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21 Cards in this Set
- Front
- Back
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What is Loeffler's syndrome?
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In ascariasis infection:
fever cough expectoration eosinophilia and pulmonary infiltration |
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What are the GI symptoms of established ascariasis infection?
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1. GI discomfort
2. vomiting 3. small bowel obstruction (with 1000 worms) |
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What are the migratory effects of ascariasis? (4)
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1. volvulus and gangrene of bowel
2. intussusception 3. appendicitis 4. perforated gut and peritonitis |
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How is ascariasis diagnosed?
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1. eggs in stool
2. adult worms in stool 3. X-ray of abdomen |
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What is Trichuiasis infection?
Give 4 symptoms of established infection: |
-whipworm:
1. lower ileum and large intestine 2. bloody diarrhea 3. anaemia 4. prolapsed rectum (mcq past) |
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Give 6 features of chronic uncomplicated strongyloidiasis:
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1. abdominal pain (RUQ)
2. nausea/diarrhea 3. weight loss 4. pruititc ani 5. larva currns (red lesion) 6. urticaria (around buttocks and waist) |
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What are 6 features of severe/complicated strongyloidiasis?
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1. Sprue-like syndrome (foul steatorrhea)
2. severe abdominal pain 3. fever, hypotension, abdom distention/tenderness 4. paralytic ileus 5. necrotizing jejunitis 6. small bowel obstruction |
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Give 5 pulmonary complications of strongyloidiasis:
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1.fever/cough/SOB
2. diffuse crepitations 3. pneumonitis ± pleural effusion 4. lung abcess 5. gross respiratory failure |
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Give 6 neurological complications of strongyloidiasis:
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1. headache, nausea, vomiting, convulsions
2. fever, meninngism, confusion, stupor 3. focal signs 4. bacterial meningitis/larvae in CSF/brain abscesses |
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Give 3 other complications:
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1. septicaemia with shock
2. multiple petechiae on chest and abdomen 3. peri-umbilical |
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How is strongyloidiasis diagnosed?
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1.clinical
2. identify LARVAE 3. immunological/molecular |
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What is the clinical triad of strongyloidiaisis and what is pathognomic?
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triad:
1. diarrhea 2. abdominal pain 3. urticaria pathognomic "larva currens" |
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What are immunological tests for strongyloidiasis?
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1. skin test
2. serum antibody assay (precipitation test, cft, IF, ELISA, IgE antibody test) |
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What biochemical lab tests indicate strongyloidiasis infection?
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1. eosinophilia
2. raised IgE 3. radiology (CXR, duodenal studies and barium meal) |
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how is strongyloidiasis treated?
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1. ivermectin
2. albedazole 3. tiabendazole |
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What three factors are condusive to hookworm infection?
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1. soil temp 24-32 (and damp)
2. fecal pollution 3. contact between soil and skin |
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How does hookworm infect the host?
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percutaneous and/or oral (eating larvae contaminated vegetables). the larvae then go to the intestine
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What does hookworm mainly do once in the intestine?
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it sucks your blood....severe infection can cause IRON DEFICIENCY ANAEMIA!
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what are the symptoms of the initial hookworm infection?
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1. ground itch (feet itch from the penetration)
2. eosinophilic lung syndrome 3. abdomical fullness RLQ with watery diarrhea alternating with constipation 4. sever cough 1-2 months later |
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What is the long-term effect of hookworm infection?
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feel weak and tired (severe anaemia), impaired work
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What is the treatment for hookworm?
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anthelminitics:
1. mebendazole 2. levamisole 3. pyrantel 4. albendazole and correct the iron/folate: 1. ferrous sulphate 2. ferastral 3. iron dextran slow drip |
