Dr. Barber's Charts Flashcards
Dental Caries
Streptococcus mutans (+)
Gingivitis
Porphyromonas gingivalis (-)
Peptic Ulcer
Helicobacter pylori (-) (duodenal relieved by food, gastric is exacerbated) Fecal Oral
Cholera
Vibrio cholerae (-) "Rice-water stool" Fecal Oral, Contaminated food and water Cl- channels
Shigellosis
Shigella sonnei (2/3), S. flexneri (1/3), S. dysenteriae, S. boydii (-)
aka Bacillary dysentery
Fecal Oral, Cold foods and salads
Traveler’s Diarrhea
E. Coli 0157:H7 (-)
Fecal Oral
Undercooked beef
Purple spotted college dormitory meningitis
Niesseria meningitidis (-) Respiratory Droplets
Non-nosocomial UTI
E. coli (-)
Leptospirosis/Weil’s disease
Rare in U.S. Leptospira interrogans (-)
MC bacterial meningitis in adults
Streptococcus Pneumoniae (+)
“the pneumococcus”
Respiratory Droplets
Acute Poststroptococcal Glomerulonephritis
Streptococcus pyogenes (+)
Staphylococcal Toxic Shock Syndrome
Staphylococcus aureus (+) Loss of sheets of skin, associated with tampons
More likely cause of folliculitis
Staphylococcus aureus (+) Direct contact/Fomites
Bacterial Meningitis in child under 5
Haemophilus influenzae b (-)
Respiratory Droplets
Causes of abscess
Staphylococcus aureus and Staphylococus epidermidis (+)
Direct contact/Fomites
Hot Tub folliculitis
Pseudomonas aeruginosa (-)
Staphylococcal Scalded Skin Syndrome
Staphylococcus aureus (+)
Skin peels of in sheets starting near mouth, looks like child abuse.
Direct contact/Fomites
Bacterial Meningitis in elderly and pregnant women
Listeria monocytogenes (+) Deli meats
MC cause of meningitis
VIRAL
Impetigo (pyoderma)
Staphylococcus aureus +(80%), Streptococcus pyogenes +(20%)
honey crusted
Direct contact/Fomites
Erysipelas
MC Streptococcus pyogenes (+), occasionally Staphylococcus aureus (+)
Elderly, fiery red rash with raised borders
Direct contact/Fomites
Bacterial Meningitis in premature baby
Streptococcus agalactiae (+) via passage through birth canal
Strep Throat
Streptococcus pyogenes (+)
5-15, purulent abscesses covering tonsils
Respiratory droplets
Buruli Ulcer
Mycobacterium Ulcerans (+)
Skin
Emerging Disease
Scarlet Fever
Streptococcus pyogenes (+)
Strawberry red tongue
Scarletina
Respiratory droplets
Diptheria
Corynebacterium diptheria (+) Pseudomembrane Palisade arrangement Respiratory droplets
Sinusitis
MC Moraxella catarrhalis (-)
Otitis Media
MC Streptococcus pneumonia (+)
Septicemia
Petechiae, osteomyelitis
Various causative organisms
Endocarditis associated with colon cancer
Streptococcus bovis (+)
Rheumatic Fever
Streptococcus pyogenes (+)
5-15
Follows strep throat or scarlet fever w/in 1-5 weekss
Endocarditis associated with cavities
Streptococcus mutans (+)
Diarrhea 10x a day for 7-10 days
Campylobacter jejuni (-) MC cause of bacterial gastroenteritis in U.S.
Psuedomembranous colitis
Clostridium difficile (+) Opportunistic after taking anti-microbials
Salmonellosis: Salmonella
Salmonella enterica enteritidis, S. enterica typhimurium (-)
Eggs, poultry, inadequately pasteurized milk
Salmonellosis: Typhoid Fever
Salmonella enterica typhi, S. enterica paratyphi (-)
Contaminated food or water, Typhoid Mary
Hansen’s Disease
Leprosy!
Mycobacterium leprae (acid-fast)
Amadillos
Staphylococcal Food Poisoning
Staphylococcus aureus (+)
Botulism
Clostridium botulinum (+) Honey and infants Flaccid paralysis Floppy baby syndrome Category A bioterrorist threat
Clostridial Food Poisoning
Clostridium perfringens (+) Contaminated meat
Tetanus
Clostridium tetani (+) Cannot exhale Risus sardonicus Infected umbilical stump kills 90% of those infected Parenteral
Yersinia Food Poisoning
Yersinia enterocolitica (-)
Mimics appendicitis
Contaminated pork
Viral Meningitis
MC Meningitis
RNA Virus
Enterovirus, Poliovirus, Coxsackie virus, Echo virus
Brucellosis
Bucella melitensis (-)
Sheep and goats
Fever that spikes every afternoon
Tularemia
Francisella tularensis (-)
Ascending lymphangitis
Rabbit fever, tick bite
Cat A bioterrorist threat
Plague (Bubonic)
Yersinia pestis
Buboes, subcutaneous hemorrhaging
Flea bite
Black Death, Cat A Bioterrorist threat
Community-Associated MRSA
Staphyloccocus aureus (+) Emerging disease
Monkeypox
Monkeypox virus
Emerging disease
Plague (Pneumonic)
Yersinia Pestis
Person to person via sputum
Lyme Disease
Borrelia burgdorferi (-)
Tick
Erythema migrans
Most reported vector-borne disease in US
Relapsing Fever
Borrelia recurrentis (-) Human Body Louse
Necrotizing fasciitis
Streptococcus pyogenes (+) Emerging disease
Acne
Propionibacterium acnes (+) Infection of hair follicle or sebaceous gland
Cat Scratch Fever
Bartonella henselae (-)
Lymphadenopathy
Bump or Blister at the site of injury
Pseudomonas infection
Pseudomonas aeruginosa (-)
Pyocyanin
Burn victims
Rocky Mountain Spotted Fever
Rickettsia ricketsii (-) Non-itchy spotted rash on trunks and appendages, including the palms and soles
Cutaneous Anthrax
Bacillus anthracis (+) Eschar, black crusty ulcer Cat A Bioterrorist threat
Fried Rice Syndrome
Bacillus cereus (+)
Oral Herpes
HHV-1, sometimes 2
Trigeminal ganglia
DNA
Cold sores
Mumps
Mumps virus, Rubulavirus
RNA
Parotitis, orchitis
Viral Gastroenteritis
Norovirus is MC, #1 cause of food borne illness
Astrovirus is No puking
Rotavirus is babies
All RNA
Hepatitis A
HAV, RNA Infectious Hepatitis Jaundice Resistant to household cleaners Fecal-Oral
Common Cold
Rhinovirus (MC), direct contact
Coronavirus (2nd), respiratory droplets
Adenovirus, respiratory droplets
Pneumococcal Pneumonia
Streptococcus pneumoniae (+)
Typical pneumonia
Rust colored sputum
Mycoplasmal Pneumonia
Mycoplasma pneumoniae (no cell wall)
Consolidation
“Walking pneumonia”
Klebsiella Pneumonia
Klebsiella pneumoniae (-)
Currant Jelly Sputum
Consolidation
Immuno-comprimised
Gas Gangrene
Clostridium perfringens (+) Gas bubbles
Smallpox
Smallpox virus, Orthopoxvirus (DNA)
Cat A Bioterrorist Threat, BSL-4
Molluscum Contagiosum
DNA Virus
Pearl like, waxy papules
STD
Herpes labialis
HHV-1
Herpetic whitlow
HHV-1
Blisters on fingers
Brachial ganglia
Herpes gladiatorum
HHV-1
Blisters anywhere
Contact sports
Chicken Pox
HHV-3
Varicella-Zoster
Itchy fluid filled blisters all over the body
Fishy odor and white vaginal discharge
Bacterial Vaginosis
Odor-free vaginal discharge with cottage cheese appearance
Vaginal Yeast Infection
Candida Albicans
Gonorrhea
Neisseria gonorrhea
The clap
More common in blacks and women
Male painful urination and pus discharge
Chlamydia
Chlamydia trachomatis (-)
Most common REPORTABLE STD
Bubo in the groin
Chlamydia trachomatis (-)
Lymphogranuloma venereum
Different strain than Chlamydia
Hepatitis B
Jaundice, associated with liver cancer DNA
Blood Boinking and Babies
Co-infection with Hepatitis D virus can cause permanent liver damage
Hepatitis C
Chronic
Needles, Organ transplants, blood and sex
MC nonA nonB hepatitis in the US
Giardiasis
Rotten egg smelling stools
Giardia intestinalis
Giardia lamblia
Beaver Fever
Rabies
Zoonotic disease
Bats
Bullet shaped
Negri bodies
Hepatitis D
Dependent
Jaundice, associated with liver cancer RNA
Satellite virus
Poliomyelitis
90% asymptomatic
1% paralytic polio, could be bulbar polio
Infantile paralysis
FDR
Hepatitis E
Enteric hepatitis
Fatal in 20% of pregnant women
Vibrio vulnificus
Emerging disease
Chikungunya
Mosquitos
Emerging
Ornithosis
Chlamydophila psittaci
Flu like symptoms w/in 10 days of exposure
aka Psittacosis
Bird kisser
Legionnaire’s Disease
Legionella pneumonia
^can also cause Pontiac disease which is non-fatal
Ghon’s complex
TB
Gram positive bacteria that don’t follow the rules
Listeria, Nocardia, Actinomyces, Streptomyces
Mycobacterium tuberculosis
TB
Gram negative bacteria that don’t follow the rules
Pseudomonas, Vibrio, Proteus, Haemophilus, Bacteroides
Consumptions
TB
Melioidosis
Burkhoideria pseudomallei
Emerging disease
Swine Flu
H1N1
Gastrointestinal
Emerging disease
Mosquito vetor
Encephalitis, Arbovirus
Infectious mononucleosis
HHV-4
Epsein-Barr Virus
Cytomegalovirus
HHV-5
Opportunistic infection for AIDS
congenital birth defects
Dengue Fever
Dengue virus (1,2,3,4)
Arbovirus
80% asymptomatic
aka break-bone fever
Pertussis
Bordatella pertussis
Emerging disease
Microsporidiosis
Encephalitozoon intestinalis
Shingles
Herpes zoster
HHV-3
Painful blistering skin rash that follows a dermatome, usually unilateral
Dengue Hemorrhagic Fever
Dengue virus (1,2,3,4) Internal bleeding, shock, possible death
Rubella
Rash of flat pink to red spots
Rubella virus
In pregnant women causes congenital rubella syndrome
aka German Measles
Warts
Benign epithelial growths on the skin or mucous membranes
HPV
Papillomas
Erythema infectiosum
Resembles slap, aggravated by sunlight
Parvovirus B19
aka fifth disease
Slapped cheek syndrome
Roseola
HHV-6
Rose-colored rash
MAY be lined to MS