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INFECTIOUS DISEASES 2, :recycle:pb lâu vs chlamydia
Gram…
INFECTIOUS DISEASES 2
FOODBORNE DISEASE
-
NT ruột
- Listeria/Campyobacteria/shigella/salmomnella
-
nôn ói:
- tụ cầu vàng/bacillus cereus
enterotoxin ingested
- Quick onset 1-6 h
- vomiting
diarrhea
- rice: Bacillus
- rapid onset/ vomitng: tụ cầu
- uống ks: clostridium difficle
- trứng sống: salmonella
- watery + bloody: Ecoli
- bloody: Campylobacteria
TRAVELLER’S DIARRHEA
---< 2 tuàn :Rotavirus ( nôn ói là chính)/ Ecoli/campylobacteria( giả viem ruột thừa/salmonnella (sốt)/shhighella
-
C. DIFF COLITIS
- YTNC : recent antiboitic/hospitalazition
- patho: A: diarrhea/ B: hoai tử niem mạc ruột ( toxixc megacolon)
- Px: sốt+ tiều chày nc+ tăng BC
- :check: Pseudomembranes
CLS
- PCR
- Nhe-TB WBC<15+ crea<1,5baseline
---> oral metronidazol
- Nặng: WBC>15+ Cr>1,5+albmun servum<2.5
----> vancomycin
- :no_entry: Toxic megacolon/WBC>20/lactae>2.2/NT dường ruôt
----> PT cắt
- Antibiotics most commonly associated with this include: fluoroquinolones, clindamycin, penicillin and
cephalosporins
- Unexplained leukocytosis in hospitalized pt should also raise suspicion of C. diff. even without diarrhea
-
-
CONGENITAL INFECTIONS
-
-
-
rubella: blueberry muffin spot
- 3: duc thủy tih thể/PDA/ điếc
-
-
-
GONOCOCCALconjunctivitis
- chảy mủ nhiều+ phù nè 2-5
- thayer- martin +
-
:recycle:pb lâu vs chlamydia
- Gram staining—specific but less sensitive in differentiating these two
- NAAT (nucleic acid amplification test)—> lậu
:no_entry: tổn thương ko có TC dường tiêu hóa
- botulism: liêt hh
- listeria: viem màng não
:no_entry: bloody diarrhea:
( EColi,Shigella campylobateria)
:recycle:
- C3: ceftriaxon,cefotaxime
- cefepime: ceftazidime/meropenum
- ampicilin: TMX- listeria
