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22 Cards in this Set
- Front
- Back
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Borellia burgdorferi: gram positive or negative
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neither
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B. burdorferi: What media is this grown in?
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BSK-II
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B. burdorferi: How does this bug travel in the body?
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via skin, nerves, lymphatics, blood
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B. burdorferi: Where is the infection?
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1. synovium of joints
2. chronic arthritis 3. nerves and CNS 4. heart 5. erythma migrans (EM) |
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B. burdorferi: Describe erythema migrans?
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non-petechial, clear center, may occur anywhere not just at bite
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B. burdorferi: What are the early stage symptoms of Lyme Disease (3-32 days)?
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1. EM rash
2. fever, mm soreness, headache |
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B. burdorferi: What are the secondary stage symptoms of Lyme Disease (weeks / months)?
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Neuro symptoms
- Bell's palsy (CN VII) - cardiac manifestation (AV conduction defects) |
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B. burdorferi: What are the late stage symptoms of Lyme Disease (months/years)?
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- migratory polyarthritis
- chronnic fatigue syndrome - fibromyalgia |
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B. burdorferi: What do you look for on a Western blot
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OpsA, B and C most prevalent
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Name 3 types of spirocetes
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1. Borellia
2. Treponema 3. Leptospira |
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Vector for Lyme Disease
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anthropods: Ixodes ricinus
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Reservoirs for Lyme Disease
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small rodents, white footed mouse transmit to ticks
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Amplifier for Lyme Disease
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white tailed deer, no transmission from deer to tick
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What is the B. Burdorferi Life Cycle
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- Rodents infect tick larvae
- Nymphs ticks infect humans and mice - Adult ticks infect humans and deer |
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How long after a tick bite do you have before infection sets in ?
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couple of days
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Lyme Disease: Tx for early stage
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doxy, amox, erythro
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Lyme Disease: Tx for late stage
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doxy, amox, pen G, ceftriaxone
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What is STARI?
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Southestern Tick associated Rash Illness
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What is STARI frequently misdiagnosed as?
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Lyme Disease
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What tick transmits STARI?
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Lone Star tick
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Is there a Lyme Disease Vaccine?
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Yes, but pulled off the market
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What is the mechanism of the Lyme Disease vaccine?
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blocks OpsA when the bug is in the midgut
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