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100 Cards in this Set

  • Front
  • Back

Integumentary system consists of skin and accessory structures such as

Hair, nails, glands

Perspiration of the human skin

Moisture and nutrients - normal microbiota survive


Salts- halophiles- staph


Lysosome - chemical defense


Sebum - provide nutrients for microbiota

Mucous membrane structures

Lines body cavities


Acidic


Often folded - increased surface area

What are gram positive , salt tolerate bacteria of the normal microbiota of the skin?

Staphylococci & Microccoci


Diptheriids - produce propionic acid


Anaerobes in hair follicles - propionibacteria acmes


Aerobic in skin surface - corynebacterium xerosis


What is a gram negative bacteria of the normal microbiota of the skin?

Acinetobacter

What are microbial diseases if the skin ?

Exanthem


Skin rash arising from a disease


Enanthem


Mucous membrane rash arising from a disease

What is a skin lesion?

A superficial growth or patch of the skin that does not resemble the area surrounding it.

What are the differences between the 4 skin lesions ?

1. Vesicles - small fluid lesion


2. Bulla - fluid filled blister , 5mm


3. Macule - smooth spots of discoloration


4. Pustule - fluid pus filled bumps

Characteristics and functions of staphylococcus aureus

Antibiotic resistance


Leukocidin


Resists opsonization


Survives in phagolysosome


Lysozyme resistant


Exotoxins


— exfoliative toxin


— superantigen


What bacteria causes impetigo ?and what is impetigo ?

Streptococcus pyogenes


Impetigo is crusting sores and Highly contagious

What are S.pyogenes virulence factors ?

M. Proteins- attach to epithelial tissues


Hyaluronic acid


Hyaluronidase-separates C.T


Streptokinase-


Streptolysins

What are the diseases of invasive group A and function?

Erysipelas - local tissue destruction/sepsis


Necrotizing fasciitis - flesh eating


Super antigen exotoxins A - our immune system

Explain the process of TSS

M proteins forms complex with fibrinogen


Complex binds to neutrophils — neutrophils activated — damaging enzymes released — shock and organ damage

Characteristics of pseudomonas aeruginosa and where can it be found ?

It’s gram negative , aerobic rod


Found in hospitals, vase water, mop water and diluted disinfectants

What is the infection caused by pseudomonas dermatitis , who is opportunistic ? and treatment ?

Otitis externa


Opportunistic patients


•Cystic fibrosis patient


•Post burn infections


Treatment


• resistant to many antibiotics except quinolones


What bacteria causes Buruli ulcer?

Mycobacterium ulcerans

What is Buruli ulcer , the route of entry and treatment ?

It’s a deep damaging ulcer


Route of entry


• toxin mycolactone


• skin break / insect bite


Treatment


• streptomycin- rifampicin


What are the classifications of acne ?

Comedonal - Mild


Inflammatory - moderate


Modular cystic - severe

What causes comdinal acne and its treatment ?

The sebum channels blocked with shed cells .


Treatment


• topical agents - don’t affect sebum formation


•sallicyclic- acid preparations


• retinoids- vitamin A derivatives

What is the skin infection folliculitis?

Infections of the hair follicles

What is the folliculitis skin infection sty?

Infected follicle of an eyelash

What is the folliculitis skin infection furuncle?

An abscess , pus surrounded by inflamed tissue

What is the folliculitis skin infection carbuncle?

Inflammation of the tissue under the skin

What are toxin A and B ?

Exfoliation, separation of skin layers

What is toxin A action?

It remains localized causing bullous impetigo


Newborn - pemphigus neonatrorum

What are toxin B actions?

Skin scalded syndrome


Circulates to distant sites


Found in infants/children under the age of 5

What are the symptoms of TSS?

Vomit, shock,organ failure


Super antigenic properties

What bacteria is a group A beta- hemolytic streptococci (GAS)

S.pyogenes

What bacteria causes impetigo ?and what is impetigo ?

Streptococcus pyogenes


Impetigo is crusting sores and Highly contagious

What are S.pyogenes virulence factors ?

M. Proteins- attach to epithelial tissues


Hyaluronic acid


Hyaluronidase-separates C.T


Streptokinase-


Streptolysins

What are the diseases of invasive group A and function?

Erysipelas - local tissue destruction/sepsis


Necrotizing fasciitis - flesh eating


Super antigen exotoxins A - our immune system

Explain the process of TSS

M proteins forms complex with fibrinogen


Complex binds to neutrophils — neutrophils activated — damaging enzymes released — shock and organ damage

Characteristics of pseudomonas aeruginosa and where can it be found ?

It’s gram negative , aerobic rod


Found in hospitals, vase water, mop water and diluted disinfectants

What is the infection caused by pseudomonas dermatitis , who is opportunistic ? and treatment ?

Otitis externa


Opportunistic patients


•Cystic fibrosis patient


•Post burn infections


Treatment


• resistant to many antibiotics except quinolones


What bacteria causes Buruli ulcer?

Mycobacterium ulcerans

What is Buruli ulcer , the route of entry and treatment ?

It’s a deep damaging ulcer


Route of entry


• toxin mycolactone


• skin break / insect bite


Treatment


• streptomycin- rifampicin


What are the classifications of acne ?

Comedonal - Mild


Inflammatory - moderate


Modular cystic - severe

What causes comdinal acne and its treatment ?

The sebum channels blocked with shed cells .


Treatment


• topical agents - don’t affect sebum formation


•sallicyclic- acid preparations


• retinoids- vitamin A derivatives

What are the characteristics of inflammatory and treatment ?

Propionibacterium acnes— gram positive


Treatment -Sotretinoin/accutane—preventing sebum formation


Antibiotics


Benzoyl peroxide to lossen clogged follicles

What is the skin infection folliculitis?

Infections of the hair follicles

What is the folliculitis skin infection sty?

Infected follicle of an eyelash

What is the folliculitis skin infection furuncle?

An abscess , pus surrounded by inflamed tissue

What is the folliculitis skin infection carbuncle?

Inflammation of the tissue under the skin

What are toxin A and B ?

Exfoliation, separation of skin layers

What is toxin A action?

It remains localized causing bullous impetigo


Newborn - pemphigus neonatrorum

What are toxin B actions?

Circulates to distant sites


Found in infants/children under the age of 5

What are the symptoms of TSS?

Vomit, shock,organ failure


Super antigenic properties

What bacteria is a group A beta- hemolytic streptococci (GAS)

S.pyogenes

What bacteria causes impetigo ?and what is impetigo ?

Streptococcus pyogenes


Impetigo is crusting sores and Highly contagious

What are S.pyogenes virulence factors ?

M. Proteins- attach to epithelial tissues


Hyaluronic acid


Hyaluronidase-separates C.T


Streptokinase-


Streptolysins

What are the diseases of invasive group A and function?

Erysipelas - local tissue destruction/sepsis


Necrotizing fasciitis - flesh eating


Super antigen exotoxins A - our immune system

Explain the process of TSS

M proteins forms complex with fibrinogen


Complex binds to neutrophils — neutrophils activated — damaging enzymes released — shock and organ damage

Characteristics of pseudomonas aeruginosa and where can it be found ?

It’s gram negative , aerobic rod


Found in hospitals, vase water, mop water and diluted disinfectants

What is the infection caused by pseudomonas dermatitis , who is opportunistic ? and treatment ?

Otitis externa


Opportunistic patients


•Cystic fibrosis patient


•Post burn infections


Treatment


• resistant to many antibiotics except quinolones


What bacteria causes Buruli ulcer?

Mycobacterium ulcerans

What is Buruli ulcer , the route of entry and treatment ?

It’s a deep damaging ulcer


Route of entry


• toxin mycolactone


• skin break / insect bite


Treatment


• streptomycin- rifampicin


What are the classifications of acne ?

Comedonal - Mild


Inflammatory - moderate


Modular cystic - severe

What causes comdinal acne and its treatment ?

The sebum channels blocked with shed cells .


Treatment


• topical agents - don’t affect sebum formation


•sallicyclic- acid preparations


• retinoids- vitamin A derivatives

What are the characteristics of inflammatory and treatment ?

Propionibacterium acnes— gram positive


Treatment -Sotretinoin/accutane—preventing sebum formation


Antibiotics


Benzoyl peroxide to lossen clogged follicles

What is the skin infection folliculitis?

Infections of the hair follicles

What is nodular cystic acne and treatment ?

Inflammed lesions filled with pus


Treatment


• isotretinoin- reduces formation sebum


Roaccutane- damage to developing fetus

What is the folliculitis skin infection sty?

Infected follicle of an eyelash

What is the folliculitis skin infection furuncle?

An abscess , pus surrounded by inflamed tissue

What is the folliculitis skin infection carbuncle?

Inflammation of the tissue under the skin

What are toxin A and B ?

Exfoliation, separation of skin layers

What is toxin A action?

It remains localized causing bullous impetigo


Newborn - pemphigus neonatrorum

What are toxin B actions?

Circulates to distant sites


Found in infants/children under the age of 5

What are the symptoms of TSS?

Vomit, shock,organ failure


Super antigenic properties

What bacteria is a group A beta- hemolytic streptococci (GAS)

S.pyogenes

How are warts contacted, what does it cause ? And treatments ?

Via contact


Causes- skin/cervical cancer


Treatment


Removal - cryotherapy,electrodesiccation, salicylic acid


Imiquimod , bleomycin

Poxviruses- smallpox , what’s the route of entry and characteristics.

Via respiratory route


Skin infection produce pustular lesions

Chickenpox , the varicella zoster where? What is the port of entry and transmission?

Dormant at ganglion root


Port of entry - respiratory tract


Transmission - aerosal

Shingles , the varicella zoster is dormant where? What is the port of entry and transmission?

Dormant - ??


Lysogenic


Reactivation of HHV-3


Transmission- endogenous


Treatment - acyclovir

Herpes simplex - HHV-1, lantent where? How is it triggered ? Port of entry ? Transmission ?

Lantent In trigeminal nerve ganglia


Triggered by stress , sun, hormonal changes


Port of entry - mucous membrane


Transmission - direct contact

Herpes simplex - HHV-1, lantent where? How is it triggered ? Port of entry ? Transmission ?

Lantent In trigeminal nerve ganglia


Triggered by stress , sun, hormonal changes


Port of entry - mucous membrane


Transmission - direct contact

Herpes simplex - HHV-2, lantent where? How is it triggered ? Port of entry ? Transmission ?

Latent in sacral nerve ganglion


Port of entry - mucous membrane


Transmission - direct contact

Measles port of entry and transmission

Port of entry - respiratory tract


Transmission - aerosol

Rubella ( German measles )

Port of entry - respiratory tract


Transmission - aerosol

Fifth disease

Port of entry — respiratory tract


Transmission — aerosol

Measles port of entry and transmission

Port of entry - respiratory tract


Transmission - aerosol

Rubella ( German measles )

Port of entry - respiratory tract


Transmission - aerosol

Fifth disease

Port of entry — respiratory tract


Transmission — aerosol

Roseola

Port of entry — respiratory


Transmission— aerosol


Caused by HHV 6-7

Hand foot mouth disease

Potty of entry — mucous membrane


Transmission - aerosol , direct contact

Cutaneous mycoses

Port of entry — skin


Transmission— direct contact , aerosol - fomites

Examples of fungi and treatment

Trichophyton/ infects hair, skin, nails


Epidermohyton- Infects skin, nails


Microsporum- infects hair and skin


Treatment — topical , miconazole, clotrimazole, allylamine

Sporotrichosis - rose Gardner’s disease

Enters through puncture wound


Treatment - potassium iodine

Candida — yeast

Port of entry - mucous membrane


Transmission - endogenous

Scabies

Port of entry -skin


Transmission - direct contact

Pediculosis - Lice

Capitis- head lice


Corporis - body louse


Feed on blood

Conjunctivitis

Inflammation


Unsanitary contact lens

Conjunctivitis

Inflammation


Unsanitary contact lens

Ophthalmia neonatorum

Caused by gonorrhea


Transmitted — birth canal


Prevented - antibiotics

Chlamydia trachomatis. What does it cause , transmission and treatment ?

Causes Inclusion conjunctivitis


Transmitted - birth canal, swimming pool water


Treatment - tetracycline


Causes - trachoma


Transmitted - hand contact


Treatment - oral

What is Keratitis ?

Inflammation of cornea, bacterial

What is Keratitis ?

Inflammation of cornea, bacterial

What is herpetic keratitis ?

Caused by HSV-1, causes blindness.


It’s viral

What is Keratitis ?

Inflammation of cornea, bacterial

What is herpetic keratitis ?

Caused by HSV-1, causes blindness.


It’s viral

What is Acanthamoeba keratitis ? Treatment ?

Transmitted by wAter, protozoan


Caused by unsanitary contact lens


Treatment - eye drops