Nematodes Flashcards
This term refers to the absence of mammillary coat in an Ascaris egg.
DECORTICATED
mammillary coat: outermost layer
What do you call the structures found on polar ends of Trichuris egg?
(prominent) BIPOLAR PLUGS
it is also known as bipolar mucus plugs or hyaline plugs
Scotch tape swab is best done
EARLY MORNING.
before the patient defecates / washes
TRUE or FALSE: Ascaris lumbricoides is capable of heart-lung migration.
TRUE
A. lumbricoides can cause Löffler’s syndrome
TRUE or FALSE: Presence of spicules is unique for a female nematode
FALSE
spicules are used for copulation only seen in male nematode
Nematodes are ___
resemble earthworms
Roundworms
a cross-section of nematode under the microscope is what shape
Round shape
Nematodes are characterized as
non-segmented, elongated, cylindrical
unlike flatworms that are segmented
Nematodes have complete ___
digestive system
have point of entry (mouth) & point of exit (anus)
In nematodes :
term that describes having male and female sexes (?)
Diecious
separate sexes
there is a male and a female nematode
Difference of male and female nematodes
male nematodes:
- are smaller compared to
females
- have a curve tail
female nematodes:
have a straight tail
also called Giant Intestinal Roundworm
Ascaris lumbricoides
biggest nematode
almost the same size with earthworm
Ascaris lumbricoides
Habitat of Ascaris lumbricoides
Small Intestine
Unique characteristic of Ascaris lumbricoides
erratic (can also be present in an unusual habitat like in the lungs, nose, anus)
Final host of of Ascaris lumbricoides
Man
Infective stage of Ascaris lumbricoides
Embryonated Egg
Stage that will infect the host
Diagnostic stage of Ascaris lumbricoides
Egg
Stage that needs to be detected to diagnose the parasitic infection
Egg: fertilized or unfertilized
Seen in fresh specimens
TRUE OR FALSE:
only fresh fertilized egg of ascaris lumbricoides is the diagnostic stage
FALSE
fertilized or unfertilized
TRUE OR FALSE:
Embryonated egg is considered a diagnostic stage
FALSE
Embryonated egg is never considered a diagnostic stage
Embryonation occurs in the soil
Soil-transmitted helminths require soil for embryonation
It will take some time for the egg to be embryonated and there will be larvae
Soil-transmitted helminths embryonates in ___
soil
MOT of Ascaris lumbricoides
Ingestion
Considered as the Disease of Poverty
Poor are mostly infected
Ascaris lumbricoides infection
Ascaris lumbricoides adult morphology
Do not need a microscope for visualization
This is big/large
Spicule
Complete digestive tract
Mouth is usually trilobe/trilips (three lips)
Whitish-pinkish with smooth striated cuticles
Female Ascaris lumbricoides adult morphology
Straight posterior end
male Ascaris lumbricoides adult morphology
Curved posterior end
Part of Ascaris lumbricoides
found at the tail
Part of the male nematode
Never found in the female
Spicule
Part of Ascaris lumbricoides:
For copulation
Spicule
size of Ascaris lumbricoides:
Male:
Female:
Male: 10-31 cm
Female: 22-35 cm
How many eggs can a female Ascaris lumbricoides lay?
200,000 eggs per day
What stage of Ascaris lumbricoides:
No longer develops into embryonated egg
Ascaris lumbricoides unfertilized egg
What stage of Ascaris lumbricoides:
Usually longer and narrower than fertilized egg.
Ascaris lumbricoides unfertilized egg
What stage of Ascaris lumbricoides:
Thin egg shell
Can see irregularly shaped refractile granules or fat globules inside.
Ascaris lumbricoides unfertilized egg
Presence of mamillary layer or albuminous layer (Gives the unusual shape/shapeless)
Corticated
Seen in both fertilized and unfertilized Ascaris lumbricoides egg
Without mamillary layer
Decorticated
Seen in both fertilized and unfertilized Ascaris lumbricoides egg
What stage of Ascaris lumbricoides:
Round to slightly oval
With yellow brown irregular or with the presence of mammillary layer or sometimes wala
Ascaris lumbricoides fertilized egg
What stage of Ascaris lumbricoides:
Thick eggshell
Ascaris lumbricoides fertilized egg
Ascaris lumbricoides fertilized egg has the Presence of inner layer (several layers) called
This differs fertilized egg from unfertilized egg
vitelline layer or lipoidal(?) inner layer
Decorticated fertilized egg can be mistaken as
hookworm kasi parang smooth
What stage of Ascaris lumbricoides:
presence of the larvae inside, may nakikita ka ng uod and that is now the infective stage
Embryonated egg
Ascaris lumbricoides pathology
in most cases it is ___
Asymptomatic
in most cases
Ascaris lumbricoides pathology
in gravid infection it causes
Intestinal obstruction
blockage in intestine
intestine mo punong puno ng uod
best way to remove if di kaya ng gamot is through surgical removal
Ascaris lumbricoides pathology
migration of ascaris to the lungs
Loeffler’s Syndrome
Ascaris lumbricoides pathology
Ascaris can actually cause lung larvae migration or pneumonitis
Pneumonitis
Ascaris lumbricoides Diagnosis
DFS,
Kato-Katz,
FECT
TRUE OR FALSE:
sometimes it is not the eggs that is seen in the sample but rather the adult
TRUE
Of all the parasite what is the most erratic
Ascaris lumbricoides adult
Also called Whipworm
Trichuris trichiura
it resembles latigo
Trichuris trichiura
Habitat of Trichuris trichiura
Large intestine
all nematodes live in the small intestine except fo
Trichuris and Enterobius
Final host of Trichuris trichiura
Man
Infective stage of Trichuris trichiura
Embryonated egg
Diagnostic stage of Trichuris trichiura
Egg
MOT of Trichuris trichiura
Ingestion
TRUE OR FALSE Ascaris and Trichuris have the same final host, infective stage, diagnostic stage and MOT
TRUE
Trichuris trichiura Morphology (SIZE and TAIL)
Male:
Female:
Male: smaller
has curve posterior tail (360 degrees coiled tail), yung pag-ikot niya, unique sa Trichuris trichiura ADULT
Female: bigger
has a straight or bland posterior end.
Both have anterior portion that is the thin while the large part is the posterior
Unique characteristic of Trichuris trichiura male adult
360 degrees coiled tail
How many eggs can a Trichuris female lay?
3,000 to 10,00 eggs per day
Stage of Trichuris trchiura:
PROMINENT BIPOLAR PLUGS
Barrel shaped or lemon shape
Trichuris trichiura Egg Morphology
Pathology of Trichuris trchiura infection
Asymptomatic ( no signs and symptoms)
Blood in stool
Diarrhea
Rectal prolapse – gravid situation
A trichuris trichiura manifestation in gravid situation:
The portion of the intestine is brought out to the outside world
The thinner portion penetrates the intestinal mucosa, then the posterior end hangs on
Rectal prolapse – gravid situation
Diagnosis of Trichuris trchiura
DFS,
Kato-Katz,
FECT
Also known as Pinworm, seatworm (Tiwa), worm of society
Enterobius vermicularis
worm of society — the nematode that can infect the rich and poor
Enterobius vermicularis
Habitat of Enterobius vermicularis
Large intestine
Final host of Enterobius vermicularis
Man
Infective stage of Enterobius vermicularis
embryonated egg
diagnostic stage of Enterobius vermicularis
egg
MOT of Enterobius vermicularis
ingestion, inhalation, autoinfection, retroinfection
Inhalation is a unique MOT of this nematode
Enterobius vermicularis
a Enterobius vermicularis MOT:
when you get the embryonated egg (from perianal area) and you have ingested it
You are the source of infection
Autoinfection
a Enterobius vermicularis MOT:
occurs when the egg hatches in the perianal area and then enters the body via the perianal area
Retroinfection
TRUE OR FALSE:
Eggs of ascaris and trichiuris have fast embryonation compared to enterobius
FALSE
Ascaris trichiuris by which embryonation usually occurs for several days, the embyonation in Enterobius occurs as fast as 4-6 hours
several days, the embryonation:
4-6 hours embryonation:
several days, the embryonation: Ascaris and Trichura
4-6 hours embryonation: Enterobius
Enterobius Vermicularis Morphology
Adult Female tail:
Adult male tail:
Adult Female tail:
long, pointed tail (arrow) leading to the common name of pinworm. They are about 8-13 mm in length.
Adult male tail:
curved, relatively blunt posterior tail
How many eggs can Enterobius Vermicularis lay?
4672-16,800 eggs per day; an average of 11,105 eggs per day
The eggs of Enterobius vermicularis in the air is still viable for
13 days
Enterobius vermicularis pathology
Nocturnal pruritus ani
Secondary bacterial infections
Insomnia
Vulvovaginits
Enterobius vermicularis diagnosis
PERIANAL SWAB (recommended)
FECT
Appendix during appendectomy
5% of the Enterobius eggs are found in __, while 95% are found in ___
stool
Perianal area
Unique characteristic of adult Enterobius vermicularis is the presence of
Cephalic Alae or lateral wings at anterior end
Parts of Adult male Enterobius
Esophageal bulb at anterior end
Spicule at posterior tail
D-shaped egg because one of the sides is flattened
approximately 25 x 60 um in size
has a thin shell
egg of E. vermicularis
TRUE or FALSE: Cephalic alae is found in the anterior end of adult Enterobius vermicularis.
TRUE
TRUE or FALSE: Male pinworm can be recovered in scotch tape swab.
FALSE
What is recovered and detected is actually the female, but is very rare (but there is still a possibility) but NEVER the male