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Parasitology seminar
bugs and drugs
62
Pathology
Professional
01/23/2014

Additional Pathology Flashcards

 


 

Cards

Term
Diarrhea with crampy abdominal pain following wilderness backpacking trip
Definition
Giardia lamblia
Term
India, bloody and pus-filled diarrhea, severe abdominal tenderness with guarding, protozoa on wet mount
Definition
Entamoeba histolytica
Term
HIV pt not on ART with 20 watery stools per day, acid fast cysts (PAS+)
Definition
cryptosporidium parvum
Term
Swimming in brackish pond, protozoa in CNS, penetrates cribiform plate
Definition
Naegleria fowleri
Term
Kenya safari, fever, headache, vertigo, nausea, joint pain, C-shaped flagellated organism with prominent nucleus
Definition
Trypanosoma brucei rhodesiense
Term
treatment for T. rhodesiense/gambiense without CNS involvement?
Definition
Suramin
Term
treatment for T. rhodesiense/gambiense with CNS involvement?
Definition
Melarsoprol
Term
splenomegaly, parasitemia, banana-shaped gametocytes
Definition
P. falciparum
Term
treatment for P. Falciparum?
Definition
Quinine/Quinidine or Mefloquine
Term
tetrads in blood smear
Definition
Babesia microti
Term
babesiosis treatment
Definition
Atovaquone/azithromycin
Term
pt birdwatching in equador gets papular lesion that grows and ulcerates
Definition
Leishmaniasis
Term
How do you diagnose cutaneous Leishmaniasis?
Definition
Biopsy of skin lesion
Term
treatment for visceral leishmaniasis (L. donovani)
Definition
Ampho B (Miltefosine also used)
Term
Treatment for cutaneous/mucocutaneous Leishmaniasis
Definition
pentavalent antimony aka Sodium Stibogluconate (Miltefosine also used)
Term
chronic illness involved heart (dilated cardiomyopathy or arrhythmias) after visiting central or south America
Definition
trypanosoma cruzi
Term
Treatment for trypanosoma cruzi?
Definition
Nifurtimox or Benznidazole
Term
amastigotes in mononuclear cells, hepatosplenomegaly
Definition
visceral leishmaniasis
Term
HIV pt, ring-enhancing lesions in cerebrum on CT
Definition
Toxoplasmosis encephalitis
Term
Treatment for Toxoplasmosis?
Definition
Pyrimethamine + Sulfadiazine (or Clindamycin)
Term
Test for toxoplasmosis?
Definition
Toxoplasmosis IgG level
Term
How to make a diagnosis for Trichomonas?
Definition
Do a wet mount – microscopic analysis of a sample of vaginal discharge suspended in a drop of saline
Term
How to treat trichomonas?
Definition
Metronidazole, single dose
Term
treatment for E. vermicularis?
Definition
Mebendazole or albendazole
Term
how do patients acquire E. vermicularis?
Definition
Ingest ova
Term
earth worm-like parasite in stool?
Definition
Ascaris
Term
how do patients acquire ascaris?
Definition
Ingesting ova in contaminated food
Term
parasite that produces >200,000 ova per day?
Definition
Ascaris
Term
treatment for ascaris?
Definition
Mebendazole
Term
roundworm that can cause biliary obstruction?
Definition
Ascaris lumbricoides
Term
rectal prolapse
Definition
trichuris trichiura
Term
lemon-shaped ova
Definition
trichuris trichiura
Term
treatment for intestinal nematodes in general?
Definition
Mebendazole/albendazole
Term
hyperinfection syndrome (pneumonia, dysentery, sepsis) in immunocompromised pt
Definition
strongyloides
Term
home made sausage, bilateral periorbital edema, myalgia
Definition
trichinosis
Term
how do you diagnose trichinosis?
Definition
Muscle biopsy – larvae form cysts in the muscles
Term
microcytic anemia after a trip to rural Bolivia
Definition
hookworm
Term
how do you diagnose hookworm?
Definition
Ova in stool
Term
fluid filled blister on ankle/foot
Definition
Dracunculus
Term
how does one acquire dracunculus?
Definition
Drinking water from a well containing an infected copepod
Term
works on banks of river in Nigeria, blurring of vision, injected conjunctivae, pruritic, indurated thighs and upper arms
Definition
onchocerca volvulus
Term
how do you diagnose onchocerciasis?
Definition
Obtain a skin snip of indurated skin, examine for presence of larvae
Term
how do you treat onchocerciasis?
Definition
Ivermectin + suramin
Term
painful skin lesions (calabar swellings) and a larvae in conjunctivae
Definition
loa loa
Term
Test used to confirm loa loa?
Definition
Microscopic analysis of a Giemsa stained blood smear
Term
how is loa loa treated?
Definition
DEC/diethyl carbamazine
Term
lymphedema in the legs, scrotum, ascites
Definition
W. bancrofti or B. malayi
Term
how is W. bancrofti or B. malayi transmitted?
Definition
Mosquito carries microfilariae
Term
how do you treat filariasis?
Definition
DEC/diethyl carbamazine
Term
rescue clinic puppy, hepatomegaly, lesion on the optic disc, 22% eosinophils
Definition
toxacara canis (ocular LM)
Term
sushi, diminished vibratory sense and ataxic gait, hypersegmented PMNs, macrocytic anemia
Definition
D. latum
Term
Ivory Coast, long white ribbon like structure in stool, uterus contains 24 lateral branches
Definition
Beef tapeworm (T. saginata)
Term
seizures, 1-2 cm cystic lesions in the brain which are lucent in the center
Definition
Pork tapeworm (T. solium)
Term
10 cm fluid-filled cyst in the liver with two smaller cystic structures within it, pt is asymptomatic
Definition
echinococcus
Term
how do you diagnose echinococcus?
Definition
Echinococcus serology
Term
how do you treat echinococcal cysts?
Definition
Surgery/aspiration + albendazole
Term
how do you treat S. haematobium?
Definition
Praziquantel
Term
pruritic rash after swimming in a fresh water lake in Wisconsin
Definition
duck schistosomes
Term
RUQ pain, dilated biliary tract, 12% eosinophils
Definition
Liver fluke (opisthorchis sinensis)
Term
which parasite infection can lead to cholangiocarcinoma?
Definition
Liver fluke (opisthorchis sinensis)
Term
fever, L pleural effusion, 3.5 cm nodule in LLL
Definition
Paragonimus westermani
Term
how does one acquire an infection with P. westermani?
Definition
Undercooked crayfish and crabs
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