Trichuris tri. Flashcards

1
Q

common name of Trichuris trichiura

A

human whipworm

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2
Q

order

A

Trichurata

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3
Q

size of male

A

30-45 mm

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4
Q

size of female

A

35-50 mm

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5
Q

posture of male

A

coiled posteriorly

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6
Q

posture of female

A

blently rounded

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7
Q

ventrally

A

Bacillary band

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8
Q

leads to vas deferens

A

single saccular testis

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9
Q

protrusible through retractable protective spicule sheath

A

single retracted spicule

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10
Q

leads to oviduct

A

single saccular ovary

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11
Q

continues as serpentine tubule to the vulva

A

vagina

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12
Q

located ventrally at anterior extremity of fleshy portion

A

vulva

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13
Q

what can be seen during colonoscopy

A

fleshy posterior part because anterior part is burrowed

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14
Q

eggs

A

barrel-shaped or japanese lantern-shaped

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15
Q

low egg laying capacity

A

1000 eggs/day

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16
Q

essential for development

A

moisture

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17
Q

infective stage

A

embryonated egg

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18
Q

ingestion of

A

fully embryonated eggs

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19
Q

eggs will hatch where

A

duodenum

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20
Q

larva enters the

A

crypts

21
Q

establish firmly in the epithelium of the

A

cecum

22
Q

grows to adult worm in

A

3 months

23
Q

due to chronic inflammation

A

blunting of intestinal villi

24
Q

acute phase

A

dysentery

25
Q

chronic phase

A

loss of anal sphincter tone

26
Q

due to heavy worm burden

A

rectal prolapse

27
Q

directed against the mucosa

A

mechanical trauma

28
Q

seen in allergic reaction

A

eosonophils and carcot leyden crystals

29
Q

the eggs are embryonated where

A

external environment

30
Q

important stages

A

infective and diagnostic stage

31
Q

most commonly infected

A

children

32
Q

sth

A

soil transmitted helminthiasis

33
Q

______ resistant to dessication compared to Ascaris eggs

A

less

34
Q

___________ to direct sunlight, intense cold, putrefying medium (e.g. decaying vegetation

A

susceptible

35
Q

depends on

A

intensity of infection, duration of infection, age and nutrition of host

36
Q

moderate or light infection

A

majority of patients

37
Q

high burden

A

heavy

38
Q

feeling of constantly needing to pass stools, despite an empty coon

A

tenesmus

39
Q

hypochromic

A

anemia

40
Q

atleast 6 months parasitemia

A

increased worm burden

41
Q

due to ____________ trauma to the mucosa caused by the burrowing phase

A

mechanical trauma

42
Q

Due to mechanical trauma to the
mucosa caused by the burrowing phase of the parasite leading to

A

covert bleeding

43
Q

uncommon, not a striking symptom

A

eosinophilia

44
Q

more reliable diagnosis

A

kato thick smear

45
Q

10 eggs per smear

A

light/high infection

46
Q

over 50 eggs per smear

A

heavy infection

47
Q

too numerous to count

A

massive infection

48
Q

reveal adult worms

A

proctoscopy

49
Q

standard treatment

A

mebendazole