PANCE Quick 4
Study online at https://quizlet.com/_f47wgt
Canned food products causing respirato-
ry paralysis
Botulism (gram positive)
**honey in babies before 12 months
Tx: antitoxin
MCC of acute bacterial diarrhea through
foods (poultry >> meat)
Gastroenteritis w/ blood and pus + >10
Campylobacter Jejuni Infection
stools / day
FQ or azithromycin
Dx: culture showing comma or S-shaped
bacteria
Tx:
MC sexually transmitted infection = MC Chlamydia-
non-gonococcal infection
Doxycycline 100 mg PO BID for 7 days +
Dx: most specific do a NAAT which is ceftriaxone 500 IM
GOLD
Tx: If pregnancy = azithromycin 1 gram 1
Pregnancy? time or amoxicillin 500 TID x7 days
For sexually active women, screen for
chlamydia + gonorrhea if they are:
What is the USPSTF recommendation
for chlamydia screening?
1. <24 y/o
2. >25 y/o and at increased risk
MC caused by Vibrio cholerae = Gram
negative bacteria that causes RICE wa-
tery stools >>
Cholera
Transmitted through contaminated water
Tx: macrolides, FQ or tetracyclines
/ seafood!!
Tx:
, PANCE Quick 4
Study online at https://quizlet.com/_f47wgt
URI w/ thick gray pseudomembrane in
the throat that bleeds w/ scraping
Pt will have neck swelling d/t enlarged Diphtheria
cervical LAD (bull neck) Major complication: myocarditis
Ppx: 2,4, 6 and 15-18 months then at 4-6 antitoxin + abx (PCN or macrolide)
Tx:
Major complication?
Gram positive cocci in clusters MRSA
Tx: PO trimethoprim- sulfamethoxazole or
uncomplicated: (3 options) PO clindamycin or PO doxycycline
Complicated: (unusually, not given out-
patient) IV vancomycin
Gonococcal infections
1. urethritis / cervicitis
- Ceftriaxone
Gram negative diplococci (3)
2. pharyngitis
- Neonatal: birth- 5 days
- Chlamydia: 5-14 days after birth
3. Disseminated- reactive arthritis
Rickettsia rickettsii
- SE / Midwest / Western Rocky mountain spotted fever
- 2-14 days after tick bite (dog) --> 1st line: DOXY- GIVE TO EVERYONE
Blanching erythematous macular rash even if <8 y/o
STARTS on wrists + ankles then spreads
to the central body --> patient will com- Chloramphenicol --> causes aplas-
plain of malaise, HA, F tic anemia (anemia, thrombocytopenia,
Thrombocytopenia + hyponatremia pre- pancytopenia)
sent!!
, PANCE Quick 4
Study online at https://quizlet.com/_f47wgt
- dx: serology testing
- tx:
pregnancy?
- D/t Borrelia burgdorferi (spirocyte)
- spreads by deer tick
lyme disease
- MC in the NORTHEAST states / Mid-
west / West coast doxycycline
- erythema migrans w/ bull's eye --> neu- pregnancy / <12 = amoxicillin
rological symptoms (AV block mcc) and
arthritis (MC in knees) ppx: doxy
Bilateral facial nerve palsy PATHOGNO-
MONIC
- dx: Elisa followed by western blot
- tx:
1st line:
pregnancy + children:
ppx:
Bell's palsy (CN VII palsy of facial nerve
what is a/w lyme disease?
+ unable to move forehead)
Typhoid and enteric fever --> fever, GI sx
and headache
- Pea soup diarrhea + rose spots + Salmonellosis
bloody diarrhea
ceftriaxone (sometimes a FQ or
Gastroenteritis --> improperly handled azithromycin)
food- egg yolk
dx: cultures
tx:
, PANCE Quick 4
Study online at https://quizlet.com/_f47wgt
Shigellosis
- Gram negative bacteria shigella
TMP-SMX or ciprofloxacin
- Blood, pus and mucus (tenesmus)
- Dx: stool positive for leukocytes and
shigella
- Tx:
Anaerobic bacteria clostridium tetani -->
produces a neurotoxin which interferes
w/ the transmission at spinal synapses of Tetanus- gram positive
inhibitory neurons = uncontrolled spasm
and exaggerated reflexes
**puncture wounds most susceptible
Tx: wound debridement w/ tetanus im-
mune globulin
Friable white plaques that bleed if
scraped
- Tx? Oral Thrush
Nystatin
Beefy red erythema w/ distinct scalloped
borders and satellite lesions (occurs in Intertrigo
skin folds, armpits, toes, groins Clotrimazole
-Tx?
Diaper candida
Redness and satellite lesions due to fe- Nystatin
ces in the diaper
- Tx?
HIV positive, CD4 LOW, headache, neck
stiffness and confusion w/ pigeon and Cryptococcus
bird droppings
- yeast w/ a thick polysaccharide cap- India ink --> CSF showing increased
sule protein, decreased glucose
Study online at https://quizlet.com/_f47wgt
Canned food products causing respirato-
ry paralysis
Botulism (gram positive)
**honey in babies before 12 months
Tx: antitoxin
MCC of acute bacterial diarrhea through
foods (poultry >> meat)
Gastroenteritis w/ blood and pus + >10
Campylobacter Jejuni Infection
stools / day
FQ or azithromycin
Dx: culture showing comma or S-shaped
bacteria
Tx:
MC sexually transmitted infection = MC Chlamydia-
non-gonococcal infection
Doxycycline 100 mg PO BID for 7 days +
Dx: most specific do a NAAT which is ceftriaxone 500 IM
GOLD
Tx: If pregnancy = azithromycin 1 gram 1
Pregnancy? time or amoxicillin 500 TID x7 days
For sexually active women, screen for
chlamydia + gonorrhea if they are:
What is the USPSTF recommendation
for chlamydia screening?
1. <24 y/o
2. >25 y/o and at increased risk
MC caused by Vibrio cholerae = Gram
negative bacteria that causes RICE wa-
tery stools >>
Cholera
Transmitted through contaminated water
Tx: macrolides, FQ or tetracyclines
/ seafood!!
Tx:
, PANCE Quick 4
Study online at https://quizlet.com/_f47wgt
URI w/ thick gray pseudomembrane in
the throat that bleeds w/ scraping
Pt will have neck swelling d/t enlarged Diphtheria
cervical LAD (bull neck) Major complication: myocarditis
Ppx: 2,4, 6 and 15-18 months then at 4-6 antitoxin + abx (PCN or macrolide)
Tx:
Major complication?
Gram positive cocci in clusters MRSA
Tx: PO trimethoprim- sulfamethoxazole or
uncomplicated: (3 options) PO clindamycin or PO doxycycline
Complicated: (unusually, not given out-
patient) IV vancomycin
Gonococcal infections
1. urethritis / cervicitis
- Ceftriaxone
Gram negative diplococci (3)
2. pharyngitis
- Neonatal: birth- 5 days
- Chlamydia: 5-14 days after birth
3. Disseminated- reactive arthritis
Rickettsia rickettsii
- SE / Midwest / Western Rocky mountain spotted fever
- 2-14 days after tick bite (dog) --> 1st line: DOXY- GIVE TO EVERYONE
Blanching erythematous macular rash even if <8 y/o
STARTS on wrists + ankles then spreads
to the central body --> patient will com- Chloramphenicol --> causes aplas-
plain of malaise, HA, F tic anemia (anemia, thrombocytopenia,
Thrombocytopenia + hyponatremia pre- pancytopenia)
sent!!
, PANCE Quick 4
Study online at https://quizlet.com/_f47wgt
- dx: serology testing
- tx:
pregnancy?
- D/t Borrelia burgdorferi (spirocyte)
- spreads by deer tick
lyme disease
- MC in the NORTHEAST states / Mid-
west / West coast doxycycline
- erythema migrans w/ bull's eye --> neu- pregnancy / <12 = amoxicillin
rological symptoms (AV block mcc) and
arthritis (MC in knees) ppx: doxy
Bilateral facial nerve palsy PATHOGNO-
MONIC
- dx: Elisa followed by western blot
- tx:
1st line:
pregnancy + children:
ppx:
Bell's palsy (CN VII palsy of facial nerve
what is a/w lyme disease?
+ unable to move forehead)
Typhoid and enteric fever --> fever, GI sx
and headache
- Pea soup diarrhea + rose spots + Salmonellosis
bloody diarrhea
ceftriaxone (sometimes a FQ or
Gastroenteritis --> improperly handled azithromycin)
food- egg yolk
dx: cultures
tx:
, PANCE Quick 4
Study online at https://quizlet.com/_f47wgt
Shigellosis
- Gram negative bacteria shigella
TMP-SMX or ciprofloxacin
- Blood, pus and mucus (tenesmus)
- Dx: stool positive for leukocytes and
shigella
- Tx:
Anaerobic bacteria clostridium tetani -->
produces a neurotoxin which interferes
w/ the transmission at spinal synapses of Tetanus- gram positive
inhibitory neurons = uncontrolled spasm
and exaggerated reflexes
**puncture wounds most susceptible
Tx: wound debridement w/ tetanus im-
mune globulin
Friable white plaques that bleed if
scraped
- Tx? Oral Thrush
Nystatin
Beefy red erythema w/ distinct scalloped
borders and satellite lesions (occurs in Intertrigo
skin folds, armpits, toes, groins Clotrimazole
-Tx?
Diaper candida
Redness and satellite lesions due to fe- Nystatin
ces in the diaper
- Tx?
HIV positive, CD4 LOW, headache, neck
stiffness and confusion w/ pigeon and Cryptococcus
bird droppings
- yeast w/ a thick polysaccharide cap- India ink --> CSF showing increased
sule protein, decreased glucose
