MDE Homework For 2023
MDE Homework For 2023
MDE Homework For 2023
Oral cavity
Skin:
1. Pseudomonas:
Disease: Folliculitis (Pseudomonas aeruginosa); Paronychia (Pseudomonas spp);
Symptoms: redness of the skin, abscess formation in the skin, draining wounds
Diagnosis: Pseudomonas infections are suspected on physical examination when there is a a greenish or blackish, fruity-
smelling discharge. They are confirmed by laboratory studies of cultures taken from the affected area.
Rx:
o Symptomatic relief of Pseudomonas folliculitis may be achieved through the use of acetic acid 5% compresses for 20
minutes twice a day to 4 times a day.
o In Pseudomonas folliculitis patients with associated mastitis, in those with persistent infections, or in those who are
immunosuppressed, a course of ciprofloxacin (500 or 750 mg PO bid) is advised. (PO bid là gì? PO: orally, BID: 2
lần 1 ngày)
2. Micrococcus: Micrococci are human commensals that colonize the skin, mucosa and oropharynx
Disease: x
Symptoms: x
Diagnosis: x
Rx: x
3. Corynebacterium: Corynebacteria are small gram-positive cocci generally considered to be commensal organisms.
However, under certain circumstances, they can cause skin problems.
Disease: Pitted keratolysis [Bệnh hôi chân] (Corynebacterium minutissimum), Erythrasma [Erythrasma là một nhiễm trùng nếp
kẽ] (Corynebacterium minutissimum), Trichomycosis axillaris (Corynebacterium tenuis)
Symptoms: smelly feet, either the forefoot or the heel or both become white with clusters of punched-out pits. It presents as a
slowly enlarging area of pink or brown dry skin, Yellow, or less often, black or red, granular nodules or concretions envelop
the hair shaft. Sweat may be discoloured and clothing stained.
Diagnosis: Diagnosis is often clinical given its distinctive appearance and malodour. Wood's light examination reveals coral-
pink fluorescence due to porphyrins released by the bacteria. The diagnosis can be confirmed by a swab or scraping for
microscopy and culture. Trichomycosis axillaris is mostly diagnosed by its clinical appearance. Wood lamp examination shows
pale-yellow fluorescence, Potassium hydroxide preparation and Gram staining can identify the bacteria.
Rx: fusidic acid cream, or with oral erythromycin, fusidic acid cream or clindamycin solution, clindamycin, erythromycin and
fusidic acid
4. Propionibacterium:
Disease: acne vulgaris
Symptoms: Pain, stiffness, irritation
Diagnosis: culture, PCR
Rx: penicillins, carbapenems, and clindamycin
5. Staphylococcus:
Disease: Abscesses and boils, Cellulitis, Folliculitis, Impetigo, Staphylococcal scalded skin syndrome (SSSS)
Symptoms: painful rash, blisters
Diagnosis: Take a sample of the skin to test for bacteria.
Rx: cefazolin, nafcillin, oxacillin, vancomycin, daptomycin and linezolid
6. Streptococcus:
Disease: Impetigo, Ecthyma, Cellulitis, Erysipelas, Necrotising fasciitis.
Symptoms: Rash on your neck, underarms or groin; Small, red to purple sores on the nose, mouth, arms and legs; Itchy skin;
Sores that leak a clear to yellow fluid or pus; Crusty yellow scabs form over the sores.
Diagnosis: blood test, biopsy, MRI, CT scan or ultrasound to look at the damage underneath your skin caused by the infection
Rx: penicillin, patients with penicillin allergy may be given erythromycin or a cephalosporin
Oral cavity:
1. Streptococcus:
Disease: Pharyngitis (S. pyogenes), peritonsillar abscess; dental caries (S. mutans and S. sobrinus)
Symptoms: sore throat, fever, beefy-red pharynx, and purulent tonsillar exudate; toothache, tooth sensitivity, grey, brown or
black spots on your teeth; bad breath
Diagnosis: Culture, Rapid antigen-detection tests, antibody titers; examine the teeth, dental X-rays (to dectect before the
decay is visible.)
Rx: Penicillin V (250 mg for children < 27 kg) orally every 12 hours, Amoxicillin (50 mg/kg (maximum 1 g) once a day for
10 days (which is an effective substitute for penicillin V); có những phương pháp khác nhưng there are no Rx for treating
dental caries
2. Neisseria:
Disease: acute pharyngitis or tonsillitis (N.gonorrhoeae)
Symptoms: noticeable symptoms; persistent sore throat, swollen, burning, or painful glands in the throat, occasionally white
spots
Diagnosis: throat culture swab test
Rx: 500-milligram (mg) intramuscular dose of ceftriaxone (thuộc nhóm cephalosporin, ceftriaxone là cephalosporin thế hệ 3-
nhóm thuốc trị ký sinh trùng)
3. Veillonella:
Disease:
Symptoms:
Diagnosis:
Rx:
4. Fusobacterium:
Disease:
Symptoms:
Diagnosis:
Rx:
5. Lactobacillus:
Disease:
Symptoms:
Diagnosis:
Rx:
6. Bacteroides:
Disease:
Symptoms:
Diagnosis:
Rx:
7. Actinomyces:
Disease:
Symptoms:
Diagnosis:
Rx:
8. Eikenella
Disease:
Symptoms:
Diagnosis:
Rx:
9. Treponema:
Disease:
Symptoms:
Diagnosis:
Rx:
10. Haemophilus:
Disease:
Symptoms:
Diagnosis:
Rx:
1. Bacteroides:
Disease:
Symptoms:
Diagnosis:
Rx:
2. Fusobacterium:
Disease:
Symptoms:
Diagnosis:
Rx:
3. Bifidobacterium:
Disease:
Symptoms:
Diagnosis:
Rx:
4. Clostridium:
Disease:
Symptoms:
Diagnosis:
Rx:
5. Fecal Streptococci and Staphylococci: (tách ra thành 5.1 và 5.2 cũng được)
Disease:
Symptoms:
Diagnosis:
Rx:
6. Lactobacillus:
Disease:
Symptoms:
Diagnosis:
Rx:
7.1 Coliforms - Escherichia:
Disease:
Symptoms:
Diagnosis:
Rx:
7.2. Coliforms - Enterobacter:
Disease:
Symptoms:
Diagnosis:
Rx:
8. Proteus spp.:
Disease:
Symptoms:
Diagnosis:
Rx:
Genital Tract
1. Lactobacillus:
Disease:
Symptoms:
Diagnosis:
Rx:
2. Streptococcus:
Disease:
Symptoms:
Diagnosis:
Rx:
3. diphtheroids (Corynebacterium and relatives (Mycobacterium and Nocardia)): điều chỉnh bố
cục cho phù hợp
Disease:
Symptoms:
Diagnosis:
Rx:
4. Escherichia:
Disease:
Symptoms:
Diagnosis:
Rx:
5. Gardnerella
Disease:
Symptoms:
Diagnosis:
Rx:
Urinary Tract
1. Staphylococcus:
Disease:
Symptoms:
Diagnosis:
Rx:
2. Streptococcus:
Disease:
Symptoms:
Diagnosis:
Rx:
3. Corynebacterium:
Disease:
Symptoms:
Diagnosis:
Rx:
4. Lactobacillus:
Disease:
Symptoms:
Diagnosis:
Rx:
Eye
1. coagulase-negative Staphylococci:
Disease:
Symptoms:
Diagnosis:
Rx:
2. Streptococcus:
Disease:
Symptoms:
Diagnosis:
Rx:
3. Neisseria:
Disease:
Symptoms:
Diagnosis:
Rx:
Ear
1. Staphylococci:
Disease:
Symptoms:
Diagnosis:
Rx:
2. diphtheroids:
Disease:
Symptoms:
Diagnosis:
Rx: