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53 Cards in this Set
- Front
- Back
human bite wounds
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oral flora
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animal bite wounds
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oral flora
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infected burn wounds
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nosocomial species and skin flora
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soil contaminated wounds
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anaerobic spore formers (fungi)
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surgical site infections
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norma flora
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human bites
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streptococci, eikenella corrodesns, STAPH AUREUS, bacteroides, peptostreptococcus, fusobacterium, porphyromas
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animal bites
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pasteurella multocida; anaerobes: bacteroides, fusobacteria, porphyromaonas, prevotella, propionibacteria
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most common isolate from human bites
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Viridans streptococci
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Pasteurella- Oxygen, gram stain
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aerobic, gram negative
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pasteurella- meds
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penicillin sensitive
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rapidly progressive soft-tisue inflammation due to animal bite
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pasteurella
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pasteurella - virulence
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LPS, capsule, cytotoxin, iron acquisition proteins
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pasteurella - growth
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grow on blood and chocolate agar, not on MacConkey
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pasteurella - catalase/oxidase
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catalase and oxydase positive
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zone of coagulation
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nearsest heat source, dead tissue - eschar
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zone of stasis
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area adjacent to necrosis, viable, at risk of ischemia
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zone of hyperemia
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normal skin, increased blood flow, vasodilation
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most common burn wound isolates: gram positive
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staph aureus (most common now); strep pyogenes (was most common)
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most common burn wound isolates: gram negative
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pseudomonas aeruginosa, klebsiella pneumoniae, acinetobacter baumannii
-nosocomial |
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two most common phyla of bacteria on skin
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actinobacteria and firmicutes
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firmicutes
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gram positive, cocci/rod, low G+C ratio
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firmicutes on skin
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staphylococcus, streptococcus, clostridium
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actinobacteria on skin
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corynebacteria, propionibacteria
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surgical site infections
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staph aureus, coagulase neg staph, enterococcus
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staphylococcus epidermidis: gram stain, catalase?
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gram positive, catalase +, coagulase neg
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staph epidermidis: hemolysis? salt/temp? oxygen?
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facultative anaerobe, gamma hemolytic, salt and temp tolerant
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staph aureus: gram, catalase?, oxygen?
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gram +
catalase + facultative anaerobe |
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staph aureus: hemolysis? salt/temp? coagulase?
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beta hemolytic
salt/temp tolerant coagulase producer |
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scaled skin syndrome, impetigo
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staph aureus
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protein A
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binds to Fc part of abodies
-anti opsonization effect -makes a stealth bacteria |
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adhesion proteins: S aureus
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collagen binding protein
fibronectin binding proteins sialoprotein adhesin |
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staph cytolytic toxins
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α, β, δ, γ , P-V leukocidin
lysce cells/disrupt membranes |
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staph exfoliative toxins
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A and B
break down desmosomes |
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staph enterotoxins
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A through E and G,H,I
food poisoning |
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superantigens (SAg)
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exfoliative toxin A
enterotoxins TSST-1 |
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SAg
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bind TCR and MHCII
cytokine storm hypotension, shock, fever |
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hyaluronidase
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hydrolyzes extracellular matrix
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staphylokinase
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dissolve clots
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lipase
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survival in sebaceous areas
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Dnase
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hydrolyzes material, reduce viscosity
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coagulase
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cell bound: clumps staph cells
secreted: convert fibrinogen to fibrin |
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soil contaminated wounds
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clostridium perfringens
clostridium tetani clostridium botulinum |
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clostridium: where? Oxygen?
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soil, water, sewage, normal flora (GI)
obligate anaerobe spore formers |
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C. perfringens: shape? gram?
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large rectangular (box cars)
gram + rods |
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C. perfringens virulence factors
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alpha toxin
beta toxin epsilon toxin iota toxin |
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soft tissue disease assoc with C. perfringens
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cellulitis
fascitis/suppurative myositis myonecrosis/gas gangrene |
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C. perfringens:
-revers cAMP test -catalase? hemolysis? nagler rxn? |
+ reverse cAMP
- catalase double zone beta hemolysis + nagler rxn |
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clostridium tetani: gram?
oxygen? where? |
gram + rods/spores
anaerobic soil, GI tract |
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Clostridium tetani: virulence factors
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rapid sporulation
tetanolysin tetanospasmin (risus sardonicus) |
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clostridium tetani: diseases?
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generalized tetanus
localized tetanus cephalic tetanus (cranial nerve palsy) neonatal tetanus |
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Tetanospasmin toxin: mechanism?
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inhibits inhibitory neurotransmitters - spasms
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clostridium botulinum: oxygen?
shape? toxins? |
spore forming rods
anaerobic 7 toxins A-G |
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Botulism toxin: mechanism?
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inhibits active neuron - flaccid paralysis
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