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15 Cards in this Set
- Front
- Back
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what is classic sign of Loaloa inf?
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calabar swellings - adult worms in subQ
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Vector of Loaloa
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Chrysops - deer fly
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Clinical manifestations of Loaloa
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Asymptomatic, non-specific, calabar swellings, eye worm,
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complications of loaloa
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endomyocardial fibrosis, renal dx, encephalopathy, entrapment neuropathy
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What is unique about angioedema in Loaloa, where is it seen and duration
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Eppisodic, 1-4 days, more common on extremities
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OTHER NAME FOR LOALOA
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EYE WORM
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WHAT ARE BIG DIFFERENCES BETWEEN ENDEMIC AND NON-ENDEMIC PATIENTS WITH LOA?
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80% EXPATS HAVE CALABAR SWELLING, 74% OF ENDEMICS ARE ASYMPTOMATIC
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DIAGNOSIS OF LOA
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DETECT mf in daytime blood
ID worm in Subconjunctival or subQ tissue |
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PRESUMPTIVE DX FOR LOA
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Compatible clinical picture + positive antifilarial abys
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What does Loa mf look/act like?
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diurnal periodicity, sheathed, terminal nuclei
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IN CONCENTRATING LOA, WHAT TECHNIQUES ARE USED?
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KNOTTS, SAPONIN LYSIS, NUCLEPORE FILTRATION
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IS QUANTIFICATION IMPORTANT IN LOA TX?
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YES, AS SIDE EFFECTS OF TX ARE RELATED TO LEVEL OF PARASITEMIA
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HOW DO YOU GET LOALOA OUT OF EYE
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PULL IT!
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TX FOR LOA
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DEC, SIDE EFFECTS SEVERE WITH HIGH LEVELS OF CIRCULATING mf.
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Short-acting – Regular Human Insulin
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most effective 30 min after injection.
Only form of insulin that can be given intravenously under physician’s supervision. As part of chronic administration, it is given SQ |
