DIPHTHERIA Flashcards

1
Q

Acute febrile infection of the tonsil, throat, nose, larynx that usually affects the mucous membranes of the nose and throat.

A

DIPHTHERIA

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2
Q

DIPHTHERIA causative agent:

A

CA: Corynebacterium diptheria (Klebs- Loeffler bacillus)

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3
Q

DIPHTHERIA CLASSIFICATION:

A

bacteria

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4
Q

DIPHTHERIA SOURCE OF INFECTION

A

§ Discharges and secretions from nose, nasopharynx
§ From skin and other lesions
§ Reservoir= Man

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5
Q

DIPHTHERIA incubation period

A

2-5 days

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6
Q

DIPHTHERIA PERIOD OF COMMUNICABILITY

A

2 weeks

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7
Q

DIPHTHERIA MOT:

A

D-D-M
“Diptheria is a loyalista ni bbm”

§ Droplet
§ Direct contact
§ Milk (unpasteurized milk) has served as a vehicle

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8
Q

DIPHTHERIA SUSCEPTIBILITY

A

§ INFANTS BORN OF MOTHERS who had diphtheria are relatively immune but disappears before the 6th
month after birth
§ RECOVERY FROM an attack of diphtheria does not
confer persistent immunity

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9
Q

DIPHTHERIA Pathognomonic sign:

A

Pseudo membrane

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10
Q

characterized by a thick, gray membrane covering the throat and
tonsils

A

Pseudo membrane (membrane of dead tissues d/t bacteria)

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11
Q

types of DIPHTHERIA

A
  1. Nasal diphtheria
  2. Pharyngeal diphtheria
  3. Laryngeal diphtheria
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12
Q

Hoarseness of voice
what type of Diphtheria?

A

Laryngeal diphtheria

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13
Q

a. Sore throat
b. Tonsillitis
c. Bull neck appearance (one of the PS)

what type of Diphtheria?

A

Pharyngeal diphtheria

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14
Q

a. Coryza- enters the nasopharynx
b. Epistaxis
c. Adenitis/ lymphadenopathy

what type of Diphtheria?

A

Nasal diphtheria

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15
Q

What is the purpose of Schick’s test in diagnosing diphtheria, and how is the test administered?

A

Purpose: Schick’s test determines susceptibility and immunity to diphtheria.
Administration: A minute amount of diphtheria toxin is injected into the skin of the LEFT forearm.

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16
Q

The DIPHTHERIA dx test that assesses the individual’s immune response to diphtheria toxin by observing skin reactions. The injection of a 0.1-0.2 mL amount of toxin helps evaluate if the person has developed immunity. Administering it in the left forearm allows for standardized testing.

A

Schick’s test

17
Q

An induration of 10 mm wheal formation, indicating an erythematous reaction that developed after 4 days and persisted for 7 days before fading.

A

positive Schick’s test

18
Q

what will happen to a NEGATIVE Schick’s test?

A

no skin reaction

19
Q

DIPTHTHERIA dx test that determines hypersensitivity to the diphtheria toxoid given ID

A

Moloney’s test

20
Q

DIPHTHERIA MANAGEMENT:

A

o Proper disposal of secretions
o Coughing etiquette (cover mouth/nose) o Avoid use of common towels, glasses and eating
utensils (contact or direct/ indirect)
o Strict isolation (5 to 7 days)
o Rest
o Soft diet (tonsillar involvement); small, frequent feedings
o Pasteurization of milk: 71.6-71.7 C for 5-15 seconds

21
Q

PREVENTION of Diphtheria

A

DPT vaccine