CVS 10 Flashcards
XLR disease mnemonic
GOLF CHilD G6PD Otc def (orotic aciduria) Lesch neyhan Fabry (a galactosidase) Hunter ( iduronolate) CGD D Alas (heme synthesis)
terbinafine mechanism
inhibits sq epoxidase
terbinafine used to treat
onychomycosis / dermatophyte
terbinafine S.E
toxic to liver
Echinocandins
fungins cell wall ( b glucan)
echinocandins S.E
histamine release
GI upset
mechainsm of Griseofulcin
inhibits microtubules
method of administration of Griseofulvin
where does it have its major effect?
idications?
orally
keratin areas
tinea / ring worms
Griseofulvin cyp450 enzyme inhibitor or inducer
inducer
remmber My New GPRS Cell Phone
side effects of Griseofulvin
Disulfram like reactions
flushing tachy hpoTension
drugs that can cause a disulfram like reaction
CGMP Cefoperazone (3rd), cefotetan (2nd)/ chlorpropamide Griseofulvin (microtubule) Metronidazole Procarbazine ( alkylating agent)
smallest form of cytoskeletal elements
and some examples
microfilaments
actin/ microvilli
viementin
intermediate filament found in mesenchymal tissue sarcoma RCC meningioma
GFAP
intermediate filament
Glial cells
Desmin
intermediate filament
muscle (rhabdomyosarcoma)
ex Tuberous sclerosis
cytokeratin
also intermediate filament
largest cytoskeletal element
microtubule
movement / cell division
drugs MOA inhibiting microtubule polymerization
vincristine vinblastine
MOA inhibting de polymerization
paclitaxel
docitaxel
aneterograde transport
kinesis (towards +ve side)
Positive in Periphery
retrograde transport
dyenin
viruses that use retrograde transp
polio
herpes
rabies
tetanus
what is the DOC for herpetic neuralgia
gabapentin
drugs that inhibit microtubule formation
Griseofulvin
bendazoles
colchicine
Kartagener
mode of inheritnce
whats the defect
signs symp
AR dyenin arm primary ciliary dyskinesia recurrent sinusitis/ situs invertus/ bronchiectasis ectopic pregnancy
screening test for cystic fibrosis and primary ciliary dysk
nitric oxide test
what is required for synchronous contraction of heart uterus osteocytes etc
gap junction
failure of phagosome to fuse with lysosome
chediak hegashi
symp of chediak higashi
and the gene
PLAIN Progressive neurodegeneration Lymphohystiocytosis Albinism Neuropathy
gene LYST
budding yeast at 20 degrees
germ tubes at 37
Candida
Candida has true hyphae or pseudihyphae
both
pseudohyphae at germ tubes 37 degrees
who is at risk for candida inf
babies
immunocomp
HIV
diabetics
typical infection in baby linked to candida ?
and in females?
diaper rash
vulvovaginitis
txt for candida
flucanazole
nystatin
fungins
ampho b
branch septate hyphae at 45 degrees
V shape
aspergillus
what is the form of aspergillus
MOLD form not dimorphic
aspergilloma can be formed in what conditions
pre existing cavitary lesions in TB for exmp
air crescent sign
aflatoxin
invasive aspergillosis
Neutrophils low
Immunocomp
HIV
CGD
aflatoxin can cause
HCC
alcohol
afltoxin found in
aspergillus
stored grains
nuts
causes HCC
Arsenic
smelting of metals/ vineyards
angiosarcoma
cigarette smoke
has PAH lung cancer (sq, small cell, large cell) bladder canc ( sq and transitional) esophageal (adeno lower eso, sq upper 2/3 eso) RCC
relative vitamin A def caused by
cigarette smoke and it leads to
pancreatic cancer
cervical sq
laryngeal carcinoma
aljylating agents can cause
leukemia and lymphoma
Napthylamine
transitional cell carc
HPV
16 18 31 33
cervical penil head and neck cancer
HTLV 1
adult t cell leukemia/ lymphoma
HTLV 1 belongs to whch virus class
retrovirus like HIV
EBV herpes 4
hodgkin
non hodgkin
nasopharyngeal ca (chinese)
primary CNS lymphoma (<100 cd4)
EBV in endemic areas can cause
burkitt lymphoma 8,14 transloc extranodal mass = jaw (african) abdomen (sporadic)
EBV in transplant pt
lymphoprolif disease
schistosoma hematobium
squamous cell carcinoma of bladder
chlonorchis sinensis
liver fluke
cholangiocarcinoma
H pylori
intestinal type gastric carcinoma
MALTOMA (11,18)
inflammation MALTOMA can be caused by or seen in
H pylori
sjogern
hashimoto
type 1 hypersensitivity response assoc with asthma Cystic Fibrosis
may cause bronchiectasis and eosinophilia
Allergic bronchopulomonary aspergillosis
encapsulated yeast
pigeon droppings
cryptococcus neof
dissemination route for cryptococcus
hematogenous spread
cryptococcus meningitis appearance
soap bubble
what is the special test for cryptococcus
also the ink?
latex particle agglutination
india ink
how to stain the capsule for cryptococcus
mucicarmine stain
RED capsular inner core
mold form only
broad 90 degrees non septate
mucor rhizophus
how is mucor contracted
inhaled — prolif in bloooood vessels —- penetrate through cribriform plate and into inus
most common cause of cavernous sinus thrombosis
STAPH AUR
strept
mucor
drainage of cavernous sinus
sup petrosal sinus —- great verebral vein pf gallen
inf petrosal sinus —- int jugular vein
3rd cranial nerve palsy
down n out
corneal senation
V1 sensory
7 is motor (reflex)