A1 Helminths-Intestinal/Tissue nematodes (Nematodes=round worms) Flashcards

1
Q
Etiology: enterobiu vermicularis
MOA: Fecal/oral
Sx: perianal itching
Test: O&P,*scotch tape prep*
*No intermediate host, females lay eggs at night*
Tx: Vermox 1x and then 2 weeks later
*Most in USA*
A

Intestinal- Enterobiasis (Pin Worms)

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2
Q
Etiology: trichuris trichiura
MOA: Oral/fecal
Sx: abd pain, bloody diarrhea
Test: stool O&P
Tx: Vermox
*no intermediate host*
*rectum exits the body*
A

Intestinal- Trichuriasis (Whip Worms)

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3
Q
Etiology: ascaris lumbercoides
MOA: food/drink (eggs)
Sx: wheezing, abd complaints
Test: stool/sputum O&P, xray
Tx: Vermox
*lung migratory to bowel obstruction*
*most in world*
A

Intestinal- Accariasis (giant round worm)

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4
Q
Etiology: Ancylostoma duodenale
MOA: penetrates skin of feet, migrates to lungs/intestines
Sx: severe anemia, mental retardation
Test: stool O&P
Tx: Vermox
*serpentine rash-snakelike rash of worm*
*humans secondary host to animals*
A

Intestinal- Hookwork

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5
Q
Etiology: strongyloides stercoralis
MOA: through feet, *lines on back and buttocks*
Sx: auto/hyperinfection
Test: Sputum O&P
Tx: *ivermectin*
*pulmonary symptoms = severe cases*
A

Intestinal- Strongyloidiasis (Thread Worm)

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6
Q
Etiology: trichinella spiralis
MOA: undercooked meat (pork)
Sx: periorbital edema
Test: CBC (Increased WBC), muscle biopsy
Tx: albendazole
*humans accidental host*
A

Tissue- Trichiniasis (Trichinosis)

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7
Q
Etiology: dracunculus medinesis
MOA: water with larvae
Sx: blister
Test: visual
Tx: flagyl, remove worm carefully
*longest nematode 1m*
A

Tissue- dracunculiasis (Guinea worm disease)

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8
Q
Etiology: wuchereria bancrofti, brugias
MOA: culex mosquito
Sx: elephantiasis
Test: CBC, blood smear shows microfilariae
Tx: ivermectin
*chyluria-milk like urine*
A

Tissue- lymphatic filariasis

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9
Q

Etiology: onchocerca volvulus
MOA: blak flies
Sx: pruritis, rash lizard skin, blindness
Test: CBC
Tx: ivermectin
near rivers * extreme pruritis-can scratch pigment out of skin*

A

Tissue- Onchocerciasis (river blindness)

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10
Q
Etiology: loa loa
MOA: deerfly
Sx: calabar swelling (localized swelling)
Test: CBC
Tx: DEC
*worm across eye*
A

Tissue- Loa Loa (african eye worm)

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