Clin Med 5 ID part 2

fingers, feces flies and food all help to transmit this disease that has watery diarrhea progressing to bloody diarrhea.

a systemic pyogranulomatous infection due to inhalation of the conidia of the thermally dimorphic fungus. comlications of such a breath are pneumonia but can also lead to an extra pulmonary infection. what is it?

After a crazy day at there local graduate program, Jimmy, Aly and Reham decide to go relax by petting the pigs, sheep, goats and cows at a local farm. Little did they know that the farm had been shut down by the FDA for contamination of the milk and skin of those animals. What was a relaxing day has only made life worse for our three unfortunate souls. They have been experiencing high to low to high to low fevers, and have enlarged lymph nodes. What vicious disease has infected Reham, Aly and Jimmy?

Lil' Manda presents with a severe case of carbuncles and furuncles. She has honey colored crusting on part of her limbs and cellulits of connective tissue. You proceed to take a blood culture which is rushed back to you and it returns positive for...

In his old age Brad started to lose his mind, but not to make him feel bad everyone just stated he has an "altered mental status." One day while out, Brad decided to drink some unpasteurized milk because it "adds hair to his chest." While at the dairy he tripped, cause he is old, and fell face first in a pile of animal dung. Now he not only has an altered mental status but a constant fever and luckily no enlarged lymph nodes. Knowing this what could you say Brad has contracted?

as she was walking along on day Rebecca was attacked by a legion of sandflies. she was bit along her arms and thought that the raised lesion looked like a pizza. What does Rebecca now have

One day Lauren, Margaret and Cody all decided to try out a new swimming pool. this pool featured a state of the art non-chlorinated half and half experience. One side of the pool was salt water and the other side was fresh water. After swimming in this pool they decided to use a mud bath in the soil just outside to "clean any gross stuff off." Once cleaned they noted Nodular skin lesions on them. What have Cody, Margaret and Lauren unknowingly contracted?

Sam had to call out sick from work one week due to PROFUSE watery diarrhea. what did Sam contract?

a pt visits newly accredited PA Ashley in her clinic. the pt has been attending a local rural university and now has a high fever, headache, confusion and a gross looking purpuric rash. He is not up to date on his vaccinations and is living in a dorm room with 3 other guys. Ashley quickly identifies the infection as....

One quiet night Jill acutely wakes up from the worst dream of her life. She dreamed that Lindsey, Will and Laura had her trapped in a corner and were coughing and sneezing all over her. She remembered in this dream that all 3 of them had chest pain, bloody sputum, weakness, chills and a fever. She was also trapped in this corner as Lindsey, Laura and Will prolonged the coughing bout for 3 weeks. What horrific disease could these three have been spreading to Jill

all types of Salmonellosis have a common treatment of:

Kelsey has just returned from a trip to the Caribbean. While there she picked up more then just souvenirs. She picked up this fun little bug that has been giving her swimmers itch, exercise intolerance, anemia, diarrhea, portal hypertension and she thinks she is coming down with a case of bladder cancer. Kelsey isn't alone in this, ~200 million people worldwide also have similar problems. What is your dx?

diplopia, dyspohnia, dysarthria, dysphagia, descending paralysis

John recently returned from a trip to the Mississippi river valley. While there he started to feel very sick and went to eh ED. In the ED a CXR was preformed and noted pulmonary nodules, mediastinal or hilar masses (he couldn't remember when i was told this story) pericarditis with mediastinal lymphadenopathy. The PA gathered infor for Johns histopatholgy and a fungal culture. What has John acquired?

the group D streptococcus infection that is a "super bug" and is treated with the very expensive Linezolid?

When visiting the Jessica at the H.Z.F Ranch, Ben is attacked by a horde of rats and mice. Jessica quickly scares off the rodents and while helping Ben back to his feet sneezes right in his face. Ben swears off visiting ranches for the rest of his life because now he has developed a fever, sore throat, bubonic lesions at the site of all his bites. What saith thou that Ben hath?

While hiking through the backwoods of Keith Hills Golf course searching for a lost golf ball Tiana became exceptionally thirsty and drank from a mucky water source. She now has sporadic diarrhea, abdominal cramps and bloating, excess flatulence and malaise. To make things worse she never found the ball either. Other then having to take extra strokes on her score card what parasitic infection has Tiana scored?

MRSA can be treated with ______; MSSA can be treated with _____

Locations such as Southern Arizona and the central valley of California are common to this disease that has pts presenting with "valley fever." patients have sometimes month long complaints of respiratory and systemic problems along with arthalgias. what infection might a patient with "desert rheumatism" be dealing with?

After a long weekend, you run into Buddy in the hall ways and he gives you a friendly thumbs up. You can't help but notice a Janeway lesion on his palm an Osler node on his thumb. You immediately swing into action, pin the poor guy to the floor and proceed to blind him with you opthalmoscope. In his eye you see multiple Roth nodes. Oh No, Buddy has the trifecta of physical exam signs associated with what problem?

Sadly Tiffany has contracted a very very bad cough from sitting next Sara for 3 months now on the train to work. Rudely, every time that Sara would cough she would turn and cough right in Tiffany's face spraying Tiffany with infected droplets of grossness. Now when either Tiffany or Sara cough they cough all the way out until they cant breath and make a very loud inhalation sound when at the end of the cough. What has Sara spread to Tiffany?

simply put this parasite causes anemia and nutritional deficiencies. when treating give the patient albendazole or mebendazole

which of the following nematodes does not cause a Lymphatic Filariasis infection?

Crystal is out one day while running and come across a crazy cat. this cat conveniently has a tag on it that reads, "i have cat ascarid." as crystal finishes reading the cat attacks and infects with a disease that produces a syndrome in her termed visceral larva migrans. what is crystal now infected with?

a female pt presents with rash, N/V, myalgias and hypotentsion...on exam you start to notice that organs systems are failing. The pts LMP was a week ago where she said she only used a super hyper absorbent tampon. You instantly know she has Toxic Shock Syndrome. What is your treatment?

When dealing with infectious diseases what is one of the most important steps to take?

60% of bone infections are due to this type of Osteomyelitis

a patient presents with cotton wool exudates on xray, hypoxic symptoms. the patient has previously been diagnosed with HIV and has a CD4 coutn below 200. you decide to treat this disease with bactrim, pentamidine or dapsone. What could this fungal infection be?

Jamie is out one day on the "hunt" of her life...with a paintball gun. She has been in the forest so long that she feels "on fire." in order to quench this thrist she finds the only source of water she can, a stagnant pond in the middle of nowhere. She drinks 4 canteen's worth of water. Now she has a nonproductive cough, is even more confused and has N/V/D. Rather then go to the HQ of the local paintball place for water, what has Jamie now contracted due to drinking this water?

Chrystal presents with mental status changes, neck rigidity, h/a and a fever (of course there is a fever), you check her eyes for papillary edema and preform a lumbar puncture. the results are as follows: cloudy fluid, elevated opening pressure, low glucose and increased protein with lots of neutrophils. What is the probable cause of Chrystals meningitis?

Morgan has succumb to some gnarly infection due to breathing in a cloud of this mystery bug. She has a sore throat, nasal discharge and malaise. Fortunately she is good friends with Hannah who works on the weekends at a Horse ranch and gives her an antitoxin she brews from the horses. Morgan thinking this is really witch craft also goes to a PA and asks for penicillin cause that's what came to mind. Amazingly this concoction has healed her. What did Morgan contract?

Brian has just been on a whirlwind tour of China, Thailand, Russia, then over to Argentina, Bolivia and wrapped it up catching some rays on the coast of Mexico. Along the way he thought it would be fun to try local foods raw because Brian is tough like that. Even though he is on the beaches of Cancun, Brian knows something is wrong after eating all the inadequately cooked meats. What has Brian more then likely contracted?

One day while on a walk in the woods Jason, picked up a cute little bunny. Had he known how dirty and infected this bunny was he would have thought otherwise. While holding onto the the bunny he starts to get bit by something and notices his arms are covered in ticks, deer flies and mosquitoes. He swiftly chuck the rabbit out of his arms and goes running home. While sprinting ulcers start to appear at the penetration site of the bites. what has poor Jason contracted

Gerald presents with a severely cut leg due to a tragic golfing accident. He is accompanied by one of the worst smells you have ever smelled. He has edema, cellulitis and crepitation near the wound. what has Gerald contracted?

when kelly was a little girl, like 2-10 y/o, she had a "tode" she named "nema." Well Nema wasn't very nice and Kelly starts to have lung hypersensitivity and intestinal symptoms. Kelly quickly got rid of Nema because she found out Nema was actually and infectious disease better known as...

A pt with a PICC line develops a common skin colonization rash...what is your diagnosis and treatment?

i am going to get a _________ on this test!

Robin is casually walking along one day eating a delicious Nerds Rice Krispie treat. When all of the sudden BAM!! she gets hit...with a high fever and the inability to control her oral secretions. Her airway becomes so inflamed that Robin is rushed to a local hospital and diagnosed with?

one good reason to not have a cat is because you cna inhale this disease when cleaning out the liter box. once symptoms present the most common manifestation is bilateral, symmetrical, non-tender cervical adenopthy. for some HIV pts it can progress to a brain lesion with encephalitis. what is it?

After a trip to India, Allison has a fever she forgot to take her doxycycline the week before she traveled. While traveling she did note that she had multiple mosquito bites only from female mosquitoes. Fortunently for Allison now that she is back inthe US we are able to have her take that Doxy for 2 weeks or even we could give her mefloquine. what has Allison contracted?

complications from streptococcal infection can be all of the following except

a pt presents with a lung and/or extra pulmonary infection, causing an aspergilloma. This is all due to an infection from the A. flavus fungi better known as Aspergillus. what is your treatment of choice for this pt?

purulent arthritis, arthalgia, synovitis and pustules are a common presentation in this infectious disease. Typically women will be asymptomatic, or along with men have dysuria and a milky discharge.

what group of streptococcal pharyngitis is the MOST COMMON cause of pharyngitis

Maura is in the clinic one fine day and a pt comes to her complaining that he has had violent muscle spasms and increased reflexes along with trismus. He reports that 1 week ago he stepped on a nail at work and it puncture his foot. Maura is smart, and she knows what this guy has. It is...

if a pregnant women were to come in contact with this during the first trimester of pregnancy it could cause risk of teratogenicity. This ID could also lead to premature rupture of the membrane leading to early labor and delivery. what horrible thing does this?

Angela has lead a very sheltered life. She has been kept in a bubble for all of her life. One day Angela breaks out and decided that she wanted to finally get dur-tay. For hours all she does is roll around in the dirt and mud of an abandoned pig pen because she always thought that rolling in the mud looked so much fun. After that she decided to experience the sensation drying off with a bristly fresh cut and sewn wool blanket. Would you believe it, Angela is now sick and has an enlarged painless ulcer with surrounding edema and black eschar. Oh Angela. What has Angela contracted on her day of "freedom?"

treatment for a pt that has contracted a case of chlamydia is use of condoms. but if that isnt enough and infection has spread then you prescribe?

a pt presents with fever, tender anterior cervical adenopathy, and a "strawberry tongue" i.e. rash like scarletina. what does this pt have?

of all the Candidiasis forms covered in class, which one is not resistant to fluconazole?