PODCAST 231

1. VACCINES: MMR, TETANUS, DIPHTERIA, PERTUSSIS, INFLUENZA, POLIO, HEP B, TYPOHID,

VARICELLA. YELLOW FEVER, SMALLPOX, ANTHRAX, PHYSICIAN HEP B. PERMETHRIN, DEET.
2. SEX OVERSEAS: HEP B
3. OUTBREAK IN BARRAKS: N. MENINGITIDIS. CEFTRIAXONE. PROPHYLAXYS CIPRO +
RIFAMPIN.
4. EGYPT/MIDDLE EASTERN: HEPATOMEGALY, HEMATURIA, PORTAL HTN. SCHISTOSOMA
HEMATOBIUM TERMINAL SPINE: SCC OF THE BLADDER. PULMONARY HTN. S. MANSONI:
LIVER. TX PRAZIQUANTEL.
5. DIARRHEA: OROVIRUS. NORWALK.
6. AFRICAN COUNTRY, FLU-LIKE SX, BLEEDING EVERYWHERE, PETECHIAE, CONTACT WITH
DEAD BODIES OR ANIMALS (MONKIES, DOGS): EBOLA
7. MARBUG VIRUS: SPREAD TROUGH BODILY FLUID, DROPS. FLU-LIKE SX, BLEEDING.
CAPILLARY BECOME LEAKY.
8. HANTA VIRUS: MICES, DEER MOUSE, BARN. BLEEDING. DEPLOY IN KOREA, RUSSIA, CHINA,
ARIZONA, NEW MEXICO. PULMONARY EDEMA, FEVER.
9. LEPTOSPIRA: HAWAII, NAVY. EARLY PHASE FEVER, MYALGIA, JAUNDICE, CONJUCTIVAL
INYECTION. SEVERE FORM: ICTEROHEMORRHAGIC OR WEIL’S DISEASE: TRIAD: JAUNDICE,
BLEEDING, AKI. WEILS DISEASE: LUNG INVOLVEMENT. ASEPTIC MENINGITIS CHORNIC
HEADACHE, DEPOSIT IN EYES (CHRONIC UVEITIS). TX DOXY, AMOXY OR AMPI. IF SEVERE:
CEFTRIAXONE, PENICILLIN G OR ERYTHROMYCIN.
10. HEMOPTYSIS + WIDENED MEDIASTINUM + NECROTIC ULCER: ANTHRAX. VACCINE FOR
MILITARY.
11. MALARIA PRIMQUINE FOR HYPNOZOITES. RECURRENT FEVER, CHILLS, NAUSEA, JOINT
PAIN, SPLENOMEGALY, ANEMIA. P. MALARIE EVERY 72 HRS. P. FALCIPARUM: CEREBRAL,
DARK URINE, BLACK WATER FEVER, PULMONARY EDEMA, RENAL FAILURE. AFRICA, ASIA,
INDIA. ANOPHELES MOSQUITO.
12. CATTLE, ANIMALS CONTACT, UNPASTEURIZED MILK: PROFUSE SWEATING, ONDULANT
FEVER. BRUCELLOSIS. YEARS LATER WEIRD MILD SXS AFTER RETURNING SERVICE. DOXY
+ RIFAMPIN. RECURRENT STREPTOMYCIN.
13. Q FEVER: COXIELLA BURNETTI: PNEUMONIA. NO VECTOR!!!! BARN. DROPLETS!! CULTURE
NEGATIVE ENDOCARDITIS.
14. BLOODY DIARRHEA, REACTIVE ARTHRITIS, ASCENDING WEAKNESS: CAMPYLOBACTER.
DOGS, CATS.
15. LEISHMANIASIS: DEPLOYED ON TROPICAL COUNTRIES MIDDLE EAST, SOUTH AMERICA,
MEXICO. HYPERPIGMENTATION, ANEMIA, FEVER, PANCYTOPENIA. VISCERAL:
AMPHOTERICIN B OR SODIUM. AMASTIGONTES. CUTANEOUS LESHMANIASIS.
16. FEVER, HEADACHE, NUCHAL RIGIDITY: LYMPHOCYTES. WEST NILE VIRUS. VENTRAL HORN
OF SPINAL CORD.
17. CHAGAS: TROUBLE SWALLOWING, HIRSHPRUNG, S3 SOUNDS. REDUVIIG BUG.
PERIORBITAL EDEMA UNILATERAL, CARDIOMYOPATHY. TX NIFURTIMOX.
18. TURTLES, EGGS, POULTRY, BLOODY DIARRHEA: NEUTROPHILIA. SALMONELLA NO TIPHY.
DON’T TREAT!!!!!!
19. SALMONELLA TIPHY CEFTRIAXONE OR FLUOROQUINOLONE. RODS SPOTS.
CHOLECYSTITIS.
20. TB: RIFAMPIN, ISONIZAID, PYRIMITAMINE, ETHAMBUTOL, VITAMIN B6.
21. PRIMAQUIN CHECK FIRST FOR G6PD BOY.
22. HIGH INCIDENCE OF LEPTOSPIROSIS PROHYLAXIS WITH DOXYCYCLINE.
23. FEVER, RASH, LYMPHADENOPATHY, SEVERE MYALGIAS, BLEEDING. POSITIVE
TORNIQUETE TEST. PETECHIAE, FOB + STOOLS, EPISTAXIS. DENGUE. AEDES MOSQUITOS.
24. CHIKUNGUNYA: NO HEMORRHAGE SAME AS DDENGUE.
25. ZIKA: FLU-LIKE, MICROCEPHALY, IC CALCIFICATION.
26. YELLOW FEVER: JAUNDICE, HEPATOMEGALY.