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34 Cards in this Set

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Japanese Encephalitis

-significant viral encephalitis

J. Encephalitis


Vector:

Culex Mosquitoes

J. Encephalitis


Incubation Period (IP)

5-15 days

J. Encephalitis


Intervention

1. Wear long sleeves


2. Apply insect repellant

J. Encephalitis


S/sx:

- non-specific febrile illness


- N&V


- diarrhea


- cough


- acute flaccid paralysis


- Severe encephalitis (memory, thinking, & movement affected

J. Encephalitis


TX:

No DOC


1. Symptomatic treatment


2. Supportive


Vaccine:


2 IM (28 days apart; 1 wk. prior to travel

Meningitis

Inflammation lining around brain & spinal cord


Classified septic (bacteria) or aseptic (viral/leukemia)

Meningitis


S/sx:

- HA & fever (high grade)


- PS⭐ Nuchal rigidity (stiff neck)


- Photopobia


- (+) Kernig's sign (pt. lying w/ thigh flexed on abd, leg cannot be completely extended)


(+) Brudzinki's sign (pt's neck is flexed, flexion of knees & hips is produced)

Meningitis


MOT:

Droplet

Meningitis


Vaccine:

HIBV - H. Influenzae in children


Pneumococcal Vaxx (PCV)- Strep. Pneumoniae in adult


Rash: Meningococcemia (highly contagious)


N. Meningitidis infxn: Purpuric rash

Meningitis


Dx:

Lumbar puncture for CSF Analysis


BACTERIAL: low Glucose & protein


VIRAL: Normal Glucose & Protein

Meningitis


Prevention:

Ciprofloxacin: meningococcal meningitis in close contact


Vaxx: HIBV (child) PCV (adult)

Meningitis

Meningitis


Medical Mgt:

Antibiotics: Ceftriaxone


Anti-seizures: Phenytoin (Dilantin)


-Gum care> SE: Gingival hyperplasia

Meningiti

Triad of Meniere’s Dse

Vertigo


Tinnitus


Sensory neural Hearing Loss

Ear


Conductive Hearing Loss

External Ear


-Otitis Externa


-Otosclerosis


Middle Ear


-Otitis Media

An inner ear problem that can cause dizzy spells also called vertigo, and hearing loss


Attacks may be triggered by increase fluid in Labyrinth

Meniere’s Dse

Inflammation of the pericardium (outer), sac-like structure with 2 thin layers of tse that surround the heart to hold it in place and help it work

Pericarditis

Pericarditis


Causes:

-Viral


-Post MI (Dressler’s syndrome)


-Neoplasms


- Renal Failure


-Radiation

Pericarditis


S/sx:

Chest pain (aggravated by breathing>inspiration; relieved w/ sitting/ lean forward)


Increased WBC, fever, Malaise


Friction rub (on auscultation)>sign


ST elevations -> MI, Pericarditis

Heart Murmurs

Back (Definition)

Vulvular Disorders

Back (Definition)

Inflammation of bladder


>Ascending Infxn

CYSTITIS (UTI)


Most common organism: Eschirichia Coli

Cystitis


S/sx:

Frequency


Urgency


Cloudy urine


Lower abd discomfort


Back pain


Int: ⬆️ OFI 3L/day

Inflamed of renal pelvis & parenchyma


>ascending infxn thru E. Coli

Pyelonephritis

Pyelonephritis


S/sx

Fever


Flank pain


Chills


Costrovertebral angle tenderness

Inflamed and damage to the filtering part of the kidneys (glomerulus)


>descending infxn


>immunologic/autoimmune

Glomerulonephritis

Glomerulonephritis


Cause:

GABHS (Group A Beta-hemolytic Streptococcus


URTI infxn hx (tonsillitis, pharyngitis) - 2-3 wks before symptoms

Glomerulonephritis


S/sx

Gross hematuria


Cola-colored, red brown urine


Hypertension


Edema


Proteinuria


Oliguria


⬆️ ASO (Antistreptolysin O)

Glomerulonephritis


S/sx

Gross hematuria


Cola-colored, red brown urine


Hypertension


Edema


Proteinuria


Oliguria


⬆️ ASO (Antistreptolysin O)

Glomerulonephritis


Mgt

Diuretics


Anti-hypertensives


Antimicrobials (Penicillin)

Renal Failure

Acute


1. Prerenal: prob above kidney; shock


2. Intrarenal: inside kidney;dse-pyelo,glomerulo


3. Post renal: after kidney/ below; store in ureter, bladder, prostate


Chronic


-DM

Renal failure


S/sx

Acidosis (metabolic)


Anemia (⬇️ erythropoietin) Epogen subQ 3x a wk


Azotemia (⬆️ BUN & Crea)


BP ⬆️


Ca ⬇️ (hypocal) = ⬆️Phosphorus


D vit ⬇️ = ⬆️K+


Edema

Renal failure


Diet

Low Protein


High Biologic Protein (veggies>veg sandwich, broccoli)

ECG

Back (Definition)