Infectious Diseases

INFXN—DANIEL TODD, MD
RUBOR (ERYTHEMA)–TYPICALLY BLANCHES
CALOR (HOT)
DOLAR (INDURATED)
TUMOR (SWOLLEN/INFLAMMED)
ET ODOR
COLONIZATION/CONTAMINATION—–>100,000 M/O PER MM2 OF BSA—-SURGICAL INFXN (INFXN=DETRIMENTAL COLINIZATION!)
EXANTHEM = A CUTANEOUS ERUPTION(RASH)
ENANTHEM = A MUCOSAL ERUPTION
A EPITHELIAL MANIFESTATION OF AN INFXOUS Dz
USUALLY AN IMMUNOLOGIC PHENOM TO A VIRAL OR BACTERIAL AG
DERMATITIS (LATIN) = EXCZEMA (GREEK)
MACULE = FLAT/ DISCOLRED
PAPULE = RAISED/ DISCOLORED—HEAPING CT–NODULE–IF > 5 MM = PLAQUE
VESCICLE—-> 5 MM—-BULLA (ACANTHOLYSIS–DEHISSANCE OF THE STRATUM SPINOSUM “PRICKLE CELL LAYER”)
+ NICKOLSKI’S SIGN   (ACANTHOSIS = THICKENING OF THE STRATUM SPINOSUM)
EROSION—-THROUGH DERMIS—-ULCER
ABRASION = TRAUMATIC EROSION
EXCORIATION = ABRASION SPECIFICALLY FORMED BY FINGER NAILS
URTICARIA = SUPERFICIAL DERMIS INFLAMMATION
ANGIOEDEMA = DEEP DERMIS
CORYZA = “COLD”—RHINORRHEA/CONGESTION
CATARRH = RHINITIS
HAY FEVER = AUTUMNAL CATARRH
STYE = HORDEOLUM
CELLULITTIS—-DIFFUSE INFLAMMATORY RESPONSE–INFXN THROUGH THE TISSUE PLANES = VASCULAR INFLAMMATION
ERYSIPELAS—MORE DERMAL, A MORE VIRULENT STREP CELLULITIS, AN ADVANCING BORDER, RED/HOT TENDER, TENSE
PRIMARILY GABHS
IMPETIGO—-MORE EPIDERMAL, SUPERFICIAL SKIN INFXN, VESCICULAR OR PUSTULAR (STREP = HONEYCRUSTING) OR STAPH AUREUS
PHLEGMON—-DIFFUSE SOFT TISSUE INFLAMMATION(PANCREATITIS)—USUALLY STAPH OR STREP—-RX IV ABX
FURUNCLE(BOIL)—-COALESCE—CARBUNCLE—-ABSCESS (PUS POCKET)
PRIMARILY S.A.—ALSO G- ENTERICS, RX IS I&D
GANGRENE—INFXN–THROMBOSIS–ISCHEMIA–NECROSIS
EVENTUALLY ANAEROBIC—CAN BE SYNERGISTIC (SYMBIOTIC)–
MELENEY’S CELLULITIS (S.A. AND PEPTOSTREPTOCOCCUS)
Rx: DEBRIDE, IV ABX, HBO
VINCENT’S ANGINA = ANUG (ACUTE NECROTIZING ULCERATIVE GINGIVITIS) = TRENCH MOUTH—-SPARES THE EDENTULOUS PT—BORRELLIA VINCENTII (SPIROCHETE) FUSIFORM BACILLUS, DESTRUCTIVE LESIONS ABOUT THE NOSE AND MOUTH
MORTIFICATION = GANGRENOUS STOMATITIS = CANCRUN ORIS = NOMA
NECROTIZING FASCIITIS = NECROTIZING CELLULITIS = HOSPITAL GANGRENE = “FLESH EATING BACTERIA” = MALIGNANT ULCER = PHAGEDENA—-POLYMICROBIAL/DESTRUCTIVE—USUALLY A VIRULENT GROUP A STREP WITH TISSUE ENZYMES—–GIVE CLEOCIN AS A COMPONENT OF ANTIMICROBIAL THERAPY AS IT DECREASES THE TOXIN PRODUCTION FROM THE STREP—-ALSO ANTITOXINS, ANTI-INFLAMMATORY MEDS, DEBRIDEMENT AND HYDRATION
SCROFULA = CERVICAL LAD (“KERNALS”)
TOXEMIA(TOXIN IN THE BLOOD STREAM)—ENTEROTOXINS—EXO (HL) G+–TETANUS, DIPTHERIA, ?PSEUDOMONAS—–ENDO (HS) G- = LPS = LIPID A OF LPS
BACTEREMIA(BACTERIA IN BLOOD STREAM)—-
SEPTICEMIA(BACTERIA ACTUALLY MULTIPLYING WITHIN THE BLOOD STREAM)
HIDRADENITIS SUPPURITIVA = APOCRINE/SUDERIFEROUS GLANDS
AXILLARY INFXNS
PARONYCHIA = NAILS
FELON = PULP INFX OF FINGER TIP
COLLAR BUTTON INFXN = WEBSPACE ON DORSAL HAND
GLANDERS = MULTIPLE ABSCESSES, PRIMARILY AN INFXN OF EQUINE ANIMALS
PSUEDOMONAS MALLEI
TETANUS = LOCK JAW
D.T.’S = MANIA A POTU—IV BENZOS AND A BANANNA BAG
GBS = ASCENDING (LANDRY’S) PARALYSIS—–THINK BILAT PARALYSIS
WENS = EPIDERMAL INCLUSION CYST
GRIP (LA GRIPPE) = INFLUENZA
DYSENTERY = BLOODY FLUX
RABIES = HYDROPHOBIA
RHINITIS = CATARRH
VESCICLE—1CM—BULLA (BLISTER)
STILL’S Dz = ACUTE FEBRILE ONSET OF JUVENILLE R.A. (AGE 1-3)
FELTY’S = R.A, LEUKPENIA, H-S MEGALLY
MARIE STRUMPELL’S Dz = ANKYLOSING SPONDYLITIS
CGDz—HIGH S.a
STAPH EPI—- DERMAL SINUS TRACT, INDWELLING CATHODERS
PSUEDOMONAS —- RESPIRATOR(SERRATIA), BURNS, CF, BPD, NEUTROPENIA
OPORTUNISTIC FUNGAL (CANDIDA/ASPERGILLUS)—-NEUTROPENIA & BROAD SPEC ABX

E.COLI—-UTI
MYCOPLASMA—-+COLD AGGLUTININS
SSA—-PRIAPISM, SALMONELLA OSTEOMYELITIS
PUNCTURE WOUND THROUGH TENNIS SHOE—-PSEUDOMONAS AERUGINOSA
SUSHI—ACUTE GASTRIC ANISAKIASIS
CYCLIC NEUTROPENIA (FEVERS EVERY 3-4 WEEKS)
MALARIA—FEVERS Q 48 HOURS
(P. FALCIPARIUM = BLACKWATER FEVER Q 48 HOURS) (P. MALARIAE = Q 72 HOURS)
DOG & CAT BITE = PASTEURELLA MUTICOCIDA
HUMAN BITE = GABHS, S.a, STREP VIRIDANS
SCHISTOSOMA CERCARIA = SWIMMER’S ITCH
SCROMBOID (HISTAMINE) = FISH POISONING
ACANTHOAMEOBA = SOFT CONTACT LENSES
CORYNEBACTERIUM DIPTHERIA (PHAGE TOXIN)—-EF-2
CLOSTRIDIUM PERFERINGES—-SEROSANGUINOUS DRAINAGE
ONCHODYSTROPHY = SEPARATION OF NAIL PLATE (DISTAL —-PROXIMAL)
INFANTILE BOTULISM—-?CONTRIBUTOR TO SIDS?

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