Acute Medical Presentations — Flashcards

Flashcard 91: Past history of _____ ↑ the risk of Parkinson's disease

Answer: traumatic brain injury

Flashcard 92: _____ can occur from leaving a wound packing in too long, or a tampon in too long

Answer: Toxic shock syndrome

Flashcard 93: Spot diagnosis = _____

Answer: toxic shock syndrome

Flashcard 94: Peak incidence of toxic shock syndrome occurs in _____.

Answer: young females

Extra: Toxic Shock Syndrome (TSS) is caused by Staphylococcus aureus (TSST-1 toxin) or Streptococcus pyogenes. While tampon-associated TSS peaked in the 1980s, current epidemiology shows a more even distribution between menstrual and non-menstrual (surgical wounds, skin infections) causes. However, the classic 'peak incidence' demographic in exams remains young females.

Flashcard 95: Toxic shock syndrome can be caused by _____ in menstruation

Answer: high-absorbency tampons

Extra: Toxic Shock Syndrome (TSS) in this context is usually caused by toxin-producing strains of **Staphylococcus aureus** (releasing **TSST-1**). It presents with high fever, rash, hypotension, and multi-organ involvement.

Flashcard 96: _____ is a rare, fatal condition caused by bacterial exotoxins from Staphylococcus aureus & Streptococcus pyogenes leading to a severe, multi-system inflammatory response

Answer: Toxic Shock Syndrome (TSS)

Flashcard 97: Mortality of toxic shock syndrome is _____

Answer: high

Flashcard 98: Toxic shock syndrome presents with a "_____-like" rash that desquamates 1-2 weeks later particularly affected the soles & palms

Answer: sunburn

Flashcard 99: Broad-spectrum antibiotics (e.g. flucloxacillin) & _____ are 1st-line antibiotics in toxic shock syndrome

Answer: clindamycin

Flashcard 100: What is the management of toxic shock syndrome? 1. Stabilise the patient with _____ 2. Identify & remove the source of infection 3. Obtain blood cultures then administer empirical antibiotics

Answer: IV fluids