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8 Cards in this Set

  • Front
  • Back

GI Defense

Flow of liquid, lysozyme, normal flora- oral cavity


Peristalsis and flow- esophagus


Low pH- Stomach


persistalsis, peyer patches, IgA, mucus- SI


normal flora, shedding of epi- Colon



Specific Defenses

Antibodies


M Cells- Sample and present to peyers patches


Commensural Bacteria- compete for nutrients


Glycocalyx- in mucin traps bacteria into binding and then excretes in the feces

Infectious Onest

Anatomic Alterations- blind loops lead to lack of flow and foothold establishment


Stomach Acid- use of antacids can increase pH and allow bacterial growth


Normal Flora Change- broad antibiotics can wipe commensurate flora out allowing other more harmful bacteria in


Specific Agents- can be especially virulent and attack the patient

Damage

Enterotoxins- alter normal function and provoke diarrhea and systemic response


Local Inflammation- inflitration of the area by bacteria


Deep Tissue Invasion- leads to bacteremia


Perforation- rupture of lining and peritonitis

Mouth Infections

Often introduced via Fecal-Oral Route




Nonpathogenic Flora- combat the ability of new more harmful pathogens


Mechanical actions of Tongue and Saliva


Antimicrobial Parts of Saliva- Lysozyme and IgA selectively combat recognized antigens.

Candidiasis

Candida Albicans- yeast found in the environment forms pseudo membranes within the oral cavity that can be easily peeled off.




Typically in immunocompromised and young children.




Treat with Anti-fungal agens like nystatin

Stomach Infections

Typically acid-resistant Gram + organisms:


Lactobacillus, Peptostreptococci, Staph, and Strep




H. Pylori- assctd. with gastritis and peptic ulcers- produces urease which increases surrounding pH by turning acid into ammonia. Also has flagella

H. Pylori

Gram - helical shaped




Infects 1/2 global population, thrives in acid via urease neutralization.




Colonizes mucus layer and epithelial surface via VacA toxin (stops T cell)




Causes a persistant chronic gastritis---> PUD, cancer, and MALT