Medicine an Surgery notes

Apr 25th, 2015
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1. ON SALMONELLA TYPHOIDa) Poultry are known reservoir for this bacteria.b) Achlohydria are less susceptible to infection. c) Produces a toxin similar to E.coli that is heat labile.d) Stool cultures may be positive in the first 4 days. e) Transmission may occur through food or water. 2. TYPHOID FEVERa) There is a transient primary bacteraemia. b) Multiple organs may be affected. c) Children < 1 year are more susceptible.d) Tachycardia and Roth spots are present. e) Complications include myocarditis and intestinal perforation3. TYPHOID FEVERa) Chronic or recurrent episodes may be associated with concomitant schistosomiasis. b) Carrier states commoner in children than adults. c) Chronicity higher with biliary abnormalities. d) Widal test titers T:O 1:1320 is virtually diagnostic. e) Salmonella infiltrate lymphoid tissues of small intestine. 4. In Typhoid fevera) Vaccine offer long life protection. b) All strains are fully sensitive to quinolones. c) Co-trimoxazole has been used for treatment. d) Chloramphenicol in susceptible strains is given for 5-7 days. e) Surgery has no role. BRUCELLOSIS5. In Brucellaa) Human are accidental hosts. b) Transmission occurs only by ingestion of unprocessed milk and meat products. c) Congenital acquisition occurs. d) Serology very reliable and diagnostic. e) Rifampicin is useful in its management. 6. HERPESa) DNA virus b) Types 1&2&3 affects human. c) Recurrent infections occur. d) Transmission by aeroso

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