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15 Cards in this Set

  • Front
  • Back
trophozites in exudate or feces

*contain kentral karyosome or cysts

*4 nuclei in iodine stained perps

*non symptomatic use hagllutin or enzyme assays
Amebiasis

tx with metronidazole if amoebic

tx w/ diloxanide furoate if cyst

tx if symptomatic
trophozites or "star like" cysts in trichrome stained smear of tissue exudate
acanthamoebic keratitis

tx with propamidine
trichrome staining reveals spores w/ central waistbands, coiled polar tubule and two nucle inside spore body
Microsporidiosis

tx with alvendazole for intestinal

tx with fumagillin if ocular
dx by ovservation of clinical symptoms, HX OF EXPOSURE, and larvae in tissue bx
shistosome dermatitis(swimmer's itch)

tx with anthihistamines
gradiv proglottids migrate out of anus and are seen or egg packets containing multiple eggs with onchospheres are receovered from fecal concentrations
Dipylidiasis

tx with niclosamid
eggs with hexacanth embryos and radially striated shells are receovered in fecal concentrations
Taeniasis

tx with praziquantel if larvae

tx with niclosamide if adult
thin shelled eggs with bluntly rounded ends containing embyos in the 4 to 8 cell stages are seen in fecal concentrations (easy to dx b/c can easily see egg)
Anylostomiasis

tx with mebendazole
ovoid shaped eggs with thick rough outer coverings are found in fecal concentrations
ascariasis

tx with mebendazole
transparent tape is applied to anal area early in the morning and then tape is ovserved for elongated thin shelled eggs with well developed embryos and asymmetric flat side
enterbiasis


tx with albendazole ALL FAMILY MEMBERS
dx by clinical syptoms and hx of exposure

such as lerpinginous tunnel
Cutaneous larva migrans (creeping eruption)


tx with alvendazole
dx by clinical symptoms and hx of exposure such as fever, cough, pneumonitis, LOSS OF VISION, edema, retinal granulomas
Visceral larva migrans

tx with ivermectin and steroids
encysted larvae in muscle tissue biopsy
Trichinosis


tx with thiabendazole if intestinal stage

tx wtih mebendazole if muscular stage
hix of contact with insects or simply by capture and ideintify
Lice

tx with malathion
hx of bite, capture, identifiy arthropod by DEEP RED lesion and possibly bacterial infection
Tombidiosis (mites)


tx with steroids
KOH digestion of follicle or skin scrapings shows round mites w/ short legs, chronic cases have few
Scabies (7 yr itch)


tx with permethrin and hot soapy baths