TETANUS TOXOID IMMUNIZATION

DOSE SCHEDULE DURATION OF % PROTECTION

PROTECTION (MOTHER)

1st Anytime - Immediate

2nd After 1 month 3 years 80%

3rd After 6 months 5 years 95%

4th After 1 year 10 years 99%

5th After 1 year Lifetime 99%

DRUG ANTIDOTE DRUG ANTIDOTE

Lead Calcium EDTA Opioid Analgesics Naloxone

Acetaminophen Acetylcysteine Thrombolytic Agents Aminocaproic Acid

Anticholinesterase Atropine Warfarin Vitamin K

Atropine Antilitium Beta Blockers Glucagon

Antidepressant Phentolamine Anticholinergics Physostigmine

Benzodiazepines Flumazenil Magnesium Sulfate Calcium Gluconate

Cyanide Sodium Thiosulfate Alcohol Withdrawal Chlordiazepoxide

Digoxin Digibind Calcium Channel Glucagon, Insulin,

Blockers Calcium

Heparin Protamine Sulfate Insulin Glucose

Iron Deferoxamine Cholinergic Crisis Atropine

Methotrexate Leucovorin Calcium Tricyclic Sodium Bicarbonate

Antidepressants
 PATHOGNOMONIC SIGNS

DISEASE SIGN DISEASE SIGN

Tetany Trousseau Sign and Cholera Rice Watery Stool

Chovtek’s Sign

Tetanus Risus Sardonicus Malaria Chills

Liver Cirrhosis Spider Angioma Typhoid Fever Rose Spots (abdomen)

SLE Butterfly Rash Thrombophlebitis Homan’s Sign

Bulimia Nervosa Chipmunk Facies Meningitis Kernig’s and Brudzinski’s

Signs

Leprosy Leonine Facies Pyloric Stenosis Olive Shaped Mass

Cushing’s Disease Buffalo Hump, Moon Hyperpituitarism Carotenemia, Xanthamia

Face

Measles Koplik’s Spots Hepatitis Jaundice

Diphtheria Pseudomembrane Dengue Petechiae

Down Syndrome Protrusion of Tongue, Tetralogy of Fallot Clubbing of Fingers

Simian Crease

Kawasaki Disease Strawberry Tongue Cataract Hazy Vision

Pernicious Anemia Red Beefy Tongue Retinal Detachment Curtain-like Vision

Hyperthyroidism Exophthalmos Pulmonary Low Grade Afternoon

Tuberculosis Fever

Asthma Wheezing Inspiration Cholecystitis Murphy’s Sign

Emphysema Barrel Chest Angina Pectoris Levine’s Sign

Pneumonia Rusty Sputum Patent Ductus Machine-like Murmur

Arteriosus

Addison’s Disease Bronze-like Skin Myasthenia Gravis Ptosis

Appendicitis Mcburney’s Point, Parkinson’s Disease Pill Rolling Tremors

Rovsing’s Sign, Psoas
Sign

Pancreatitis Cullen’s Sign and Grey

Turner’s Sign
 TRADITIONAL ALTERNATIVE MEDICINES ACT (RA 8423)

Lagundi Fever, cough, colds, asthma, headache,

itchiness

Ulasimang Bato Lower uric acid

Bawang Hypertension, toothache

Bayabas Wound cleaning

Yerba Buena Body pain, bites, bleeding

Sambong Diuretic

Ampalaya Lower blood sugar level

Niyog-niyogan Parasitism

Tsaang Gubat Diarrhea

Akapulko Fungal infection

IMMUNOGLOBULINS

G Transplacental

A All body secretions (including breastmilk)

M Early stage of immunity

E Allergic reactions; protects against parasitic worms

D Chronic inflammation; activates basophils and mast cells

 TETANUS TOXOID IMMUNIZATION

DOSE SCHEDULE DURATION OF % PROTECTION

PROTECTION (MOTHER)

1st Anytime - Immediate

2nd After 1 month 3 years 80%

3rd After 6 months 5 years 95%

4th After 1 year 10 years 99%

5th After 1 year Lifetime 99%

 GM M CP SP HZ S

Fever ↓ ↑ ↓ ↑ ↓ x

Catarrhal Mild Severe Mild Severe Mild None

Symptoms

Lesions Maculo-papular Vesico-pustular Vesico-papular

Sign Reddish Itchy Painful Itchy

Body Part Head to extremities Chest to Head to Unilateral Warm folds

extremities extremities (chest, trunk,
(peripheral) abdomen)

P. Sign Forchheimer Koplik’s spots Characteristics of lesions

spots

Causative Virus Sarcoptes

Agent Scabiei

Preventive MMR Varivax x

Treatment Supportive, fever, antibiotic, GV Antiviral and antipruritic Pediculicide

solution

MOT Droplet Airborne Droplet Airborne Droplet Contact

 A&E B NON A or B
Source Foodborne Bloodborne or sec. Bloodborne or sec.

Transmission Fecal-oral D/ID with blood C: Parenteral

or sexual
Fluids
D: Same with Hep B
Sexual

Other Name Acute Viral or Parenteral or Serum Hep C/D

Infectious

Antibody Anti-HAV Anti-HBs Anti-HBc

HbsAg Negative Positive Positive

Risk Persons Food handlers Sex worker Sex worker

Addict Addict

Health workers Health workers

Complications Relapse Hepatitis Hepatitis

Encephalopathy Encephalopathy

Incubation 15-64 days 45-180 days 6-9 and 2-8 weeks

LP TY DY CHO SCHI

Causative Agent Bacteria Protozoa

Symptoms Calf pain Rose spots Blood stool Rice watery stool Enlarged
abdomen

Laboratory LAT (urine and Typhidot (blood) Fecalysis (stool) COPT (stool)
blood)

DOC Doxycycline Chloramphenicol Cotrimoxazole Tetracycline Praziquantel

Prevention Eradication of Typhoid vaccine Safe water Oral vaccine Vaccine

rodents supply

Incubation 7-13 days 7-14 days 3-4 days 1-3 days 3 months
Period