Podcast
Questions and Answers
Which clinical manifestation of dengue is most critical for hospital admission?
Which clinical manifestation of dengue is most critical for hospital admission?
- Vomiting
- Diarrhea
- Abdominal pain (correct)
- Petechial rash
What is the preferred fluid management for a patient with dengue experiencing hypotension?
What is the preferred fluid management for a patient with dengue experiencing hypotension?
- Oral rehydration solution
- PNSS (1,500 mL + 20 mL/kg for each kg >20 kg) to run for 24 hours
- PNSS at 5 to 7 mL/kg/h for the first 2 hours
- PNSS to run at 20 mL/kg over the first 15 minutes then reassess (correct)
Which of the following is NOT a discharge criterion for managing dengue?
Which of the following is NOT a discharge criterion for managing dengue?
- Increasing trend of platelet count
- Stable hematocrit without intravenous fluids
- No fever for 48 hours
- Normal creatinine and liver enzymes (correct)
In a case of hypotensive shock from dengue where initial fluid resuscitation has failed, what is the next best step?
In a case of hypotensive shock from dengue where initial fluid resuscitation has failed, what is the next best step?
Which statement regarding the etiology of sepsis is incorrect?
Which statement regarding the etiology of sepsis is incorrect?
What initial management should be administered to a patient with respiratory distress and suspected pneumonia?
What initial management should be administered to a patient with respiratory distress and suspected pneumonia?
What indicates a patient with dengue may require urgent intervention?
What indicates a patient with dengue may require urgent intervention?
Which of the following is an important diagnostic indicator for sepsis management?
Which of the following is an important diagnostic indicator for sepsis management?
What defines resistance to MDR-TB?
What defines resistance to MDR-TB?
What is the next appropriate step for a patient with persistent diarrhea and tenesmus after oral rehydration therapy?
What is the next appropriate step for a patient with persistent diarrhea and tenesmus after oral rehydration therapy?
What is recommended in the latest regimen for newly diagnosed MDR-TB?
What is recommended in the latest regimen for newly diagnosed MDR-TB?
What is the correct dosing regimen for prophylaxis in leptospirosis after exposure?
What is the correct dosing regimen for prophylaxis in leptospirosis after exposure?
In a patient suspected of severe leptospirosis, which finding is most indicative of the severity?
In a patient suspected of severe leptospirosis, which finding is most indicative of the severity?
What treatment is preferred for a patient with leptospirosis presenting with severe symptoms?
What treatment is preferred for a patient with leptospirosis presenting with severe symptoms?
Which organism is associated with an indolent type of endocarditis?
Which organism is associated with an indolent type of endocarditis?
What clinical finding would most likely require immediate intervention in a patient with suspected leptospirosis?
What clinical finding would most likely require immediate intervention in a patient with suspected leptospirosis?
What is the initial fluid resuscitation volume recommended for a 58-year-old male with septic shock?
What is the initial fluid resuscitation volume recommended for a 58-year-old male with septic shock?
In the case of a patient allergic to penicillin, which initial antimicrobial therapy is most appropriate?
In the case of a patient allergic to penicillin, which initial antimicrobial therapy is most appropriate?
Which vasopressor should be considered next if the patient's BP improves to 90/50 after receiving Norepinephrine?
Which vasopressor should be considered next if the patient's BP improves to 90/50 after receiving Norepinephrine?
What is the correct immediate action for diagnosing infective endocarditis in this patient?
What is the correct immediate action for diagnosing infective endocarditis in this patient?
What is the recommended threshold for red blood cell transfusion in septic patients?
What is the recommended threshold for red blood cell transfusion in septic patients?
What is the most important step to take after a patient sustains a deep, dirty, contaminated wound to prevent tetanus?
What is the most important step to take after a patient sustains a deep, dirty, contaminated wound to prevent tetanus?
What is the most commonly involved site for extrapulmonary tuberculosis?
What is the most commonly involved site for extrapulmonary tuberculosis?
What is the most common clinical manifestation of a first episode HSV-1 infection?
What is the most common clinical manifestation of a first episode HSV-1 infection?
In the case of a cat bite leading to axillary lymphadenopathy, which treatment is appropriate?
In the case of a cat bite leading to axillary lymphadenopathy, which treatment is appropriate?
Which patient should be treated for latent tuberculosis based on their tuberculin reaction and exposure?
Which patient should be treated for latent tuberculosis based on their tuberculin reaction and exposure?
When is the optimal time to start antiretroviral treatment in a patient with TB meningitis recently diagnosed with HIV?
When is the optimal time to start antiretroviral treatment in a patient with TB meningitis recently diagnosed with HIV?
For a patient with skin and soft tissue infection (SSTI) and first-time febrile neutropenia, what is the best empiric antibiotic therapy?
For a patient with skin and soft tissue infection (SSTI) and first-time febrile neutropenia, what is the best empiric antibiotic therapy?
Which management step is NOT appropriate for a diabetic patient with symptoms indicating possible infection in the right leg?
Which management step is NOT appropriate for a diabetic patient with symptoms indicating possible infection in the right leg?
What defines multidrug-resistant tuberculosis (MDR-TB)?
What defines multidrug-resistant tuberculosis (MDR-TB)?
What is the recommended prophylactic therapy for recurrent cellulitis?
What is the recommended prophylactic therapy for recurrent cellulitis?
In which situation is typhoid immunization NOT recommended?
In which situation is typhoid immunization NOT recommended?
Study Notes
Dengue Management
- Hospital admission is warranted for abdominal pain in dengue patients.
- For a dengue case with hypotensive symptoms, fluid management includes PNSS at 5 to 7 mL/kg/h for the first 2 hours.
- Discharge criteria for dengue include no fever for 48 hours, increasing platelet count, and stable hematocrit without IV fluids.
Sepsis Etiology & Management
- Pneumonia is the most common source of sepsis among infections.
- Blood cultures are positive in about half of sepsis cases.
- Initial management of septic patients involves starting IV crystalloid fluids promptly.
Tuberculosis (TB) Considerations
- The most commonly involved site for extrapulmonary TB is the lymph nodes.
- Latent TB treatment is indicated for individuals in close contact with active TB patients.
- In TB meningitis combined with recent HIV diagnosis, anti-retroviral treatment should start after 8 weeks of TB treatment.
Multidrug-Resistant TB
- Multidrug-resistant TB (MDR-TB) is defined as resistance to both Isoniazid and Rifampicin.
Leptospirosis Management
- Prophylaxis for leptospirosis involves doxycycline, 2 capsules taken once daily for 3 to 5 days after exposure.
- In severe leptospirosis cases, indicators include PaO2 levels and other clinical signs.
Endocarditis Diagnostics
- For suspected infective endocarditis, blood cultures should be performed if initial cultures remain negative after 48-72 hours.
Tetanus Prevention
- Immediate wound cleaning is the most crucial step to prevent tetanus in contaminated wounds.
Herpes Simplex Virus (HSV-1) Infection
- The most common clinical manifestation of first episode HSV-1 infection is fever.
Bite Wound Management
- For cat bites with lymphadenopathy, azithromycin is the appropriate treatment.
SSTI & Neutropenia
- Empiric antibiotic therapy for first-time febrile neutropenia should include vancomycin plus ceftazidime.
Management of Diabetic Patients with Infection
- In diabetic patients presenting with lower extremity infections, immediate surgical referral when needed is vital, but hyperbaric oxygen therapy is not appropriate as an immediate treatment.
Recurrent Cellulitis Therapy
- Benzathine penicillin administration every 2-4 weeks is recommended for recurrent cellulitis prevention.
Recurrent Skin Abscess Treatment
- Drainage of the abscess and daily chlorhexidine wash are essential; procalcitonin levels should not guide antibiotic initiation.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on the clinical manifestations and management of dengue fever. This quiz covers important signs that require hospital admission and fluid management protocols for patients. Ideal for medical students and healthcare professionals.
