Animal & Insect Exposure Flashcards

1
Q

Anthrax- epi

A

exposure to animals, hides or bioterroism. Aerobic spore forming rod

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2
Q

Anthrax- Sx

A

Cutaneous- erythmatous papules turn necrotic with black to purple eschar.
Inhalational- viral like symptoms, anterior chest pain- mediastinitis
GI- fever, abd pain, rebound tenderness

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3
Q

Anthrax Dx

A

Box car rods in chains, CXR- mediastinal widening, hemorrhagic lymphadenitis

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4
Q

Anthrax Tx

A

Ciprofloxacin or penicillin

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5
Q

Dengue Fever- Epi

A

Togavirus transmitted through mosquito in tropical climate

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6
Q

Dengue- Sx

A

Febrile illness, retroorbital pain, severe pain, macular rash & petechiae

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7
Q

Dengue- Dx

A

ELISA serologic testing, leukocytopnia, thrombocytopneia

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8
Q

Dengue- Tx

A

Supportive therapy

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9
Q

Cat scratch disease- Epi

A

B. henselae from cat scratch or bite. Disseminates in immunocompromised

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10
Q

CSD- Sx

A

Papule or ulcer at site of scratch. Regional lymphadeopathy!, fever & malaise

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11
Q

CSD- Dx

A

ELISA testing or symptoms of cat scratch + regional lymphadenopathy

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12
Q

CSD- Tx

A

Self limiting- if progresses azithro or doxycycline

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13
Q

Tularemia- Epi

A

F. Tularensis. Transmitted via arthropod bite or contact with infected animal flesh- rabbits

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14
Q

Tularemia- Sx

A

tender, erythematous papule turns black eschar with depressed center, regional enlargement

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15
Q

Tularemia- Dx

A

Serologic testing or presence of chancre form syndrome + exposure

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16
Q

Tularemia- Tx

A

Streptomycin or gentamycin

17
Q

Toxoplasmosis- Epi

A

Toxoplama gondii- protozoa. From undercooked meat, cats, water

18
Q

Toxoplas- Sx

A

Often asymtomatic- milde febrile illness, lymphadenopathy, fever & malaise

19
Q

Toxoplas- Dx

A

PCR, Serology

20
Q

Toxoplas- Tx

A

None if healthy individual, pyrimehamine + sulfadiazine in immunocomp.

21
Q

Plague- Epi

A

Yersina pestis transmitted from rodents and flea bites

22
Q

Plague- Sx

A

Buboes- inflammed, necrotizing lymphnodes, sudden onset of fever, malaise, tachycardia, HA & myalgias

23
Q

Plague- Dx

A

Buboe smears or Ab titer

24
Q

Plague- Tx

A

Streptomycin- isolate patient

25
Q

Malaria- Epi

A

Plasmodium parasite transmitted in endemic areas by female mosquitos

26
Q

Malaria- Sx

A

HA, fever, chest & abd pain, anemia, jaundice, splenomegaly

27
Q

Malaria- Dx

A

Giema stained blood smear, dipstick test

28
Q

Malaria- Tx

A

Antimalaials- prophylaxis and tx. Chloroquinine, etc.