Fmge2 Flashcards
CULTURE MEDIA
1) SMAC
2) WILSON AND BLAIR MEDIUM
3) POTTASIUM TELLURITE IN MCLEODS MEDIUM
4) DEOXY CHOLATE CITRATE AGAR
1) sarbito mac conkey medium: e.coli
2) salmonella typhi
3) coreynebacterium species
4) shigella salmonella e coli
DENOVANOSIS
Genital ulcerative disease caused by intracellular gram negative bacteria klebsheilla granulomatosis
Symptoms are one or more painless lumps in the genitalia,anal region
Lumps slowly get larger and then ulcerates ,bleed ,have rolled edge
MOST COMMON LYMPH NODE INVOLVED IN CA OF CERVIX
Obturator lymph node
FUNGAL INFECTION ACQUIRED BY TRAUMATIC INOCULATION
Sporothrix
URETHRITIS
Inflammation of urethra
Mainly caused by neiseria gonnorhea,chlamydia trachomatis,trichomonas
Sympt:burning sensation during urinating
Itching or burning near opening of penis
Presence of blood in semen or urine
Discharge from penis
Treatment: azithromycin,dicycyclin,ceftriaxone
MALIGNANT HYPERTHERMIA
Is a type of severe reaction that occurs in response to perticular medication used during general anesthasia amoung those who are succeptible
MALIGNANT HYPERTHERMIA SYMPTOMS
Hyperthermia,tachy cardia ,tachypnea(ventricular ectopy),increased co2 production,respiratory acidosis,increased oxygen consumption,muscle rigidity,rhamdomyolysis,hyperkalemia,elevated creatinine kinase,serum and urine myoglobin
MECHANISM OF MALIGNANT HYPERTHERMIA
Person succeptible to MH, the ryanodine receptor in skeletal muscle is abnormal ,these interferes with regulation of calcium in muscle, this abnormal ryanodene receptor that controll calcium release causes build up of calcium in skeletal muscle leading massive metabolic reaction
WHICH IS THE MAIN TRIGGER FOR MALIGNANT HYPERTHERMIA
The cause MH ARE USE of volatile anesthetic agents such as succinyl choline
TREATMENT OF MALIGNANT HYPER THERMIA
Dandrolene(2.5/kg)(dantrium,ryanodex,revonto)
TREATMENT OF ARYTHMIAS
Amiadarone,flecainide,ibutilide,
,lidocaine,procainamide,quinidine,propafenone
METAPROLOL
Selective beta beta receptor blocker
Used to treat high blood preasure,chest pain due to poor vlood flow to heart,heart failure, angina, used in maligannt hyperthermia
DILITAZEM
Calcium channel blocker, used to treat high blood preasure , angina and certain arythmias, it can also be used in hyperthyroidism if beta blockers cannot be used
MALIGNANT HYPERTHERMIA
Is a type of severe reaction that occurs in response to perticular medication used during general anesthasia amoung those who are succeptible
BREAST FIBROCYTIC CHANGES
associated with hormonal imbalance (increased estrogen to progesterone ratio)
Decresed risk with oral contraceptives
They may be
Proliferative—:adenosis,hyperplasia
Non proliferative—:cysts
Proliferative fibrocytic change asoociated with increased risk of breast cancer
Fibrocytic change includes fibroadenomas ,fibrosis papilomas