35 yo from UP presents c/o epigastric discomfort and diarrhea. Fecal Leuks negative.
Giardiasis
50 yo alchy presents w/ fatigue, inc. SOB, fevers. CXR shows pleural fluid, doesn't layer on decubitus film.
Asp. Pneumonia; think anaerobes, empyema
18 yo w/ new onset hematuria and rising creatinine 2 weeks post URI
Post-infectious glomerulonephritis; Check ASO titer
21 yo presents w/ LUQ discomfort, pharyngitis, fatigue, posterior chain cervical lymphadenopathy
EBV (Mono)
Parasitic cause of B12 deficiency
Diphyllobothrium Latum
Ixodes tick vector infections
Lyme's disease, babesiosis (tx w/ clinda)
40 yo w/ severe R flank pain. UA shows RBCs, ph 9.0. What is the organism?
Proteus mirabilis (think stones, +/- struvite)
35 yo HIV+ man w/ fever, chills, rigors. CXR shows LLL infiltrate. Most likely cause?
S. Pneumo (inpt tx. Cef + azithro)
55 yo HIV+ woman w/ CD4 <100 presents with sudden onset SOB, CXR showing Pneumothorax
PCP - can cause the PMNTX
65 yo w/ CRC develops fevers, chills. CPC in chains grow in bloox cx. Organism?
Strep Bovis
20 yo man presents with interstitial infiltrates, fever, nonproductive cough
Mycoplasma
40 yo man with h/o exposure to prostitutes presents with maculopapular rash on skin. Hx of penile sore.
Syphilis (2ndary)
Parasite which may be implicated in development of portal HTN as well as bladder carcinomas
Shistosomiasis
35 yo man w/ sepsis, purpura, DIC, adrenal insufficiency
Waterhouse Fredricks syndrome (N. Mening)
40 yo IMCP man w/ respiratory complaints, skin lesions; sputum shows yeast w/ broad-budding base
Blasto
65 yo woman w/p bone marrow TxPx develops new hemoptysis. CXR shows cavitary lesion w/ fungal ball
Aspergillis
60 yo man treated in a hospital with a 2 week course of antibiotics develops watery diarrhea
C diff
45 yo man with duadenal ulcer has bipsy showing this organism
H pylori
55 yo homeless man w/ B symptoms, UA shows sterile pyuria, which persists despite bactrim/augmentin
Disseminated TB
35 yo man develops rash, arthralgias after vacationing in Cape Cod
Lyme Disease