Exam 5 Bacterial Disease

Front 1

Lesions

Back 1

1.Abnormal occurance on healthy skin
2. Damaged or dysfunctional tissue

Front 2

2 groups of lesions

Back 2

1.Exudate(with fluid)
2. Lesions that don't have fluid

Front 3

3 types of Exudate

Back 3

1.Vesicles
2.Bulla
3.Pustule

Front 4

Vesicles

Back 4

Small blister, clear & yellowish, fluid filled

Front 5

Bulla

Back 5

Large Blister,fluid filled

Front 6

Pustule

Back 6

Very large & filled with puss, has WBC's & mo's in tissue.

Front 7

3 types of Lesions that don't contain fluid

Back 7

1. Macule
2. Papule
3. Nodule

Front 8

Macule

Back 8

small,flat,reddish to brownish color. EX. Measles

Front 9

Papule

Back 9

Raised lesion that's composed of solid tissue

Front 10

Nodule

Back 10

Raised, solid tissue, causes scaring from digging into the dermis. Ex. Leprosy

Front 11

6 Point Pattern of Bacteria
(How to address each disease)
E&G,T,S,D,T,V

Back 11

1.EA (Genus species) & Gram Stain
2. Modes of transmission (contact, airborne,vector,CV)
3. Signs & Sypmtoms(S/S)
4. Manner of diagnoses & Diagnostic Testing (blood,urine, skin test)
5. Manner of treatment (antibiotics or specify)
6. Vaccinations ( yes/no, attenuated, genetically engineered)

Front 12

Skin Diseases (6)
No Vaccines for all
1,3,&4 EA- Staph. a

Back 12

1. Impetigo of the Newborn
2. Streptococalo Impetigo
3. Scalded Skin Syndrome (SSS)
4. Toxic Shock Syndrome (TSS)
5. Psedomonas(underline) dermatitis(don't underline), swimmers ear
6.Leprosy, Hansen's disease

Front 13

Impetigo of Newborn

Back 13

1.Staphylococcus aureus, Positive, cocci, clusters
2. Direct & Indirect contact, Nococomial-hospital nurseries, or at home
3. Skin vesicles
4. Skin swab, culture vesicle fluid on plate
5. Topical antibiotics, Hexachlorophene lotion (too much can cause neurological damage to newborn
6. No

Front 14

Streptococalo Impetigo

Back 14

1. Streptococcus pyogenes; Positive cocci, chains, Lancefiled grouping A, & Beta hemolytic
2. Direct & Indirect
3. Skin vesicles in children & adults
4. Skin swab, culture vesicle fluid
5. Antibiotics
6. No

Front 15

Scalded Skin Syndrome(SSS)

Back 15

1. Staph a. has specific strain that will produce a specific exotoxin; Positive,cocci, clusters
2. Direct contact
3. Skin vesicles around mouth, nose, sometimes eyes, skin peels in sheets, less than 2yrs of age
4. Skin swab, culture vesicle fluid
5. Antibiotics
6. No

Front 16

Toxic Shock Syndrome (TSS)

Back 16

1. Staph. a, a special toxin will be an exotxin under anarobic conditions; Positive, cocci, clusiers
2. Normal flora in vagina, blockage of circulation (tampon)
3. Fever, vomiting, rash, death will result w/o treatment
4. Blood test, spinal tap (dependant on age of pt.)
5. Antibiotics
6. No

Front 17

Pseudomonas dermatitis, swimmers ear

Back 17

1. Pseudomonas aeruginosa; Negative, rod, endo & exotoxin
2. Indirect contact(fomites-pools,sponges)
3. Skin vesicles, pustule(blue-green colored puss)
4. Skin swab
5. Antibiotics
6. No

Front 18

Leprosy, Hansens's disease

Back 18

1. Mycrobacterium leprae; no gram stain, but AFB(acid fast bacilli) stain
2. Direct contact, droplet, airborne, & vectors
3. Disfiguring nodules, loss of sensation
4. Skin swab, AFB stain, pin text
5. Multiple drug therapy (3-6mnths)
6. No

Front 19

Nervous System Disease (4)
3 Meningitis-direct & droplet, antibiotics,

Back 19

1. Tetanus ( lockjaw, smiling death)
2. Bacterial Meningitis
3. Meningococcal meningitis
4. Streptococcal Meningitis

Front 20

Tetanus (lockjaw, smiling death)

Back 20

1. Chlostridium tetani; Positive, rod, enospore-forming, anaerobic
2. Indirect contact (fomites-dirt,nail,injection)
3. Neurotoxin, stiffness in 5-10 days due to spastic paralysis, w/o treatment = death
4. pt. history of wound
5. Antitoxin, Tetanus Immune Globulins for Humans (TIGH)
6. Yes, DPT or DTaP

Front 21

Bacterial Meningitis ( Infantile Meningitis)

Back 21

1. Haemophilus influenzae; Negative, pleomorphic, rod
2. Direct & droplet contact
3. Children 3mnths-5yrs old, AIDs pt., headache,fever, sorethroat, stiffness of neck, goes systemic, untreated will cause seizures & death. High fatality rate of 90%, 5% are institutionalized due to brain disabilities even with treatment
4. Spinal tap, GS & cultures
5. Antibiotics
6. Yes; Hib (Haemophilis influenzae type B)

Front 22

Meningococcal Meningitis
men-in-go-coccal

Back 22

1. Neisseria meningitides; Positive, diplococci
2. Direct & droplet contact
3. Less than 4yrs. old, can occur in adults & grow to epidemic proportions, headache,fever, sorethroat, stiffness of neck, goes systemic, will cause seizures and death if untreated
4. Spinal tap, GS, cultures
5. Antibiotics
6. Yes

Front 23

Streptococcal Meningitis

Back 23

1. Steptococcus pneumoniae; Positive, diplococci
2. Direct & droplet contact
3. Less than 1yr old, headache,fever, sorethroat, stiffness of neck, goes systemic, will cause seizures and death if untreated
4. Spinal tap, GS, cultures,Quelling test due to huge capsule
5.Antibiotics
6. Yes