Sketchy: Cestodes

Question 1

Cue:

• “circus” sign with strong man named Al bending a bar

Answer 1

albendazol (tx for neurocysticercosis)

Question 2

Cue:

• kid dressed in pink and orange using a slingshot with small granules everywhere

Answer 2

• eosinophils
• sling shot is bi-lobed-shaped like their nuclei

Question 3

Cue:

• funny first-place ribbon on the liver-spot shape of the cocker spaniel dog

Answer 3

• first place ribbon shape = hydatid cyst
• on liver spot = in liver
• cocker spaniel dog = Echinococcus granulosus (sheep tapeworm)

Question 4

Cue:

• Pretzel stand

Answer 4

tx for Taenia is praziquantel

Question 5

Cue:

• cheese wheels shaped like eggs that have fallen into the poop water

Answer 5

• eggs = ingestion –> neurocysticercosis
• in the poop water = transmission via ingestion of animal feces- contaminated water

Question 6

Cue:

• cocker spaniel dog

Answer 6

Echinococcus granulosus (sheep tapeworm)

Question 7

Cue:

• girl flying off circus-themed carousel, landing on a table of cheese, with cheese on her head

Answer 7

• circus-themed carousel = neurocysticercosis
• girl flying off = seizures
• cheese = swiss cheese head CT

Question 8

Name the largest tapeworm (it can grow up to 10m long).

Answer 8

Diphyllobothrium latum (fish tapeworm)

Question 9

What is the tx for Diphyllobothrium latum?

Answer 9

praziquantel or niclosamide

Question 10

What is a risk for a hydatid cyst?

Answer 10

it could rupture –> anaphylaxis, acute abdomen

Question 11

Cue:

• the cow’s tent is sagging

Answer 11

• Taenia saginata
• cow meat is the intermediate

Question 12

What is the tx for neurocysticercosis?

Answer 12

praziquantel with albendazol

Question 13

Cue:

• man leaving the porta-potty with toilet paper stuck to his shoe that is tearing off in a puddle of mud

Answer 13

• diagnosis of Diphyllobothrium latum by proglottid segments seen on stool O&P
• mud = stool

Question 14

What causes hydatid cysts?

Answer 14

Echinococcus granulosus (sheep tapeworm)

Question 15

Cue:

• sign that says “must B12 to buy fireworks”

Answer 15

Diphyllobothrium latum causes B12 deficiency –> megaloblastic anemia

Question 16

What lab finding is seen in all helminth infections?

Answer 16

eosinophilia

Question 17

What is Diphyllobothrium latum?

Answer 17

fish tapeworm

Question 18

Cue:

• meat hooks on the pig’s tent

Answer 18

hooks on the proglottid heads of Taenia solium seen on O&P

Question 19

Cue:

• porta potty with a nickel coin box on the front door

Answer 19

• porta potty = diarrhea
• nickel box = niclosamide (tx)

Question 20

Cue:

• man holding crumbling ribbon turning red and puffy

Answer 20

ribbon = cyst rupture –> anaphylaxis, acute abdomen

Question 21

Cue:

• sheep dog

Answer 21

• dogs are the definitive host of Echinococcus granulosus (sheep tapeworm)
• sheep are the intermediate host

Question 22

How is Diphyllobothrium latum transmitted?

Answer 22

eating uncooked or undercooked fish

Question 23

Cestode is just a fancy word for _____.

Answer 23

tapeworm

Question 24

Cue:

• tents

Answer 24

Taenia genus

Question 25

How is neurocysticercosis acquired?

Answer 25

ingestion of Taenia eggs from animal feces-contaminated water

Question 26

Dx:

• cyst-like mass in the liver with eggshell calcifications inside

Answer 26

hydatid cyst from Echinococcus granulosus (sheep tapeworm)

Question 27

Cue:

• circus themed carousel of cows and pigs

Answer 27

• neurocysticercosis
• cows and pigs = caused by Taenia cestodes

Question 28

How do you get Taeniasis?

Answer 28

ingestion of cysts or larva in undercooked meat

Question 29

Cue:

• Cobalt blue firework launched by the porta potty

Answer 29

• cobalamin = B12
• Diphyllobothrium latum causes diarrhea, B12 deficiency

Question 30

Cue:

• egg-shaped trophy

Answer 30

Echinococcus granulosus (sheep tapeworm) is transmitted via eggs in feces

Question 31

Cue:

• A sun on the pig’s tent with pig standing on a box that says “sold”

Answer 31

• sun/sol = Taenia solium
• pig meat is the intermediate