Schistosomiasis Flashcards

1
Q

Schistosomiasis species

A

Hematopium
Japnicum
Mansoni

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2
Q

Schistosomiasis is an important cause of ——— in endemic areas

A

Portal HTN

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3
Q

Infection is started form where

A

Contaminated water (lakes & pools)

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4
Q

Species which stay in venues of mesentrey

A

Japonicum

Mansoni

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5
Q

Species which stay in bladder or uterus

A

Hematopium

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6
Q

CF at time of presentation

A

Swimmers itch in feet (pruritic popular rashes)

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7
Q

CF of acute schistosomiasis

A
Systemic hypersensitivity to eggs 
Urticaria & angioedema
Fever & chills 
Arthralgia & dry cough 
Abdominal pain & diarrhea
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8
Q

Duration or onset of acute schistosomiasis

A

4-6. Weeks

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9
Q

Duration or onset of chronic schistosomiasis

A

Months to years

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10
Q

CF of chronic - GIT

A

Chronic intermittent abdominal pain & poor appetite & diarrhea
Chronic ulceration & GI bleeding
Intestinal polyps and dysplasia
Peri-portal & liver fibrosis

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11
Q

CF of chronic - urinary

A

Fibrosis & calcification of urinary bladder
Hematuriai & hydronephrosis
Bladder cancer

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12
Q

Diagnosis of schistosomiasis

A

Microscopy
Serology
CBC

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13
Q

CBC show

A

Eosinophilia & anemia

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14
Q

Microscopy of

A

Parasite eggs in stool or urine

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15
Q

Serology need —— to show +ve

A

6 weeks

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16
Q

Management of schistosomiasis

A

Praziquantel (every 6 weeks)

Steroid

17
Q

Follow up - persistent infection is indicated if

A

Persistent eosinophil > 3 months

+ve eggs in microscopy after 6-12 weeks