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87 Cards in this Set

  • Front
  • Back
GI ulcer, gastritis, stomach cancer
Helicobacter pylori
osteomyelitis in sickle-cell, Septicemia (young patients), Poultry, Handling Reptiles
Salmonella enterica
gallbladder, rose spots, Patient with Fever/Abdomenal Pain, Travel to Endemic Area, prolonged fever (4 weeks)
Salmonella typhi/paratyphi
HUS (destruction of renal endothelial cells), Patient with acute bloody diarrhea and fever, tenesmus. Toxic megacolon
Shigella
rice-water, washerwoman (dehydration), noninflammatory diarrhea, travel to endemic area
Vibrio cholerae
Golden color to food, Potato salad, Custard Pastries, Ice Cream, intense vomiting
Staphylococcus Aureus
Drinking water in developing country
Enterotoxigenic E. coli (ETEC)
Produces Shiga toxin;
HUS; Petting Zoos;
Hemorrhagic colitis (after 2 days)
Shiga-Toxin-Producing E. coli (STEC)
(Strain O157:H7)
Hot potato voice, difficulty swallowing
Haemophilus influenza type b
Bilateral parotitis + orchitis
Mumps Virus
Trismus (inability to open mouth); swollen under chin
Ludwig's angina


Porphyrromonas, Prevotella, anaerobic streptococci, S. aureus, S. epidermidis
clindamycin, colitis, diarrha, hospitalized patient on broad spectrum antibiotics (cephalosporins, ampicillin, clindamycin)
Clostridium difficile
crepitant, gas gangrene
Clostridium perfringens
foul-smelling diarrhea, stream water
Giardia lamblia
Kentucky, pneumonitis + bacteremia
Strongyloides stercoralis
brain lesions + subcutaenous nodules; pork
Taenia solium
Sheep liver, watercress, water plans
Fasciola hepatica
rice-water, washerwoman
Vibrio cholerae
Seafood; raw oysters
Vibrio parahaemolyticus
 fried rice
 Bacillus cereus
Poultry
 Campylobacter jejuni
Viral diarrhea in children
Rotavirus
Cruise Ship
Norovirus
Unfiltered river/lake water; foul smelling diarrhea; gas/belching without fever
Giardia lamblia
Perianal pruritus; scotch tape
Enterobius vermicularis
Burning sensation in chest with, nonproductive cough and abdominal pain with bowel sounds
Ascaris lumbricoides
Acid fast staining oocysts
Cryptosporidium parvum
Central karyosomes; Water in Mexico
Entamoeba histolytica
Barefoot in the south; microcytic anemia; lung symptoms + abdomenal pain/diarrhea
Necator americanus
Co-infection with HBV
HDV
Superficial, subcutaneous nodules, blindness; black fly
Onchocerca volvolus
Blindness, STD; Arlt line (horizontal scar)
Chlamydia trachomatis
flesh eating bacteria
S. Pyogenes
Crepitus
Foul smelling wound
Clostridium Perfringens
"spinal pain"
M. Tuberculosis
-HLA B 27
-Arthritis


NGU -> Reiter's Syndrome
Chlamydia trachomatis
"replacement joint"
arthritis
S. Epidermidis
1. Erysipelas
2. Cellulitis
S. Pyogenes
1. Staphylococcal Scalded Skin Syndrome (SSSS) aka Ritter's Disease.
2. Bullous Impetigo
3. Folliculitis
4. Stye
5. Furuncle (boil, extension of folliculitis)
6. Carbuncle (large boil
S. Aureus
1. Burn Wound Infections
2. Folliculitis (Hot Tub)
3. Fingernail Infections
4. Osteochondritis
5. External Otitis

Malignant External otitis
Pseudomonas Aeruginosa
Erythematous or hypopigmented plaques on skin (flat centers and raised, demarcated borders). Histology: many lymphocytes and granulomas, few bacteria.
M. Leprae
1. Sudden high fever and headaches. Macular rash that spreads from extremities to middle. If no treatment -> Neurological problems, pulmonary and renal failure, cardiac abnormalities.
.
Rickettsia Rickettsii
1. First - papule at site of bite, quickly ulcerates -> eschar formation. Second - high fever and chills, severe headaches, photophobia. General papulovesicular rash.
Rickettsia Akari
Painful joints. Papules -> painful pustules on hands, trunk.
Papules are surrounded by a distinct red areola.
N. Gonorrhoeae
"slapped cheek appearance"
Parvovirus B19
-Rash starts behind ears.
-Koplik Spots
Rubeola (Measles) Virus
-Amber color in the crusts.

Red papules -> vesicle s and pustules -> break down, coalesce and form thick, amber colored honeycomb like crusts.
Streptococcus Pyogenes, Staphylococcus Aureus
Infectious, inflammatory condition of skin and subcutaneous tissues.
Rash with poorly delineated edges
Streptococcus Pyogenes
-Cold sores
-Fever blister
- Gingivostomatitis
HSV1
HSV2
Fever, Maculopapular rash (vesicles, erythematous base -> crusted)

lesions are at different stages of development
VZV
Erythematous or hypopigmented plaques on skin (flat centers and raised, demarcated borders). Histology: many lymphocytes and granulomas, few bacteria.
M. Leprae
1. Sudden high fever and headaches. Macular rash that spreads from extremities to middle. If no treatment -> Neurological problems, pulmonary and renal failure, cardiac abnormalities.
.
Rickettsia Rickettsii
1. First - papule at site of bite, quickly ulcerates -> eschar formation. Second - high fever and chills, severe headaches, photophobia. General papulovesicular rash.
Rickettsia Akari
Painful joints. Papules -> painful pustules on hands, trunk.
Papules are surrounded by a distinct red areola.
N. Gonorrhoeae
"slapped cheek appearance"
Parvovirus B19
-Rash starts behind ears.
-Koplik Spots
Rubeola (Measles) Virus
-Amber color in the crusts.

Red papules -> vesicle s and pustules -> break down, coalesce and form thick, amber colored honeycomb like crusts.
Streptococcus Pyogenes, Staphylococcus Aureus
Infectious, inflammatory condition of skin and subcutaneous tissues.
Rash with poorly delineated edges
Streptococcus Pyogenes
-Cold sores
-Fever blister
- Gingivostomatitis
HSV1
HSV2
Fever, Maculopapular rash (vesicles, erythematous base -> crusted)

lesions are at different stages of development
VZV
Rash on dermatome
Pain on dermatome
VZV
Sudden high fever (103 -106 )
Rash after fever (pale pink, almond shaped macules)
HHV6
HHV7


Roseola Infantum
Warts (skin)
Papilloma(mucous membrane - genital, oral, eye)
Papilloma Viridae
Maculopapular Skin Rash, swollen glands
Bone joint pain in adults, thrombocytopenia, post infectious encephalopathy
RCS - Cataracts, deafness, mental retardation
Rubella
-Herpangina
-Hand, Foot, and Mouth Disease
Cocksackie A
Spaghetti and meatballs - KOH treated scraping

Fluorescent yellow on UV light


Lesions on upper torso, abdomen, and arms (hyper or hypo pigmented)
Malassezia furfur
annular appearance with raised borders and clear centers
Tinea Infection
Bacteria that produces filaments that are unbranched
Actinomyces
Produce branched filaments in lab cultures and human tissues
Nocardia
Hemorrhagic Cystitis and ureteral stenosis
BK
Progressive multifocal leukoencephalopathy (PML)
JC
Kaposi Sarcoma
HHV8
Filamentous fungi

Soil and decaying vegetation
Zygomycetes
50 stools a day

watery stool, protozoa
Cryptosporidium Parvum
1) Homosexual man with hallucinations and irrational behavior, confused, aphasia (can't speak)
2) Bright intracranial masses in brain
3) Cat Feces
Toxoplasma gondii
1) Early Onset: Respiratory/ Meningitis in Neonate
2) Late Onset: Meningitis
Streptococcus agalactiae (Group B Streptococcus)
JC virus
1. Travel abroad (where AIDS is prevalent)
2. Clumsiness, headache, forgetfulness, tremors
3. Neurological symptoms (usually with sidedness)
4. Rapid mental deterioration
5. Associated with AIDS
Gram positive, non-spore forming rods in immunocompromised hosts or elderly
Listeria monocytogenes
1) Jaundice after liver transplant
2) Prominent nuclear inclusions that are surrounded by a clear halo
3) Large cells with basophilic cytoplasmic inclusions
Cytomegalovirus
1) Curd-like mucocutaneous lesions that are easily brushed off with a tongue depressor
2) Pseudohyphae (unique to Candida)
Candida
1) GI and Respiratory Symptoms
2) Patient from the South to traveled to tropics
3) Thickened intestinal wall
4) On a Corticosteroid regimen
Strongyloides stercoralis
1) Ground-glass in lung biopsy
2) AIDS patients
Pneumocystis jiroveci

(aka Pneumocystis carinii )
1) Postal worker
2) Mediastinitis
3) Meningitis (sometimes)
Anthrax
1) Pox starting at forehead and spread downward.
2) Starts out looking like measles
3) All lesions are at the same stage of development
Variola Virus
1) Respiratory pathogen that is associated with rabbits and can produce skin ulcers with lymphadenopathy and hepatosplenomegaly
2) Wild rabbits/ticks
3) Mostly in Arkansas, Oklahoma, Missouri
Fransicella tularensis
1) Safety pin appearance (Wayson stain)
2) Black/purple lesions
3) Rats in the Four Corners area
Yersinia Pestis
1) Hemorrhage at multiple locations (mucus membranes, eyes, mouth, nose, ears)
2) Skin Desquamation
3) Central Africa
4) Fruit bats (rodent/arthropod vectors)
Ebola virus
(there is also a Marburg virus that is closely related)