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67 Cards in this Set

  • Front
  • Back
Staph food poisoning
Symptoms: nausea, vomiting, diarrhea, cramping
Salmonella typhi
Causes typhoid fever
Trend in bacteria
Salmonellosis is increasing --> food industry is becoming more centralized.
Typhoid fever has decreased
Gastrointestinal Tract
mouth, pharynx, esophagus, stomach, small intestine, and large intestine
Accessory Structures of digestive system
teeth, tongue, salivary glands, liver, gallbladder, and pancreas
Usual flora of Large intestine
Lactobacillus, E. coli, Bacteroides, Enterobacter, Klebsiella, Proteus, and other Enterics
Bacterial diseases of the mouth
Dental Caries
-Plaque
-Role of Streptococcus mutans

Periodontal Disease
-Chronic gum disease
-Streptococcus, Actinomyces, and various anaerobic bacteria
-Acute necrotizing ulcerative gingivitis caused by Prevotella intermedia & Spirochetes
Incubation times of GI tract infections
12 hrs. to 2 weeks
Intoxication of lower digestive system
results from ingestion of preformed bacterial toxins
how soon do symptoms of intoxication appear after ingestion of bacterial toxins?
1 to 48 hours after ingestion
Infections & intoxications commonly cause these symptoms
diarrhea, dysentery, or gastroenteritis
Staphylococcal Food Poisoning
Caused by toxin-producing strains of Staphylococcus aureus
Salmonellosis
Numerous animal sources
A true bacterial infection
12-36 hr. incubation period
Nausea, abdominal pain, diarrhea
Serious infections seen in infants and the elderly
Salmonella typhi
Causative agent of Typhoid Fever

A systemic disease from the onset

Incubation period → two weeks

Fever, malaise, and characteristic rash

May localize in the gallbladder

Found only in humans
Bacillary Dysentery
Caused by Shigella spp.
Blood and mucous in stool
Abdominal cramps, fever
Found in humans only

Four species, closely related to E. coli
Sh. dysenteriae
Sh. flexneri (common in U.S.)
Sh. boydii
Sh. sonnei (most common species in the U.S.)
E. coli Gastroenteritis
Caused by invasive or toxigenic strains of Escherichia coli

Epidemic diarrhea in hospital nurseries (EPEC)

Traveler’s diarrhea
Enterohemorrhagic E. coli
Escherichia coli O157:H7
Hemorrhagic colitis
Hemolytic Uremic Syndrome
Acquired from specific toxigenic serotypes

Undercooked hamburger, apple cider, and many other foodstuffs
Yersinia enteritis
Caused by Yersinia enterocolitica and Yersinia pseudotuberculosis

Y. enterocolitica in the U.S.

Many animal sources

Intestinal symptoms may mimic acute appendicitis
Cholera
Caused by Vibrio cholerae
V. cholerae serotypes O:1 and O:139
Symptoms due to elaboration of toxin
Vomiting and diarrhea lead to extreme fluid loss
Mortality rate may approach 50% in outbreaks
Vibrio parahaemolyticus
most common cause of gastroenteritis in Japan

-Associated with ingestion of raw seafood
Vibrio vulnificus
gastroenteritis and wound infections
Campylobacter Enteritis
Campylobacter jejuni & C. coli

Leading cause of foodborne illness in U.S.

Fever, cramping abdominal pain, diarrhea

Numerous animal sources → poultry, beef, many other foods

Associated with Guillain-Barre Syndrome
Peptic Ulcer Disease
Caused by Helicobacter pylori

Organism resides in the stomach

Leading cause of duodenal and gastric ulcers

May lead to gastric carcinoma

Can be treated with antibiotics
Clostridial Food Poisoning
Clostridium perfringens → spore-forming anaerobe
Meat and meat products
Bacillus cereus
Toxin producer
Spore-forming aerobic bacillus
Associated with contaminated rice dishes
Nausea, vomiting
Viral Diseases of the Digestive System
Mumps, Hepatitis, Viral Gastroenteritis
Mumps: symptoms, treatment
Inflammation of the parotid glands
Fever, pain on swallowing, orchitis may occur
MMR vaccine has been very effective
Hepatitis: symptoms
Inflammation of the liver
Symptoms → jaundice, loss of apetite, malaise, fever, etc.
Viral Gastroenteritis
Rotavirus
Norwalk agent
Hepatitis A
infectious hepatitis A
Acquired from contaminated food or water
Virus is eliminated in feces
Vaccine is available
Hepatitis B
serum hepatitis
Transmitted by blood, contaminated syringes, saliva, sweat, breast milk, semen
HBV infection is frequently serious
HBSAg is most common serological test
Vaccine is available
Hepatitis C
Transmitted via blood
“Silent epidemic” → may incubate for 20 yrs. Before symptoms appear
Results in more deaths than from AIDS
Most cases eventually lead to chronic hepatitis
Blood for transfusions is tested for HCV
Hepatitis D
Delta hepatitis
Uses HBSAg as a coat
Only seen in patients concurrently infected with HBV
Progressive liver disease and higher fatality rate than present when infected with HBV alone
Hepatitis E
infectious NANB hepatitis
Transmitted via fecal-oral route
High mortality rate in pregnant women
Other Hepatitis viruses
Types F and G ?
Ergot Poisoning
Claviceps purpurea
Mycotoxin on cereal grains
Aflatoxin Poisoning
Aspergillus flavus
Mycotoxin on peanuts
Giardiasis
Giardia lamblia
Amoebic dysentery is caused by
Entamoeba histolytica
list protozoal diseases of the digestive system
Giardiasis , Amoebic dysentery , Cryptosporidiosis , and Cyclospora diarrheal infection
Cryptosporidiosis is caused by
Cryptosporidium parvum
Cyclospora diarrheal infection is caused by
Cyclospora cayetanensis
Types of Tapeworm Infestations
Taenia saginata → beef tapeworm
Taenia solium → pork tapeworm
Hydatid disease is caused by
Echinococcus granulosus
latin Name for Pinworm
Enterobius vermicularis
latin Name for Hookworm
Necator americanus and Ancyclostoma duodenale
Ascariasis is caused by
Ascaris lumbricoides
Trichinosis is caused by
Trichinella spiralis
Life cycle of trichinosis
1. adult trich spiarlis develop, invade intestinal wall of pig, and produce larvae that invade muscles.
2. Capsules encysted in pig's muscle tissue
3. Human eats undercooked pork containing cysts
4. Cyst walls are removed in human intestine, and T.spiralis adults develop.
5. Other animals are infected by eating infected meat that has been dumped.
Diseases of the Urinary System (list)
Cystitis, Pyelonephritis, Glomerulonephritis, Leptospirosis
Cystitis
inflammation of the urinary bladder and ureters
Dysuria → painful urination
Pyuria → white blood cells (pus) in the urine
Escherichia coli
Staphylococcus saprophyticus
Pyelonephritis
Involvement of one or both kidneys
Escherichia coli
Glomerulonephritis
Immune complex hypersensitivity
Streptococcus pyogenes
Leptospirosis
Occupational disease
Transmitted via infected urine
Leptospira interrogans
Diseases of the Reproductive System
Gonorrhea , Nongonococcal Urethritis , Pelvic Inflammatory Disease , Syphilis , Lymphogranuloma venereum
Chancroid , Bacterial Vaginosis , Genital Herpes , Genital Warts , Candidiasis , Trichomoniasis
Gonorrhea is caused by
Neisseria gonorrhoeae
Nongonococcal Urethritis is caused by
Chlamydia trachomatis
Genital mycoplasmas → Mycoplasma hominis & Ureaplasma urealyticum
Pelvic Inflammatory Disease is caused by
Neisseria gonorrhoeae
Chlamycia trachomatis
Syphilis
Treponema pallidum
Primary, secondary, and tertiary stages
Characteristic lesions → chancre & gumma
Latency between stages
Congenital syphilis
Lymphogranuloma venereum
is caused by
Chlamydia trachomatis
Chancroid is caused by
Haemophilus ducreyi
Bacterial Vaginosis is caused by
Gardnerella vaginalis
Mobiluncus spp.
Genital Herpes is caused by
Herpes simplex type 2
Genital Warts is caused by
Papillomavirus
what is Candidiasis?
a fungal infection caused by the yeast Candida albicans
what is Trichomoniasis ?
a protozoan infection with Trichomonas vaginalis
How do you swab someone's throat
place swab against back wall of throat and move up and down into the uvula area. Touch any white patches in the tonsillar area.