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38 Cards in this Set
- Front
- Back
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Shistosoma mansoni, acute and chronic
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Acute: serology
Chronic: stool for o and p Treatment: Praziquantel |
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Shistosoma japonicum, acute and chronic
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Acute: serology
Chronic: stool for o and p Treatment: Praziquantel |
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Shistosoma haematobium, acute and chronic
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Acute: serology
Chronic: urine for o and p, assess ureters for blockage Treatment: Praziquantel |
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Clonorchis/Opisthorchis
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Stool for o and p, more eggs than parasite
Praziquantel |
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Paragonimus westermani
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Sputum for o and p, looks like tb on ct (tb stain will destroy ova of this parasite)
Praziquantel |
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Fasciola hepatica, acute and chronic
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Acute: CT and serology
Chronic: Stool for o and p (after 3 months) Triclabendazole |
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Diphyllobothrium latum
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Stool for o and p
Praziquantel |
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Taenia solium (and NCC)
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Stool for o and p
Praziquantel NCC: imaging and ct, treat w/ albendazole and corticosteroids |
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Taenia saginata
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Stool for o and p
Praziquantel |
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Echinococcus granulosus
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Imaging and serology (must do imaging)
PAIRS for simple cysts Surgery + albendazole for everything else |
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Echinococcus multilocularis
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Imaging and serology
Surgery + albendazole |
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Enterobias Vermicularis (pinworm)
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Scotch tape test
Albendazole |
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Trichuris trichiura
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Stool for o and p
Albendazole |
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Ascaris lumbricoides
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Stool for o and p
Albendazole |
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Ancyslostoma duodenale
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Stool for o and p
Albendazole |
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Necator americanus
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Stool for o and p
Albendazole |
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Strongyloides stercoralis (acute, chronic, hyperinfection)
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Acute: stool for o and p (all larvae)
Chronic: serology Hyperinfection: stool AND sputum for o and p (all larvae) Ivermectin |
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Trichenella spiralis
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Serology + clinical findings and muscle enzymes
Albendazole + corticosteroids if severe |
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Wucheria bancrofti
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Night time blood smear and serology. SEROLOGY MORE ACCURATE.
DEC |
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Onchocerca volvulus
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Skin snip
Ivermectin |
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Loa loa
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Noontime bloodsmear + serology. MORE BLOODSMEAR
DEC |
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Toxocara canis
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Serology
Albendazole |
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Baylisascaris procyonis
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Serology
No proven therapy: albendazole + steroids closest bet |
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Ancylostoma braziliense
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Cutaneous larva migrans
Characteristic serpiginous rash Albendazole (usually self limiting) |
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Entamoeba histolytica
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Serology
Metronidazole + iodoquinol |
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Giardia lamblia
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Stool for O and P
Metronidazole |
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Trichomonas vaginalis
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Trophozoite on wet mount, whiff test
Metronidazole |
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Cryptosporidium parvum
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Stool for O and P + acid fast staining
Nitazoxanide + HAART if needed |
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Cyclospora cayetanensis
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Stool for O and P + acid fast staining + autofluoresces
Trimethoprim + sulfamethoxazole (Bactrim) |
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Toxoplasma gondi
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Serology + imaging, serology of CSF can be useful
Sulfonamide + pyrimethamine |
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Enterocytozoon bienusi (microsporidia)
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Stool for o and p + trichrome stain followed by PCR
Don't worry about the treatment |
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Dientamoeba fragilis
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Stool for trophozoites
Scotch tape test concurrently Iodoquinol and tetracycline |
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Pneumocystis carinii
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Sputum stain for silver / Giemsa
Trimethoprim + sulfamethoxazole (Bactrim) |
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Trypanosoma cruzi (acute and chronic)
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Acute: blood smear
Chronic: serology Benznidazole + Nifurtimox |
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Leishmania
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Biopsy and culture, special culturing needed!
Liposomal amphotericin B (in USA) IV Pentostam (in third world) |
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Plasmodium falciparum
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Blood smear
Uncomplicated: oral quinine + doxycycline (clindamycin if pregnant); malarone (atavoquone + proguanil); coartem (artemether + lumefantrine) Complicated: IV quinidine, IV artesunate Prophylaxis: malarone, doxycycline, mefloquine |
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Plasmodium vivax and ovale
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Blood smear
Chloroquine + primaquine (check g6pd) Prophylaxis: malarone, doxycycline, mefloquine |
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Babesia microti
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Blood smear, travel history (cape cod etc)
Azithromycin + atovaquone |
