Spiroche, parasties, virus, other Flashcards
chronic infection caused by Treponema pallidum
Syphilis
How does syphilis usually present ?
Painless* chancre for 3-4weeks
the nrash on palms and soles, gential warts
Gumma- skin lesions
Hutchinson teeth and saddle nose deformity are seen in what ?
congenital Syphilis
Darkfield microscopy diagnostic test for?
Syphilis
Confirmation test for Syphilis
VDRL
RPR
Treatment for Syphilis
Penicillin G
Borrelia Burgdorferi causes?
Lyme disease
key terms- spread by lxodes, causing erythema migrans rash, CN VII 7 palsy
Lyme disease
deer tick
central bullseye rash
Treatment for Lyme disease
Doxycyline
if neruo symptoms -> Ceftrixone
Key terms- ptotentially fatal but treatable, spread by dog/wood tick, fevers, headache, red maculopapular rash on wrist and ankles that spreads inward
petechiae
Rocky Mountain spotted fever - Rickettsia rickettsii
treatment for Rocky Mountain spotted fever - Rickettsia rickettsii
dont wait for seriology
Doxycyline !
chloramphenicol
what parasite can cause Gi colitis, dysentery (bloody diarrhea, amebic liver abcess
Entamoeba Histolytica
Treatment for Entamoeba Histolytica
Metronidazole (flagyl)
Key terms- swimming in contact lens, develop eye pain, tearing, blurry vision, corneal stromal ring
Acanthamoeba Keratitis
Key terms- travel, blood cell disease from a mosquito, cyclical fevers, lekopenia, hemolytic anemia, thrombocytopenia
Malaria
Most dangerous form of Malaria
Flaciparum
can cause coma due to sereve lysis
Giems stain to diagnosis this disease
Malaria
Treatment Malaria
Chloroquine
Key terms- Blood cell diease, history of tick bite usually in areas like long island, Massachusettes, hemolytic anmiea and jaundice
Babesiosis
Key terms- transmitted by cts, raw pork or lamb
mono-like illness can cause TORCH with blueberry rash. CT scan shows ring-lesions
Toxoplasmosis
Treatment for Toxoplasmosis
Bactrim
key terms- spread fecal-oral, kids, perianal itching espeically at night, scotch tape test
Treatment?
Enterobaiasis- pinworms
Treatment- Alendazole
key terms- Trypanosoma cruzi, hids, unilateral periorbital edema, congestive heart failure, megacolon
Chagas disease
Key terms- roundworm, raw undercooked meat pork, diarrhea, vomiting, myositis, palpebral circumorbital edema
Trichinosis