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Dermatology > Zoonotics > Flashcards

Zoonotics Flashcards

1
Q

flying squirrels

A

epidemic typhus- rickettsia prowazekii

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2
Q

rash from trunk to extrem

A

epidemic typhus- rickettsia prowazekii

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3
Q

no rash on palm or soles, DIC

A

epidemic typhus- rickettsia prowazekii

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4
Q

Tx epidemic typhus- rickettsia prowazekii

A

doxycycline or tetracycline

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5
Q

Dog ticks

A

RMSF - Rickettsia Rickettsii

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6
Q

Summer and Spring, Calf soreness

A

RMSF - Rickettsia Rickettsii

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7
Q

GA, NC, VA

A

RMSF - Rickettsia Rickettsii Intracellular

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8
Q

Rash ankles/wrist to trunk palm and soles

A

RMSF - Rickettsia Rickettsii

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9
Q

tx RMSF - Rickettsia Rickettsii

A

doxycycline - 25% fatal untreated

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10
Q

Weil-Felix test is

A

not confirmatory, must to IFA for RMSF - Rickettsia Rickettsii

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11
Q

Flea bite

A

Endemic Typhus - Rickettsia Typhi

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12
Q

Tx Endemic Typhus - Rickettsia Typhi

A

doxycycline Use ELISA to dx

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13
Q

Black legged tick - Ixodes

A

Anaplasmosis - Anaplasma phagocytophilia

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14
Q

“Rocky Mtn Spotless Fever”

A

Anaplasmosis - Anaplasma phagocytophilia

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15
Q

Morulae in Neutrophils

A

Anaplasmosis - Anaplasma phagocytophilia

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16
Q

Tx Anaplasmosis - Anaplasma phagocytophilia

A

doxycycline - high morbidity, low mortality disease

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17
Q

Lone Star Deer Tick

A

Ehrlichiosis - Ehrlichia Chaffeensis

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18
Q

Morulae in Monocytes

A

Ehrlichiosis - Ehrlichia Chaffeensis

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19
Q

No Weil-Felix, Blood Smear to dx

A

Ehrlichiosis - Ehrlichia Chaffeensis

20
Q

Ehrlichiosis - Ehrlichia Chaffeensis Sx

A

conjunctival injection, flu like Tx with doxy

21
Q

Cattle, Sheep, Goats - dairy products, viscera

A

Q Fever - Coxiella Burnetii

22
Q

Inhalation most serious, low incidence but everywhere, very infectious

A

Q Fever - Coxiella Burnetii

23
Q

Possible liver and heart involvement, atypical pneumonia

A

Q Fever - Coxiella Burnetii

24
Q

Dx Q Fever - Coxiella Burnetii

A

serology Tx with doxy to decrease length of disease and risk of complications

25
Q

Spirochete, Summer, NY, CT, PA, NJ

A

Lyme - Borrelia Burgdorferi

26
Q

Ixodes Scapularis (East/Midwest) or Pacificus (West coast)

A

Lyme - Borrelia Burgdorferi

27
Q

Disseminates to heart, joints, CNS

A

Lyme - Borrelia Burgdorferi

28
Q

Bulls Eye rash

A

Lyme - Borrelia Burgdorferi

29
Q

Stage 2 Lyme - Borrelia Burgdorferi

A

arhralgia, myocarditis, meningitis, Bell’s Palsy

30
Q

Stage 3 Lyme - Borrelia Burgdorferi

A

arthritis in large joints, chronic progressive CNS disease

31
Q

ELISA, Western Blot, PCR, can’t culture

A

Lyme - Borrelia Burgdorferi

32
Q

Tx Lyme - Borrelia Burgdorferi

A

doxy, tetracycline, or amoxicillin early IV ceftriaxone or Pen G chronic

33
Q

High Desert of Western US

A

Relapsing Fever - Borrelia Hermsii (ixodes) and Recurrentis (body louse)

34
Q

Tx Relapsing Fever - Borrelia Hermsii and Recurrentis

A

tetracycline or doxy

35
Q

dog urine, sewers, swimmers

A

Leptospirosis - Leptospira interrogans

36
Q

mucosal or cut route dissem to liver, kidneys, lung, CNS

A

Leptospirosis - Leptospira interrogans

37
Q

phase 1 Leptospirosis - Leptospira interrogans

A

flu + conjunctivitis

38
Q

phase 2 Leptospirosis - Leptospira interrogans

A

jaundice, uremia (Weil’s disease), lung hemorrhage, aseptic meningitis

39
Q

Dx Leptospirosis - Leptospira interrogans

A

history of exposure, IgM titer

40
Q

Tx Leptospirosis - Leptospira interrogans

A

Pen G + vaccination for livestock and pets

41
Q

small, pleomorphic gram neg rods, polar flagella

A

Cat Scratch - Bartonella Heneslae

42
Q

oral cavity of cats

A

Cat Scratch - Bartonella Heneslae

43
Q

endocarditis or encephalitis can occur but rare

A

Cat Scratch - Bartonella Heneslae

44
Q

AIDS bacillary angiomas

A

Cat Scratch - Bartonella Heneslae

45
Q

Dx Cat Scratch - Bartonella Heneslae

A

serology, Warthrin-Starry Silver stain

46
Q

Tx Cat Scratch - Bartonella Heneslae

A

Azith if severe lymphadenitis

Dermatology (8 decks)

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