Tropical Medicines Flashcards
Malaria Summary
Def: Most important parasitic disease in humans
Risks: Nonimmune individuals immunocompromised patients children preg women
MC: Plasmodium falciparum
P. vivax
P. ovale
Patho: Misquito bite sporozoites to liver and form merozoites Rupture of merozoites - fever Blood rings cause splenomegaly
SS:
Cyclic fever
anemia
splenomegaly
renal/hepatic failure
ARDS
Labs:
serial blood smears
q12-24 X 3
Txt: chloroquine malarone doxycycline Mefloquine
Malaria Summary
Def: Most important parasitic disease in humans
Risks: Nonimmune individuals immunocompromised patients children preg women
MC: Plasmodium falciparum
P. vivax
P. ovale
Patho: Misquito bite sporozoites to liver and form merozoites Rupture of merozoites - fever Blood rings cause splenomegaly
SS:
Cyclic fever
anemia
splenomegaly
renal/hepatic failure
ARDS
Labs:
serial blood smears
q12-24 X 3
Txt: chloroquine malarone doxycycline Mefloquine
Dengue fever summary
Def: acute febrile illness, virus via mosquitos
Patho:
breed in or near houses
daytime feeders
SS: High fever + 2 of: - HA - retroorbital pain - muscle/joint pain - bleeding - hepatomegaly
Eval:
serology
PCR
Txt:
Oral fluids
APAP
Dengue Hemorrhagic Fever summary
Def: second infrection of dengue
SS:
High fever
bleeding
hemorrhage
Eval:
serology
PCR
Txt:
Oral fluids
blood transfusion
Dengue Hemorrhagic Fever summary
Def: second infrection of dengue
SS:
High fever
bleeding
hemorrhage
Eval:
serology
PCR
Txt:
Oral fluids
blood transfusion
Cholera summary
Def: gram negative bacteria
Other: Cholera Gravis - epidemic form
SS:
severe, watery diarrhea
Patho:
fecal-oral
few hours to few days
Eval:
stool culture
Txt:
oral rehydrate
abx
Prevent:
no raw or undercooked seafood
Cholera summary
Def: gram negative bacteria
Other: Cholera Gravis - epidemic form
SS:
severe, watery diarrhea
Patho:
fecal-oral
few hours to few days
Eval:
stool culture
Txt:
oral hydration
abx
Prevent:
no raw or undercooked seafood
Cholera summary
Def: gram negative bacteria
Other: Cholera Gravis - epidemic form
SS:
severe, watery diarrhea
Patho:
fecal-oral
few hours to few days
Eval:
stool culture
Txt:
oral hydration
abx
Prevent:
no raw or undercooked seafood
Schistosomiasis summary
Def: helminth in freshwater
SS: itchy skin fever chills muscle aches cough ab pain hematuria anemia malnutrition
Schistosomiasis summary
Def: helminth in freshwater
SS: itchy skin fever chills muscle aches cough ab pain hematuria anemia malnutrition
Soil transmitted helminths summary
SS:
ab pain
N/V/D
Helminths summary
txt:
albendazole
praziquantel
