying out is wanted to verify TB?
Sputum culture and chest x-ray
What are the first line pills for TB
Isoniazid, rifampin, pyrazinamide and ethambutol
A patients 33 12 months old mother brings her 4 yr old son into the workplace with court
cases of a rash on the cheeks and stomach, she is concerned about capacity meals
hypersensitive reactions. Upon examination, you ask about any latest illness. She stated he
had a fever about a week ago with a cough and runny nose. With the supplied information,
what's your pinnacle prognosis? What is the causative agent? Three differentials?
Diagnostics wished? What additional records or questions could you have for the determine?
Top analysis: fifth ailment
causative agent: human parvovirus b-19
Differentials: Roseola, rubella, rubeola, kawasaki disease
Diagnostics: None wanted
Additional data: affected person isn't contagious, can go back to high school. Inquire if mom
could potentially be pregnant, and in that case, wishes a direct referral to OBGYN.
A forty three 12 months antique man is visible in workplace with court cases of a rash that
has regarded on his left lower leg, along side fever and myalgia. He currently became
tenting in minnesota 2 weeks ago with own family and noticed this rash appear in the
previous few days. Upon exam, it has grown to be approximately 8cm, round with imperative
clearing. What is your top prognosis? Causative agent? Diagnostics wanted? Treatment?
Follow americaneeded? What are possible complications?
Diagnosis: Lyme disease
Causative agent: Borrelia burgdoferi
Diagnostics wished: Either EIA or IFA.. If superb, affirm with western blot check
Treatment: Doxycycline 100mg BID for 14-21 days is first line hrerapy. Can use amoxicillin
as alternative.
Follow up: after stop of abx remedy... If nevertheless having signs, keep remedy for 28
greater days.
Possible headaches: AV coronary heart blocks, recurrent arthritis, meningitis
A determine brings her three 12 months old infant in and states he has had a fever for a
week, that is not resolving. He has had cough, rhinorrhea and now's displaying conjunctivitis,