CAPILLARIA, ENTEROBIUS, STRONGYLOIDES, HOOKWORM Flashcards

1
Q

Capillaria Philippinensis

Infective stage:
Diagnostic stage:
Mode of transmission:
Autoinfection:
Larva lung migration:

A

Infective stage: encysted larva
Diagnostic stage: unembryonated ova
Mode of transmission: Eating raw freshwater
Autoinfection: YES-larviparous females
Larva lung migration: No

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2
Q

In what year and place pudoc worm happen?

A

1967 - epidemic in pudoc, Ilocos sur

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3
Q

Another term Capillaria Philippinensis

A

pudoc worm

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4
Q

Example of Capillaria Philippinensis

A

BBB
Bagsit, Birut, Bagsang

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5
Q

These embryonated eggs are peanut shape and measure 36-45

A

Capillaria Philppinensis

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6
Q

Capillariasis (6)

A

Abdominal pain
Gurgling
Diarrhea
Weight loss
Malaise
Edema

AGDWME

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7
Q

The main capillariasis

A

Gurgling

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8
Q

Protein losing enterophy
Malabsorption of fats and sugar
Electrocyte imbalance

A

PME

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9
Q

capillaria P.

A

Albendazole
Mebendazole
Fluid and Electrocyte replacement

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10
Q

General Characteristics

  1. Soil transmitted (2)
  2. Food-borne (1)
  3. Larva lung migration (1)
  4. Autoinfection (1)

SFLA

A

Soild transmitted
1. Ascaris Lumbricoides
2. Trichuris Trichuria

Food-borne
1. Capillaria Philippinensis

Larva lung migration
1. Ascaris Lumbricoides

Autoinfection
1. Capillaria Philippinensis

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11
Q

Enterobius vermicularis

Infective stage:
Diagnostic stage:
Mode of transmission:
Autoinfection:
Larva lung migration:

A

Enterobius vermicularis

Infective stage: embryonated ova
Diagnostic stage: female adult or embryonated ova
Mode of transmission: per-oral, ingestion of embryonated ovum, inhalation and RETROINFECTION
Autoinfection: Yes
Larval lung migration: No

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12
Q

Enterobius vermicularis

Adult worms have cuticular alar expansion (cephalic alae) at the anterior end and a esophageal bulb prominent posterior
Cervical alae Double bulb esophagus

A

Enterobius vermicularis

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13
Q

Enterobius vermicularis

Male (______mm long)
Female (______mm long)

A

2-5 mm
8-13 mm

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14
Q

curve tail with spicule
with long pointed tail

A

male
female

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15
Q

Asymmetrical with one side flattened and the other convex (D-shaped)

A

Enterobius vermicularis ovum

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16
Q

_________um by _______um in size

A

50-60 and 20-30 um

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17
Q

Embryonates within ____________

A

4-6 hrs

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18
Q

Pathogenesis and Clinical Manifestations

  • Enterobiasis or Oxyuriasis

Relatively innocuous parasite and rarely produce serious problems

  • Mild inflammation of the intestinal mucosa and secondary bacterial infection may occur due to attachment of worms to the walls

Migration of the egg-laying females to the anus causes irritation of perineal region - itching and scratching - secondary bacterial infection

A

Enterobius Vermicularis Ovum

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19
Q

Children infected may suffer from insomnia

A

Enterobius Vermicularis Ovum

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20
Q

Complications

Appendicitis
Vaginitis
Endometritis
Salpingitis

AVES

A

Enterobius Vermicularis Ovum

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21
Q

Diagnosis microscopic examination
___________ - only 5% will turn to be positive
____________ - Graham’s scotch adhesive tape (perianal cellulose tape swab)

A

Feces
Perianal region
enterobius vermicularis

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22
Q

Treatment

____________ drug of choice
_____________ and _________ alternative drugs
____________may be necessary due to high reinfection rates
___________ may be considered only after seven negative perianal swabs
____________ of the whole family is highly suggested

A

pyrantel pamoate
albendazole and mebendazole
second dose
curate
chemotheraphy

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23
Q

Prevention
(5)

A

Personal hygiene
Fingernails should be cut short
Handwashing
Infected person should be alone
Underwears, blankets, and night clothes

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24
Q

Common name of strongyloides stercoralis

A

Threadworm

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25
Q

Disease of strongyloides stercoralis

A

strongyloidiasis
Cochin-china diarrhea

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26
Q

smallest nematodes measuring 2.2 X 0.04 mm
It has slender tapering anterior end and a short conical pointed tail
the short buccal cavity has ________
the vulva is located _____ the length of the body from the __________
the uteri contain a single file _________

A

Parasitic or filariform female
4 indistinct lips
8-12 thin-shelled, transparent, segmented ova

27
Q

Strongyloides stercoralis is _________

A

parthenogenetic

28
Q

It has a muscular double-bulled esophagus and the intestine is a straight cylindrical tube

measures 1 mm by 0.06 mm and is smaller than parasitic female

A

Free-living female

29
Q

measures 0.7 mm by 0.04 mm and is smaller than the female

it has ventrally curved tail, two copulatory spicules, a gubernaculum but no caudal alae

A

Free-living male

30
Q

measures 225 micra by 16 micra it has elongated esophagus with a pyriform posterior bulb

A

Rhabditiform larva

31
Q

Strongyloides has a shorter buccal capsule and a __________
feeding stage

A

genital primordium

32
Q

Strongyloides egg ______ in the stool specimen

A

rarely seen

33
Q

It is a ________ and are similar to those of hookworms except they measure about ______ micra by _________ micra

A

clear, thin shell
50-58
30-34

34
Q

Strongyloides life cycle
1. Infective stage -
2. definitive host -
3. diagnostic stage -

Eggs hatch in mucosa of intestines and are rarly seen in feces.
It has both a ________ and _______

A
  1. Infective stage - filariform larva
  2. definitive host - human, monkeys
  3. diagnostic stage - rhabditiform larva in stool sample

free living and parasitic cycle

35
Q

Strongyloides stercoralis
A. Three stages based on life cycle
1. Cutaneous
2. Pulmonary
3. Intestinal

A
  1. Cutaneous – initial skin penetration
  2. Pulmonary - larval migration in the lungs
  3. Intestinal - symptoms depend on worm

CPI

36
Q

symptoms depend on worm load, immunocompromised patients may exhibit __________ and _________

A

leukocytosis and eosinophilia

37
Q

_________ may lead to death due to tissue damage ; occurs in immunosuppressed patients; can be transferred through organ transplantation; transmammary

A

Hyperinfection syndrome

38
Q

Strongyloides
a D
b C
c B

A

a DFS
b Concentration technique
c Baermann technique

39
Q

prevention and control of strongyloides stercoralis

A

Proper Sewage disposal
Avoid walking barefooted

40
Q

How to control strongyloides
I
T

A

Ivermectin - main
Thiabendazole

41
Q

What are the 5 types of hookworms

A
  1. Necator americanus (new world hookworm)
  2. Anjcylostoma duodenale (old world hookworm)
  3. Ancylostoma braziliense - cat
  4. Ancylostoma caninum - dog
  5. Ancylostoma ceylanicum - humans and animals
42
Q

hookworms
Disease: (2)

Uncinariasis
hookworm disease

A

Ancylostoma
Necatoriasis

43
Q

________ posses a bursa which aids in the speciation of hookworm
exhibits________

A

Male worm
8-11 mm long
dental pattern

44
Q

____________ pointed tail adults may live ________ rarely seen in the stool since firmly attached to the mucosa

A

10-13 mm long
adults may live 2-14 years

45
Q

non-infective; feeding stage
bulbous esophagus
long buccal cavity approximately as long as the width of the body
inconspicuous genitsl primordium

A

rhabditiform larva

46
Q

Hookworm

buccal capsule
genital primordium
esophagus
tail end

A

LSSP

long
small
shorter
pointed

47
Q

Strongyloides

buccal capsule
genital primordium
esophagus
tail end

A

SPLN

short
prominent
longer
notched

48
Q

OTCM

Ovoidal
Thin shelled
Colorless
Morula ball

A

Hookworm egg

49
Q

Ancylostoma caninum - how many teeth
Ancylostoma duodenale - how many teeth

A

3 teeth
2 teeth

50
Q

hookworms

Life cycle:
infective stage:
Definitive host
Diagnosic stage

A

filariform larva
humans
egg

51
Q

clinical disease of Hookworms
PAAC

pneumonitis
allergic reaction
anemia
cutaneous larva migrans

A

hookworms

52
Q

_________ and ________ through the subcutaneous tissue causing itching and the formation of ____________

A

Ancylostoma braziliense and caninum
serpiginous tunnel

53
Q

__________ is not seen in feces (unless the specimen is left for 24 hours)

A

Larva

54
Q

Hookworm

Diagnosis: Should you recover the adult hookworm, easier differentiation is done by observing the ________

A

buccal capsule

55
Q

Hookworms

  1. Necator Americanus
  2. Ancylostoma duodenale
  3. A. caninum
  4. A. ceylanisum
  5. A. braziliense
A
  1. Necator Americanus - semi lunar
  2. Ancylostoma duodenale - 2
  3. A. caninum - 3
  4. A. ceylanisum - 2 outer
  5. A. braziliense - pair of big teeth
56
Q

hookworms
prevention and control:

(6)

Mass chemotheraphy when prevalence

A

1.proper disposal of feces
2. avoid walking barefooted
3. health education
4. treatment of infected
5. mass chemotheraphy
6. protection of susceptible individuals

PAHTMP

57
Q

treatment of hookworm
1.
2.
3.

A
  1. albendazole
  2. mebendazole
  3. pyrantel pamoate
58
Q

The pressure that will flow in the wall blood vessel

A

hydrostatic pressure

59
Q

pull back sa pressure

A

osmotic pressure

60
Q

no albumin no osmotic pressure

A

edema

61
Q

Cochin-China Diarrhea originated in what country? Strongy S.

A

Vietnam

62
Q
  • some of the rhabditiform
    larva develop into filariform
    larva in the bowel and
    reinfect the host
A

Autoinfection

63
Q
  1. Demonstration of
    characteristic egg in the
    feces (2-8 cell stages)
  2. Larva is not seen in feces
    (unless the specimen is
    left for 24 hours)
A

hookworms