Rhinovirus
- Picornavirus
- Cause of Common Cold
- More than 100 Serologic Types
- Destroyed by Stomach Acid
Picornavirus
- Non-enveloped
- RNA Virus
- Icosahedral
- Positive Sense
- A large polypeptide cleaved by proteases
- Rhinovirus
- Poliovirus
- Coxsackievirus
- Hepatitis A Virus
- Echovirus
- Aseptic meningitis
Coronavirus
- RNA Virus
- Enveloped
- Helical
- SS Positive Linear
- Common Cold
- SARS (Severe Acute Respiratory Syndrome)
Coxsackievirus
- Picornavirus
- Coxsackie A
- Febrile Pharyngitis
- Hand, Foot, and Mouth Disease
- Most Common Cause of Aseptic Meningitis
- Late Summer
- Coxsackie B
- Myocarditis
- Dilated Cardiomyopathy
- Type 1 Diabetes
Epstein Barr Virus Mononucleosis
- Mononucleosis
- Fever
- Hepatomegaly
- Splenomegaly
- Pharyngitis
- Posterior Cervical Lymphadenopathy
- Atypical Lymphocytes
- Heterophile Antibodies
- Rash Develops if treated with Ampicillin
- Hodgkin's Lymphoma
Adenovirus
- Non-enveloped
- Icosahedral
- Linear
- Double Stranded DNA
- Pharyngitis
- Conjunctivitis
- Fever
- Summer Swimming
- Day Care Centers
- Acute Hemorrhagic Cystitis
- Pneumonia
Streptococcus Pyogenes Disease
- Pyogenic
- Pyogenic Pharyngitis
- Impetigo
- Cellulitis
- Toxigenic
- Toxic Shock-Like Syndrome
- Scarlet Fever
- Sandpaper Rash
- Strawberry Tongue
- Immunologic
- Rheumatic Fever
- Antibodies to M Protein
- Acute Glomerulonephritis (Post Streptococcal Glomerulonephritis)
Moraxella catarrhalis
- Gram-Negative
- Diplococci
- Oxidase-positive
- Catalase-positive
- Otitis Media
- Sinusitis
- Chronic Obstructive Pulmonary Disease (COPD)
- Bronchitis
- Laryngitis
Chronic Bronchitis
- Chronic Inflammation of Bronchi
- Early-Onset Cyanosis
- Blue Bloaters
- Productive Cough
- Wheezing
- Chronic Obstructive Pulmonary Disease (COPD)
- Late-Onset Dyspnea
- Crackles
- Reid Index > 50%
Chronic Bronchitis Interventions
- Tripod Position
- Humidified Oxygen
- Pursed Lip Breathing
- Increase Fluid Intake
- ABGs
- Early Detection of Exacerbation
- Lowest O2 Therapy
- Assisted Ventilation
- Increased Infection Risk
Paramyxovirus
- Enveloped
- RNA Virus
- Helical
- SS Negative Linear
- Nonsegmented
- Surface Fusion Protein Causes Multinucleated Cells
- Measles
- Mumps
- Bronchiolitis in Babies
- Parainfluenza
- Respiratory Syncytial Virus (RSV)
Bronchiectasis
- Obstructive Lung Disease
- Chronic Necrotizing Infection
- Permanent Airway Dilation
- Poor Ciliary Motility
- Kartagener's Syndrome
- Cystic Fibrosis
- Allergic Bronchopulmonary Aspergillosis
- Hemoptysis
- Increased Sputum
Respiratory Syncytial Virus (RSV) Assessment
- Viral Infection Affecting Epithelial Cells
- Begins After a Upper Respiratory Infection
- Copious Secretions
- Coughing and Sneezing
- Wheezing
- Otitis Media or Conjunctivitis (Possible Ear or Eye Drainage)
- Poor Feeding
- Tachypnea
Influenza Virus
- RNA Virus
- Orthomyxovirus
- Enveloped
- Negative Sense
- 8 Segments
- Helical
- Hemagglutinin for Viral Entry
- Neuraminidase for Virion Release
- Genetic Shift
- Reassortment of genome to cause major change
- Genetic Drift
- Minor Antigenic Mutations
- Reye Syndrome with Aspirin Use
- Guillain-Barre Syndrome
Legionella Characteristics
- Bacillus
- Poor Gram Stain
- Charcoal Yeast with Iron and Cysteine
- Silver Stain
- Water Sources
- Smokers and Heavy Drinkers
- Detect Antigen in Urine
Legionella Disease
- High Fever
- Diarrhea
- Increased Liver Enzymes
- Hyponatremia
- Type IV Renal Tubular Acidosis
- Severe Atypical Pneumonia
- Pontiac Fever
- Fluoroquinolones
- Macrolides
Mycoplasma Pneumoniae
- No Cell Wall and No Gram Stain
- Cholesterol Membrane
- Eaton's Agar
- Mulberry Colonies
- Atypical pneumonia
- Military Recruits
- Cold IgM Autoimmune Hemolytic Anemia
- Erythema Multiforme
- Tetracycline
- Erythromycin
Streptococcus Pneumoniae Disease
- Sickle Cell Anemia
- Sepsis in Patients with Splenectomy
- Rusty Sputum
- MOPS
- Meningitis
- Otitis Media
- Pneumonia
- Sinusitis
Streptococcus Pneumoniae Characteristics
- Gram-Positive
- Diplococci
- Lancet-Shaped
- Catalase-Negative
- Optochin-Sensitive
- Bile Soluble
- Alpha-Hemolytic
- Polysaccharide Capsule
- Positive Quellung Reaction
- IgA Protease
Coxiella burnetii
- Gram Negative Bacteria
- Intracellular
- Aerosol Transmission
- Affects Animal Handlers
- Q Fever
- Flu-like Symptoms
- Atypical Pneumonia
- Hepatitis
- Endocarditis
- Serology
- Doxycycline
Pneumocystis jirovecii
- Fungi
- AIDS/Immunocompromised
- Fever
- Hypoxemia
- Bronchoalveolar Lavage
- Biopsy
- Methenamine Silver Stain
- Saucer/cup shaped yeast forms
- Diffuse interstitial pneumonia CXR
- TMP-SMX
- Start prophylaxis when CD4 drops under 200
Mycobacterium Tuberculosis Characteristics
- Mycolic Acid Cell Wall
- Acid-fast
- Carbolfuchsin Stain Red
- Lowenstein-Jensen Agar
- Serpentine Cord Factor
- Primary TB
- Caseating Granuloma
- Ghon Focus
- Hilar Lymph Nodes
- Ghon Complex
- Reactivation TB
- Reactivation in Apex
Mycobacterium Tuberculosis Disease
- Fever
- Night Sweats
- Weight Loss
- Hemoptysis
- Extrapulmonary Disease
- Addison's Disease
- CNS
- Liver
- Kidneys
- GI
- Bones
- Pott's Disease
Tuberculosis Intervention
- Airborne Isolation
- Combination Drug Therapy (RIPE)
- 6-12 Months
- DOT
- BCG Vaccination
- Medication Education
- 3 Negative Sputum Specimens
- Infection Control
Ghon Complex
- Calcified Focus of Infection
- Hilar Lymph Nodes
- Primary Tuberculosis
- Typically in Children
Tuberculosis Skin Mantoux Test (PPD)
- Delayed Hypersensitivity (Cell Mediated Response)
- Intradermal Injection
- Read 48-72 hours
- ≥ 5 mm Induration
- Immunosuppressed
- ≥ 10 mm Induration
- High Risk Patients
- ≥ 15 mm Induration
- Chest X-Ray
Chlamydia
- Chlamydia trachomatis
- May Be Asymptomatic
- Dysuria
- Epididymitis
- Discharge
- Dyspareunia
- Doxycycline
- Azithromycin
- No Intercourse for 1 Week
- Treat Partners
Chlamydia Characteristics
- Cannot Make ATP
- Elementary Body Infects
- Intraepithelial
- Reticulate Body Replicates
- Cell Wall Lacks Muramic Acid
- Giemsa Stain
- Inclusion Bodies
- Doxycycline (Preferred)
- Azithromycin
Chlamydia trachomatis
- A to C
- Trachoma
- Follicular Conjunctivitis
- Blindness
- Africa
- L1 to 3
- Lymphogranuloma venereum
- Buboes
- Genital Ulcer
- D to K
- Urethritis and PID
- Neonatal Pneumonia
- Staccato Cough
- Neonatal Conjunctivitis
Aspergillus fumigatus
- Fungi
- Monomorphic
- Septate Hyphae
- Branch at Acute Angles
- Fruiting Bodies
- Allergic Bronchopulmonary Aspergillosis (ABPA)
- Eosinophilia
- Increased IgE
- Glucocorticoids +/- Azoles
- Pulmonary Aspergillosis
- TB Cavity
- Lung Aspergilloma
- Hemoptysis
- Invasive Aspergillosis
- AIDS/Immunocompromised
- Chronic Granulomatous Disease
- Hemorrhagic Infarction
- Necrotizing Bronchopneumonia
- Voriconazole +/- Caspofungin
Nocardia
- Aerobic
- Gram-Positive
- Catalase-Positive
- Urease-Positive
- Acid Fast
- Branching
- Beaded Filament
- AIDS/Immunocompromised
- Soil
- Lung Cavitation
- Brain Abscess
- Kidney Abscess
- TMP-SMX
Bacillus Anthracis (Anthrax) Characteristics
- Gram-Positive
- Spore-Forming
- D-glutamate Polypeptide Capsule
- Protective Antigen
- Lethal Toxin
- Edema Factor
- Increased cAMP
Bacillus Anthracis (Anthrax) Disease
- Cutaneous
- Painless Black Eschar (Necrotic Lesion)
- Pulmonary
- Mediastinal Widening
- Rapidly Fatal
- Woolsorter's Disease
- Gastrointestinal
- Consuming Anthrax-infected Meat
Rhinosinusitis Assessment
- Sinus Obstruction
- Nasal Drainage
- Facial Pain
- Lower Forehead
- Cheeks
- Nose
- Retro-orbital
- Fever
- Persistent Symptoms
Atypical Pneumonia
- Diffuse Patchy Inflammation
- Interstitial Pattern
- "Walking Pneumonia"
- Mycoplasma pneumoniae
- Chlamydia pneumoniae
- Legionella pneumophila
- Adenovirus
- Respiratory Syncytial Virus (RSV)
- Cytomegalovirus (CMV)
- Influenza
- Dry Cough
- Macrolides
Epiglottitis Interventions
- Maintain Airway
- Upright/Sitting Position
- Humidified Oxygen
- Intubation/Tracheostomy Supplies At Bedside
- IV Antibiotics
- Decrease Anxiety
- NPO
- Vaccine
- Restrain to Prevent Extubation