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17 Cards in this Set
- Front
- Back
GIARDIA LAMBLIA
Dz & CLINICAL Fts TRANSMISSION DIAGNOSIS TREATMENT |
Clinical Fts of GIARDIASIS
(1.) FATTY (watery) FOUL-smelling DIARRHEA (2.) FLATULENCE, bloating (3.) Campers / hikers -- -- "Backpacker's diarrhea" Transmission = CYSTS in water Diagnosis = TROPHOZOITES / CYSTS in stool Treatment = METRONIDAZOLE |
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ENTAMOEBA HISTOLYTICA
Dz & CLINICAL Fts TRANSMISSION |
Clinical Fts of AMEBIASIS
(1.) BLOODY DIARRHEA (dysentery) (2.) LIVER ABSCESS - reddish brown (3.) RUQ pain (4.) histo = FLASK-shaped ULCER if submucosal abscess of colon ruptures Transmission = CYSTS in water |
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ENTAMOEBA HISTOLYTICA
DIAGNOSIS TREATMENT |
Diagnosis = SEROLOGY &/or TROPHOZOITES / CYSTS in stool
● RBCs in Entamoeba cytoplasm ● Cysts w/ 4 NUCLEI Treatment = METRO & IODOQUINOL |
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CRYPTOSPORIDIUM
Dz & CLINICAL Fts TRANSMISSION DIAGNOSIS TREATMENT |
Clinical Fts of Cryptosporidium
(1.) Severe DIARRHEA in AIDS (2.) Mild WATERY DIARRHEA normally Transmission = CYSTS in water Diagnosis = CYSTS on ACID-FAST stain Treatment = NONE PREVENTION = FILTERING city water supplies |
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TOXOPLASMA GONDII
Dz & CLINICAL Fts TRANSMISSION |
Clinical Fts of CONGENITAL TOXOPLASMOSIS
(1.) CHORIORETINITIS (2.) HYDROCEPHALUS (3.) INTRACRANIAL CALCIFICATIONS Clinical Fts of BRAIN ABSCESS in HIV = ★ RING-enhancing lesions CT/MRI Transmission = CYSTS (1.) in MEAT (2.) in CAT FECES (3.) crosses PLACENTA |
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TOXOPLASMA GONDII
DIAGNOSIS TREATMENT |
Diagnosis = SEROLOGY / Bx
Treatment = SULFA-DIAZINE + PYRI-METHAMINE |
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NAEGLERIA FOWLERI
Dz & CLINICAL Fts TRANSMISSION DIAGNOSIS TREATMENT |
Clinical Fts of MENINGO-ENCEPHALITIS
★ RAPIDLY FATAL Transmission = ● Swimming in FRESH WATER LAKES ● enter via CRIBRIFORM PLATE Diagnosis = AMOEBAS in SPINAL fluid Treatment = AMPHOTERICIN (low success) |
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TRYPANOSOMA BRUCEI
T. GAMBIENSE T. RHODESIENSE Dz & CLINICAL Fts TRANSMISSION |
Clinical Fts of AFRICAN SLEEPING SICKNESS
(1.) RECURRING FEVER d/t antigenic variation (2.) LAD (3.) SOMNOLENCE → COMA Transmission = TSETSE FLY - PAINFUL bite |
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TRYPANOSOMA BRUCEI
T. GAMBIENSE T. RHODESIENSE DIAGNOSIS TREATMENT |
Diagnosis = BLOOD SMEAR
Treatment = ① SURAMIN for BLOOD-borne dz ② MELARSOPROL for CNS penetration |
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TRYPANOSOMA CRUZI
Dz & CLINICAL Fts TRANSMISSION DIAGNOSIS TREATMENT |
Clinical Fts of CHAGAS' dz
(1.) DILATED CARDIOMYOPATHY (2.) MEGACOLON (3.) MEGA-ESOPHAGUS Transmission = REDUVIID bug = "kissing bug" ● PAINLESS bite ● predominately in SOUTH America Diagnosis = BLOOD SMEAR Treatment = NIFURTIMOX |
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LEISHMANIA DONOVANI
Dz & CLINICAL Fts TRANSMISSION DIAGNOSIS TREATMENT |
Clinical Fts of Visceral LEISHMANIASIS (KALA-AZAR)
(1.) SPIKING FEVERS (2.) HSM (3.) PANCYTOPENIA Transmission = SANDFLY Diagnosis = MACROPHAGES containing AMASTIGOTES (form that lacks flagella) Treatment = Sodium STIBO-GLUCONATE |
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PLASMODIUM
P. VIVAX / OVALE P. FALCIPARUM P. MALARIAE Dz & CLINICAL Fts |
Clinical Fts of MALARIA
(1.) 48hr (tertian) CYCLIC FEVER (2.) HA (3.) ANEMIA (4.) SPLENOMEGALY P. VIVAX / OVALE: ● Cycles occur EVERY OTHER DAY P. FALCIPARUM = SEVERE ● DAILY cycles ● infx RBCs OCCLUDE capillaries in BRAIN, KIDNEYS, LUNGS |
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PLASMODIUM
TRANSMISSION DIAGNOSIS |
Transmission = ANOPHELES MOSQUITO
Diagnosis = THICK & THIN BLOOD SMEAR (1.) TROPHOZOITE RING form in RBC (2.) RBC SCHIZONT w/ MEROZOITES |
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PLASMODIUM
TREATMENT |
(1.) start w/ CHLOROQUINE
(2.) if resistant → MEFLOQUINE (3.) if VIVAX / OVALE → ADD PRIMAQUINE (Tx dormant HYPNOZOITE forms in LIVER) |
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BABESIA
Dz & CLINICAL Fts TRANSMISSION |
Clinical Fts of BABESIOSIS
(1.) FEVER (2.) HAEMOLYTIC ANEMIA Transmission = IXODES tick ● predominately in NE USA ● same tick as Borrelia burgdorferi of LYME dz - often co-infx humans |
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BABESIA
DIAGNOSIS TREATMENT |
Diagnosis = BLOOD SMEAR
(1.) NO RBC pigment (2.) MALTESE CROSS appearance Treatment = QUININE or CLINDAMYCIN |
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TRICHOMONAS VAGINALIS
Dz & CLINICAL Fts TRANSMISSION DIAGNOSIS TREATMENT |
(1.) VAGINITIS
-- FOUL-smelling GREEN D/C -- ITCHING & burning (2.) STRAWBERRY CERVIX (-coloured mucosa) Transmission = SEXUAL (can't form cysts → can't exist outside human) Dx = TROPHOZOITES have CORKSCREW MOTILITY on wet prep Tx = METRONIDAZOLE (★ Tx both partners) |