Para 3 - Sheet1 Flashcards
In general, diagnosis of trematodes is when you see this in a patient’s stool
Un/Embryonated egg
Encysted form of larva
Metacercariae
Flukes that inhabit the lungs
Paragonimus Westermani
Eggs with apical spine
Schistosoma hematobium
If the infection had a lateral spine, the infection would probably be caused by
S. mansoni
If the infection had a vestigial lateral spine, the infection would probably be caused by
S. japonicum
Scistosoma associated with cancer
S. hematobium
What kind of Cancer will the schistosoma in the previous number will cause?
Urinary bladder ca
Compatible with schistosome infection?
Puritus while swimming in the lake
Schistosome infection Associated with?
Cercariae penetrate the skin while swimming in the water
Male worms (schistomes) possess a canal:
Gynecophoric Canal
The canal is located on:
Ventral side
Female Schistosomiasis?
Longer and slender
Occurs after weeks or months, reaction against migrating schistosomule which passes thru blood circulation from liver to lung?
Katayama Disease
Intermediate host Schistosoma
A. Snail
B. Freshwater Fish
C. Saltwater Fish
A. Snail
Proper sequence life cycle Schistosoma in intermediate host
A. Sporocyst, Miracidia, Cercariae
B. Miracidia, Sporocyst, Cercariae
C. Cercariae, Metacercariae, Miracidia
D. Miracidia, Cercariae, Sporocyst
B. Miracidia, Sporocyst, Cercariae
A patient infected with Schistosoma jaundice
ascites
splenomegaly
portal hypertention
splenomegaly
Main treatment for Schistosomiasis
Praziquantel
When passed over the body Schistosoma eggs
All have prominent spines
Schistosoma tends to prefer
Veins
Male Schistosoma
Male are larger and have 4‐9 testes
What are the difference between Faciola Hepatica and Faciolopsis
Eggs cannot be differentiated
Fasciola have?
Anterior oral sucker and posterior ventral sucker
Intestinal organ of Fasciola?
Has lateral branches
Liver parenchyma is inflamed with multiple subscapular abscess
Liver Rot
Clonorchis diagnostic
Detection of eggs in feces
Clonorchis malignancy
jaundice, hepatomegaly, abdominal pain, diarrhea and anorexia
Which is the correct sequence of life cycle of Clonorchis in its intermediate host
Miracidia-Sporocyst-Rediae-Cercariae
Clonorchis eggs
Have comma-shape extension from abopercular end
Present in Fasciola hepatica but not in Fasciolopsis buski
Cephalic cone
Fasciolopsis infective stage
Metacercariae
Firs intermediate host
Snail
Fasciolopsis eggs
Operculated
DOC for Fasciolopsiasis
Praziquantel
Heterophyes have:
Oral, ventral and genital suckers
2nd IH of Heterophyes:
Brackish water fish (Mugil capito)
Heterophyes infective stage
Metacercariae
Heterophyes diagnostic stage
Embryonated eggs
Heterophyes drug of choice
Praziquantel
What probably happened to this patient during the first consult?
The patient was misdiagnosed as PTB and was given the wrong medication.
What is the 1st line of treatment for this case? (Paragonimus westermani)
Praziquantel
S. hematobium
Bladder
Fasciola Hepatica
Oriental
Heterophyes Heterophyes
Three suckers
S.nasale
a blood fluke of cows