Infectious Disease – PHAS 310 Instructional Objectives Upon completion of this course, the student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. Describe the interplay between host and microorganism that lead to infection and resolution to include: a. host immune factors b. host response to infection c. diagnosis and treatment of infectious disease Explain the indications and techniques of specimen collection for examination and the importance of specimen identification to include: a. blood b. sputum c. urine d. wound e. spinal fluid Describe the indications and technique used to obtain: a. gram stains b. India ink stains c. acid fast stains Identify and treat common ambulatory infectious diseases to include: a. pharyngitis d. soft tissue infections b. conjunctivitis e. otitis media c. URIs f. community acquired pneumonia Discuss community acquired pneumonias, contrast their: a. etiologic agent/risk factors b. clinical presentation/course c. laboratory manifestations d. treatment Differentiate UTIs, cystitis, prostatitis with regard to: a. diagnostic criteria b. significance of bacteriuria c. responsible pathogens d. significance of recurrent UTIs e. treatment and management Define nosocomial infections, list the most common causative pathogens, host factors and modes of nosocomial infection transmission. List the most common hospital acquired infections, their prevention, mode of transmission, etiologic agents and treatment to include: a. UTIs b. wound infections c. bacteremia d. pneumonia 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. Discuss the risk of transmission of HIV and Hepatitis B, not only to patients, but also hospital personnel. Discuss the significance of "universal precautions". Describe the clinical presentation, diagnostic evaluation, treatment management of common enteric infections to include: a. Salmonella b. Shigella c. Campylobacter d. "traveler's diarrhea" (enterotoxigenic E. coli) e. C. difficile Describe the clinical presentation, diagnostic evaluation, treatment of common protozoan enteric infections to include: a. Giardia b. Cryptosporidiosis c. Trichinosis d. Schistosomiasis e. Amebiasis f. Toxoplasmosis Describe the clinical presentation, diagnostic evaluation and treatment of common helminthic infections to include: a. enterobiasis b. toxocariasis c. hookworms d. tapeworms Discuss the fluid and electrolyte replacement requirements with regards to profuse or prolonged diarrheal states. Identify common superficial skin infections, name the causative microbial agent, clinical course and treatment for: a. impetigo b. erysipelas c. cellulitis Identify the presentation and treatment of anaerobic skin and soft tissue infections in include: a. crepitant cellulitis b. gangrene c. necrotizing fascitis d. skin abscesses Describe the clinical presentation, differential diagnosis, laboratory findings and complications of bacterial meningitis. List the three most common bacterial agents responsible for meningitis, their epidemiology, clinical settings and treatment for each. Differentiate between various viral disease of the CNS and their etiologies to include: a. aseptic meningitis b. encephalitis (primary and post infectious) c. Creutzfeldt-Jakob Disease d. subacute sclerosing panencephalitis 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. List CNS conditions associated with AIDS to include: a. viral agents (CMV, HSV, AML) b. Cryptococcal meningitis c. Toxoplasmosis d. AIDS dementia Discuss the clinical manifestation, laboratory workup and treatment for each of the above. Discuss the pathogenesis, etiology, clinical manifestations, treatment and prognosis of brain abscesses. Define endocarditis and list the three classifications. Discuss the clinical manifestations, laboratory features, diagnosis and treatment of each. Discuss surgical management and the role of antimicrobial prophylaxis in endocarditis. List the types of exanthems caused by: a. viruses a. bacteria Describe the assessment and manifestation of each. Differentiate between infectious causes of vesicles/bullae and their treatment to include: a. varicella b. herpes I & II c. staph infections Discuss the etiology, clinical presentation, laboratory findings and treatment of toxic shock syndrome. Discuss Lyme Disease. Identify and describe the causative organism, epidemiology, clinical manifestations (in three stages), treatment, prognosis and prevention. Define Rocky Mountain Spotted Fever. Discuss its etiology, clinical manifestations, differential diagnosis, complications, treatment and prevention. Describe osteomyelitis and its pathogenesis. List the hallmark of acute vs. chronic osteomyelitis. Discuss its clinical manifestations, diagnosis and treatment. Differentiate between syphilis, genital herpes, chancroid, Donovanosis, and LGV. Identify the etiologic agent, clinical manifestation, diagnosis, clinical course and treatment of each. List the most common etiologic agent, clinical manifestation, diagnosis and treatment for the following disorders: a. urethritis (gonococcal & non-gonococcal) b. epididymitis c. cystitis g. proctitis d. cervicitis h. acute arthritis e. vulvovaginitis i. genital warts f. PID j. scabies Define AIDS, list the etiologic agent and risk factors. Describe its pathophysiology and immunopathogenesis. 33. 34. 35. 36. 37. 38. 39. 40. 41. List commonly encountered opportunistic infections and their treatment associated with AIDS. Discuss the diagnosis, treatment, prevention and prognosis of AIDS. Discuss tuberculosis. List the possible modes of transmission, pathogenesis, clinical manifestation and diagnosis. List drugs used to treat TB and the major side effects of each. Discuss extrapulmonary manifestations of TB. Discuss multidrug resistant tuberculosis and alternative treatments used. Define Leprosy and identify the etiologic agent. Discuss the clinicopathologic classification, clinical manifestations, diagnosis and treatment. Discuss mycobacterium avium-intracellulare with regard to clinical manifestation, diagnosis and treatment. List pathogens commonly associated with immunocompromised patients to include: a. the asplenic patient b. secondary to chemotherapy c. secondary to organ transplant d. secondary to corticosteroid therapy e. the cancer patient f. the elderly g. pregnancy