GNRS 5669 Exam 4 Questions And Answers|
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Endocarditis: - Answer✔-weeks or months of symptoms
-S. Virdans and Strep Bovis
-DX: Echo, blood cultures, CXR, EKG
-Tx: IV abx 4-6 weeks
Pericarditis: - Answer✔Inflammation of visceral and parietal pericardium
Dx: two of the following
-chest pain
-pericardial friction rub
-ECG changes (ST elevation)
-Pericardial effusion
Tx: hospitalize if high risk
-NSAIDS, Colchine for 3 months (not if bacterial), no strenuous activity
Myocarditis: - Answer✔Dx: elevated troponin, CXR (cardiomegaly), BNP, Echo, MRI
-ST elevation or T wave inversion
Tx: same as pericarditis
-bed rest- rest cardio system
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Meningitis: - Answer✔Sx: fever, nuchal rigidity, change in mental status
Dx: CBC, blood cultures, *LUMBAR PUNCTURE*, CT (if unable to do LP)
Tx: Dexamethasone + abx therapy
Norwalk: - Answer✔primary cause of gastroenteritis in the U.S
foodborne and waterborne
Tx: supportive
Vaccine: edible norwalk virus in transgenic spuds
Cryptospordium: - Answer✔tx:
-healthy: spontaneous recovery
-Immunocompromised: Nitazoxanide
-If severe diarrhea: Nitazoxanide and Azithromycin
-Supportive: fluids
Giardia: - Answer✔-water and food borne
-common in day cares
Dx: multiple stool samples, 3 every other day.
Fecal immunoassays
PCR to identify subtypes
Tx: only if symptomatic, immocompromised, or in high risk for spreading conditions
3 yrs+: Tinidazole 2g PO once
1-3 yrs: Nitazoxanide 500mg BID x 3 days
<1 yrs: Metronidazole 500mg BID 5-7 days OR 250mg TID 5-7 days
Travelers Diarrhea: - Answer✔Prevention: pepto bismole
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