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98 Cards in this Set
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protozoa:
amebic dysentery clinical feature |
Entamoeba histolytica
bloody diarrhea |
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liver abscesses --> RUQ pain caused by
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Entamoeba histolytica
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Entamoeba histolytica transmitted by
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cysts in water
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Entamoeba histolytica diagnosed by (2)
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trophozoites in stool (trophozoites with ingested RBC's)
cysts in stool |
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Entamoeba histolytica treated with
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metronidazole
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MOA of metronidazole
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ROS --> disruption of DNA synthesis
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protozoa:
bloating flatulence foul-smelling diarrhea |
Giardia lamblia
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Giardia lamblia transmitted by
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cysts in water (often seen in campers/hikers who drink spring water)
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Giardia lamblia diagnosed by (2)
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trophozoites in stool
cysts in stool |
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Giardia lamblia treated with
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metronidazole
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protozoa:
severe diarrhea in AIDS patients mild diarrhea in immunocompetent patients |
Crypotosporidium
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Crypotosporidium transmitted by
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cysts in water
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Crypotosporidium diagnosed by
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cysts on acid-fast stain
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Crypotosporidium treated with
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nothing (no treatment available - that's why it's so dangerous to AIDS patients --> full recovery may not occur)
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protozoa:
brain abscess in HIV patients (ring-enhancing lesions) birth defects in children of affected mothers |
Toxoplasma gondii
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Toxoplasma gondii transmitted by (2)
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cysts in meat
cysts in cat feces |
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Toxoplasma gondii diagnosed by (2)
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serology
biopsy |
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Toxoplasma gondii treated with
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sulfadiazine + pyrimethamine
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protozoa:
cyclic fever anemia splenomegaly |
Plasmodium
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most severe form of Plasmodium
may invade the |
Plasmodium falciparum
brain |
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Plasmodium transmitted by
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Anopheles mosquito
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Plasmodium diagnosed by
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blood smear
(see signet rings within RBC's) |
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Plasmodium treated with
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chloroquine
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relapse with P. vivax and P. ovale prevented with
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primaquine
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Trichomonas vaginalis diagnosed by
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motile trophozoites on wet mount
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Trichomonas vaginalis treated with
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metronidazole
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protozoa:
African sleeping sickness (2) |
Trypanosoma gambiense
Trypanosoma rhodesiense |
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Trypanosoma gambiense and Trypanosoma rhodesiense transmitted by
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Tsetse fly
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Trypanosoma gambiense and
Trypanosoma rhodesiense trated with - blood-borne disease - CNS penetration |
suramin
melarsoprol |
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T. gambiense and T. rhodesiense diagnosed by
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blood smear
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protozoa:
dilated cardiomyopathy megacolon megaesophagus |
Trypanosoma cruzi
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Trypanosoma cruzi transmitted by
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Reduviid bug (kissing bug)
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Trypanosoma cruzi diagnosed by
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blood smear
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Typanosoma cruzi treated with
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nifurtimox
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protozoa:
kala-azar |
Leishmania donovani
(visceral leishmaniasis) |
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Leishmania donovani transmitted by
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sandfly
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Leishmania donovani diagnosed by
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amastigotes within macrophages = Donovani bodies
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Leishmania donovani treated with
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sodium stibogluconate
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protozoa:
fever anemia |
Babesia microti
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Babesia microti transmitted by
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Ixodes tick
(same as Borrelia burgdorferi) |
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Babesia microti diagnosed by
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blood smear
(RBC's demonstrate maltese cross pattern and contain no pigment) |
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Babesia microti treated with (2)
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quinine
clindamycin |
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protozoa:
rapidly fatal meningoencephalitis |
Naegleria fowleri
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Naegleria fowleri transmitted by
enter via |
swimming/diving in freshwater lakes
cribiform plate |
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Naegleria fowleri diagnosed by
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amebas in CSF
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Naegleria fowleri treated with
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nothing
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cestode (tapeworm):
cysticercosis (mass lesions in the brain) |
Taenia solium
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Taenia solium transmitted by
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ingestion of undercooked pork
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Taenia solium treated with
- without cysticercosis - with cysticercosis |
praziquantel/niclosamide
albendazole |
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MOA of albendazole
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inhibits tubulin polymerization, i.e., microtuble assembly
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cestode (tapeworm)
cysts in liver anaphylaxis (when antigens released from cysts) |
Echinococcus granulosus
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Echinococcus granulosus transmitted by
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eggs in dog feces
(sheep herder with many sheep dogs) |
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Echinococcus granulosus treated with
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albendazole
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trematode (fluke):
granulomas, fibrosis, and inflammation of spleen and liver |
Schistosoma
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Schistosoma host
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snails
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Schistosoma transmitted by
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penetration of skin by cercariae
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Schistosoma treated with
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praziquantel
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trematode (fluke):
inflammation of biliary tract |
Clonorchis sinensis
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Clonorchis sinensis transmitted by
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ingestion of undercooked fish
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Clonorchis sinensis treated with
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praziquantel
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trematode (fluke):
inflammation and secondary bacterial infection of the lungs |
Paragonimus westermani
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Paragonimus westermani transmitted by
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ingestion of undercooked crab meat
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Paragonimus westermani treated with
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praziquantel
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nematode (roundworm):
intestinal infection --> anemia |
Ancyclostoma duodenale (hookworm)
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Ancyclostoma duodenale transmitted by
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penetration of skin by larvae
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Ancyclostoma duodenale treated with
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mebendazole/pyrantel pamoate
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MOA of pyrantel pamoate
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depolarizes nematode NMJ's --> irreversible paralysis
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nematode (roundworm):
intestinal infection eggs visible in feces |
Ascaris lumbricoides (giant roundworm)
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Ascaris lumbricoides treated with
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mebendazole/pyrantel pamoate
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mebendazole has same MOA as albendazole:
inhibits tubilin polymerization, i.e., microtubule assembly |
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Enterobius vermicularis treated with
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mebendazole/pyrantel pamoate
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nematode (roundworm):
intestinal infection larvae in the soil |
Strongyloides stercoralis
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Strongyloides stercoralis transmitted by
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penetration of skin by larvae found in the soil
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Strongyloides stercoralis treated with
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thiabendazole/ivermectin
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MOA of ivermectin
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hyperpolarization of NMJ --> paralysis
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nematode (roundworm):
inflammation of muscle periorbital edema |
Trichinella spiralis
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Trichinella spiralis transmitted by
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ingestion of undercooked meat (usually pork)
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Trichinella spiralis treated with
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thiabendazole
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nematode (roundworm):
skin inflammation and ulceration |
Dracunculus medinensis
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Dracunculus medinensis transmitted via
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drinking water
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Dracunculus medinensis treated with
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niridazole
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nematode (roundworm):
skin swelling worm crawling in conjuctiva |
Loa loa
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Loa loa transmitted by
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deer fly
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Loa loa treated with
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diethylcarbamazine
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nematode (roundworm):
river blindness |
Onchocerca volvulus
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Onchocerca volvulus transmitted by
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female blackfly
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Onchocerca volvulus treated with
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ivermectin
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nematode (roundworm):
granulomas (in retina --> blindness) visceral larva migrans |
Toxocara canis
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Toxocara canis transmitted by
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food contaminated with eggs
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Toxocara canis treated with
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diethylcarbamazine
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nematode (roundworm):
elephantiasis due to |
Wuchereria bancrofti
blockage of lymphatic vessels |
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Wuchereria bancrofti transmitted by
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female mosquito
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Wuchereria bancrofti treated with
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diethylcarbamazine
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brain cysts
seizures |
Taenia solium (cysticercosis)
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liver cysts
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Echinococcus granulosus
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biliary tract disease
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Clonorchis sinensis
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hemoptysis
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Paragonimus westermani
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portal HTN
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Schistosoma mansoni
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hematuria
bladder cancer |
Schistosoma haematobium
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