Sketchy: Screamatodes

Question 1

What is the tx for Wuchereria bancrofti?

Answer 1

Diethylcarbamazine

Question 2

Cue:

• WolfMan, sleeping in a chair with bent legs, wearing a sleep mask with a stinky dog poop bag nearby

Answer 2

• Wolf Man = Toxocara canis
• bent legs = albendazole (tx)
• sleep mask = causes blindness
• dog poop = dog feces transmission

Question 3

Cue:

• Swamp Creature surrounded by flies and covered in spots reading “Diet and Carbs” magazine and sitting in a chair with bent legs

Answer 3

• Swamp Creature = Loa Loa
• flies = deer fly transmission
• spots = subcutaneous angioedema
• Diet and Carbs = Diethylcarbamazine (tx)
• bent legs = Albendazole (tx)

Question 4

How do you get Dracunculus medinensis?

Answer 4

drinking water contaminated with copepods containing larvae

Question 5

What organism is also called African Eyeworm?

Answer 5

Loa Loa

Question 6

Drinking water contaminated with copepods containing larvae will give you _____.

Answer 6

Dracunculus medinensis

Question 7

What organism can be seen crawling across the pt’s eyeball?

Answer 7

Loa Loa

Question 8

How is Loa Loa treated?

Answer 8

Diethylcarbamazine and Albendazole

Question 9

How is Toxocara canis transmitted?

Answer 9

food contaminated with dog or cat feces

Question 10

How is Loa Loa transmitted?

Answer 10

deer flies

Question 11

Cue:

• sign that says “No dumping, drains to river”

Answer 11

river = Ivermectin (tx for Onchocerca volvulus)

Question 12

How is Onchocerca volvulus treated?

Answer 12

Ivermectin (“river mectin”)

Question 13

How is Wuchereria bancrofti diagnosed?

Answer 13

thick blood smear

Question 14

What does Loa Loa cause?

Answer 14

transient subcutaneous and conjunctival angioedema

Question 15

How is Loa Loa diagnosed?

Answer 15

microfilariae present on blood smear

Question 16

What is unique about Toxocara canis infections?

Answer 16

the larvae never mature within the human- they just circulate for years

Question 17

Cue:

• coughing Witch lady wearing parachute pants and a shirt with a ruffled collar and sleeves

Answer 17

• coughing = from microfilariae infection in lung
• witch = Wuchereria bancrofti
• parachute pants = elephantiasis
• ruffled collar/sleeves = cervical/axillary lymphadenopathy

Question 18

In Wuchereria bancrofti, _______ travel to the lungs where they cause a hypersensitivity reaction and therefore a cough.

Answer 18

microfilariae

Question 19

What are the skin findings for Onchocerca volvulus?

Answer 19

• puritic papules –> hyperpigmented spots
• hypopigmented spots on shins of older pts (onchodermatitis)

Question 20

What are the 2 most common causes of infectious blindness?

Answer 20

1. Chlamydia trichoma
2. Onchocerca volvulus

Question 21

In _______, microfilariae travel to the lungs where they cause a hypersensitivity reaction and therefore a cough.

Answer 21

Wuchereria bancrofti

Question 22

What causes Visceral/Ocular Larva Migrans?

Answer 22

Toxocara canis

Question 23

Cue:

• Dracula drinking at a water cooler with paper cups attached, and his untied shoelaces wrapped around the legs of the water cooler

Answer 23

• Dracula = Dracunculus medinensis
• shoes untied = worms crawling out of skin ulcers
• drinking water = transmission
• paper cups = cup-e-pods = copepods
• shoelaces around water cooler = wrap worms around sticks to pull out of pt

Question 24

How is Dracunculus medinensis treated?

Answer 24

• slowly extract worm out of skin using a stick
• metro

Question 25

How do you get Wuchereria bancrofti?

Answer 25

mosquito deposit larvae on the skin --\> enter skin and lymphatics

Question 26

Cue: * kid in pink shooting granules with a slingshot

Answer 26

eosinophils

Question 27

How is Onchocerca volvulus diagnosed?

Answer 27

presence of microfilariae in skin biopsy under microscope

Question 28

What organism causes River Blindness?

Answer 28

Onchocerca volvulus

Question 29

What is the tx for Toxocara canis?

Answer 29

albendazole

Question 30

How does Onchocerca volvulus cause blindness?

Answer 30

microfilariae in the eyeball

Question 31

Cue: * black fly man with stains on his lab coat and pants

Answer 31

* Onchocerca volvulus * black fly = transmission * stains = onchodermatitis (hyper and hypo-pigmented spots)

Question 32

In Wuchereria bancrofti, microfilariae travel to the lungs where they cause a _______ and therefore a \_\_\_\_\_.

Answer 32

hypersensitivity reaction, cough

Question 33

What does Wuchereria bancrofti cause?

Answer 33

elephantiasis

Question 34

How is Dracunculus medinensis diagnosed?

Answer 34

worms come out of ulcers on the pt's skin (usu lower extremities)

Question 35

Cue: * witch reading "Diet and Carb Magazine"

Answer 35

tx for Wuchereria bancrofti = Diethylcarbamazine