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13 Cards in this Set
- Front
- Back
- 3rd side (hint)
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bloating, flatulence, foul smelling diarrhea (campers/hikers)
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giardia lamblia
what does it look like? transmission, dx, tx? |
trans: cysts in water
dx: trophozoites or cysts in stool tx: metronidazole pregnancy use paromomycin (not orally absorbed) |
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vaginitis, foul smelling, greenish discharge, itching burning
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trichomonas vaginalis, what does it look like?
trans, dx, tx? |
trans: sexual
dx: trophozoites (motiel on wet mount) metronidazole |
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chagas dx
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T. cruzi
dilated cardiomyopathy, megacolon, megaesophagus S. America |
trans: reduviid bug "kissing bug"
dx: blood smear tx: nifurtimox (bd drug makes O2 radials) |
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african sleeping sickness
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trypanosoma (gambiense, rhodesiense)
enlarged LN, recurring fever (Ag cariation), somnolence, coma |
trans: tsetse fly
dx: blood smear tx: SURamin for blood borne dx MELArsoprol for CNS penetration (SURe nice to sleep, MELAtonin helps) |
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kala azar, spiking fevers, hepatosplenomegaly, pancytopenia
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leishmania donovani
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trans: sandfly
dx: macrophages containing amastigotes tx: sodium stibogluconate |
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malaria--severe cerebral
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P. falciparum
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dormant forms in liver (hypnozoites)
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P. vivax
P. ovale causes relapsing fever |
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transmission, dx, tx?
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trans: anopheles mosuito
dx: blood smear tx: chloroquine (primaquine to prevent relapse caused by P. vivax, P. ovale) sulfadoxine + pyrimethamine, mefloquine, quinine |
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fever, hemolytic anemia, predominant in NE US
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babeisa
maltese cross and ring forms trans, dx, tx? |
trans: ixodes tick
dx: blood smear, no RBC pigment, "maltese cross" tx: quinine, clindamycin |
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severe diarrhea in AIDS
mild disease (watery diarrhea) in immunocompetent |
cryptosporidium
acid fast cysts trans, dx tx? |
trans: cysts in water
dx: cysts on acid fast stain tx: none |
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brain abscess in HIV, birth defects (ring enhanacing brain lesions)
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toxo
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trans: cysts in meat/cat feces (preg woman avoid cats)
dx: serology, biopsy tx: sulfadiazine+pyrimethamine |
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bloody diarrhea, dysentery, liver abscess, RUQ pain
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entamoeba histolytica
trans tx? |
trans: cysts in water
dx: serology and/or trophozoites or cysts in stool RBCs in cytoplasm of entamoeba tx: metronidaozle and iodoquinol |
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rapidly fatal meningoencephalitis
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N. fowleri
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trans: swimming freshwater lakes (cribiform plate)
dx: amoebas in spinal fluid tx: none |
