Worms Flashcards
rectal prolapse
Trichuris trichiura (whipworm)
- large intestine
- Tx: bendazole (microtubule inhibitor)
Itchy butt
Enterobius Vermicularis (pinworm)
- kids, tape test
- TX: bendazole (MT inhibitor) or -Pyrantel pamoate
Iron deficiency/anemia
A duodenale or N. Americanus (hookworms)
- skin, skinny, anemia
- TX: bendazole
Fever, peri-orbital edema, myalgia, eosinophilia
Trichinella Spiralis
- Meat, Muscle weakness
- TX: bendazole
Obstruction, pneumonia
Ascaris Lumbricoides (giant roundworm)
- GI obstruction, Pulm symptoms
- TX: Bendazole
elephantiasis
wuchereria bancrofti
- non-pitting edema, eosinophils,
- TX: diethylcarbamazine
River Blindness
Onchocerca volvulus
- itching, blindness, skin snip (biopsy), black flies
- TX: ivermectin
eye worm
Loa Loa
- swollen skin, conjunctiva worm, deer fly
- TX: Diethylcarbamazine
hepatitis + Pneumonitis + Dog/Cat
Toxocara canis
- myocarditis, liver, eyes, CNS
- TX: Bendazole
Skin rash, belly pain, cough, latent
Strongyloides (threadworm)
- larvae in feces (not eggs)
- GI Sx
- TX: bendazoles or ivermectin
Fish, Low B12
Diphyllobothrium(fish Tapeworm)
- jewish grandma
- TX: praziquantel (increase Ca in worm= paralysis)
giant liver cyst
Echinococcus (tapeworm)
- hydatid cysts= eggshell calcifications
- cyst rupture= anaphylaxis
- dog shit, sheep shit
- TX: abendazole/surgery
bladder cancer (squamous cell carcinoma), portal hypertension
Schistosoma
- liver, spleen enlargement
- eggs lodge in tissue= infarct
- TX: praziquantel
pigmented gallstones, cholangiocarcinoma
Clonorchis sinensis
- Chinese liver flute
- undercooked fish
- TX: praziquantel
neurocysticercosis (brain cysts)
Taenia Solium (pork tapeworm)
- eggs, in stool,->brain cysts, seizures
- eat contaminated meat->tapeworm
- mexican grandma
- TX: praziquantel