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First Aid for the USMLE Step 1 (2021)
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Page 149 -

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First Aid for the USMLE Step 1 (2021) | Physician Assistant (PA) School Study Aid

Page 149 -
19 Picmonics to Learn | 40 mins
Chlamydia trachomatis
Characteristics
A to C
Trachoma
Follicular Conjunctivitis
Blindness
Africa
L1 to 3
Lymphogranuloma venereum
Buboes
Genital Ulcer
D to K
Urethritis and PID
Neonatal Pneumonia
Staccato Cough
Neonatal Conjunctivitis
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2 mins
Chlamydia
Mechanism
Chlamydia trachomatis
Assessment
May Be Asymptomatic
Dysuria
Epididymitis
Discharge
Dyspareunia
Interventions
Doxycycline
Azithromycin
No Intercourse for 1 Week
Treat Partners
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2 mins
Anaplasmosis
Characteristics
Ixodes Tick
Deer and Mice Reservoirs
Clinical Features
Flu-Like Symptoms
Fever
Rash is Rare
Diagnosis
Granulocytes with Cytoplasmic Morulae
Antibody Testing
Pancytopenia
Management
Doxycycline
Rifampin
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2 mins
Bartonella henselae
Characteristics
Gram-Negative
Pleomorphic
Bacillus
Signs and Symptoms
Cat Scratch Fever
Lymphadenopathy
Bacillary Angiomatosis
Patients with AIDS
Mimics Kaposi Sarcoma
Benign
Reactive Arthritis
Non-Caseating Granuloma
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2 mins
Borrelia burgdorferi
Characteristics
Lyme Disease
Spirochete
Dark-field Microscopy
Giemsa Stain
Silver Stain
White-footed Mouse
Ixodes Tick
Babesia
Anaplasmosis
Signs & Symptoms
Flu-like Symptoms
Erythema Migrans
Bulls Eye Rash
Bilateral Bell's Palsy
Conduction Defects
Arthropathy
Treatments
Doxycycline
Ceftriaxone
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3 mins
Lyme Disease
Mechanism
Transmitted by Ticks (Vector-borne)
Signs and Symptoms
Flu-like Symptoms
Bulls Eye Rash (Erythema Migrans)
Joint Pain and Stiffness
Facial Paralysis
Considerations
Antibiotics
Prevention
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2 mins
Borrelia Recurrentis
Characteristics
Spirochete
Variable Surface Antigens
Transmitted by Louse
Clinical Manifestations
Relapsing Fever
Flu-like Symptoms
Neurologic Deficits
Cardiopulmonary Deficits
Hematologic Disorders
Diagnosis
Blood Smear
Polymerase Chain Reaction (PCR)
Treatment
Beta Lactams
Doxycycline
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2 mins
Brucella
Characteristics
Gram-Negative
Coccobacillus
Unpasteurized milk
Goat cheese
Inside macrophages
Signs and Symptoms
Lymphadenopathy
Granulomas
Undulating fever
Treatment
Doxycycline
Gentamicin
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2 mins
Campylobacter jejuni
Characteristics
Gram-Negative
Bacillus
Flagella
Curved
Corkscrew Appearance
Oxidase-Positive
Grows Well at 42 Degrees
Undercooked Meat
Unpasteurized Milk
Animals with Diarrhea
Signs and Symptoms
Bloody Diarrhea
Guillain-Barre syndrome
Reactive Arthritis
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3 mins
Coxiella burnetii
Characteristics
Gram Negative Bacteria
Intracellular
Aerosol Transmission
Affects Animal Handlers
Presentation
Q Fever
Flu-like Symptoms
Atypical Pneumonia
Hepatitis
Endocarditis
Diagnosis
Serology
Treatment
Doxycycline
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2 mins
Ehrlichiosis
Characteristics
Intracellular Gram-Negative Rod
Lone Star Tick
Deer Reservoir
Clinical Features
Fever
Flu-like Symptoms
Rash is Rare
Diagnostic Workup
Antibody Testing
Pancytopenia
Monocytes with Cytoplasmic Morulae
Treatment
Doxycycline
Tetracycline
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2 mins
Francisella tularensis
Mechanism
Contact with Infected Animals
Dermacentor Wood Tick
Deer Fly
Characteristics
Gram-Negative
Coccobacilli
Facultative Intracellular
Charcoal Yeast Agar with Cysteine and Iron
Signs and Symptoms
Ulceration
Fever
Painful Lymphadenopathy
Caseating Granulomas
Treatment
Streptomycin
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3 mins
Leptospirosis and Weil's Disease
Epidemiology
Tropical Regions
Water Contaminated with Animal Urine
Characteristics
Leptospira interrogans
Spirochete
Hooked Shaped Ends
Clinical Features
Flu-like Symptoms
Conjunctival Suffusion
Photophobia
Weil's disease
Liver and Kidney Dysfunction
Jaundice
Hemorrhage
Anemia
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2 mins
Mycobacterium leprae
Characteristics
Acid-Fast
Aerobic
Likes Cool Temperature
Diagnosis by Skin Biopsy or PCR
Lepromatous Leprosy
Th2 Response
Leonine Facies
Tuberculoid Leprosy
TH1 Response
Hypoesthetic Skin Plaques
Granulomatous Response
Treatment
Dapsone
Rifampin
Clofazimine
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2 mins
Pasteurella multocida
Bacteria Characteristics
Gram-Negative
Coccobacilli
Charcoal Yeast with Iron and Cysteine
Zoonotic - Cats and Dogs
Signs & Symptoms
Cellulitis
Osteomyelitis
Septic Arthritis
Treatment
Amoxicillin-clavulanate
Intravenous Antibiotics for Invasive Disease
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2 mins
Rickettsia
Need CoA and NAD
Rocky Mountain spotted fever
Typhus
Ehrlichiosis
Q fever
Arthropod vector
Fever
Headache
Rash
Weil-Felix reaction
Treatment doxycycline
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1 min
Rocky Mountain Spotted Fever
Rickettsia rickettsii
Dermacentor Wood Tick
Endemic to East Coast
Fever
Headache
Rash Starts on Wrist and Ankle
Rash migrates towards the trunk
Thrombocytopenia
Hyponatremia
Elevated liver enzymes
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59 secs
Salmonella Enterica Spp.
Characteristics
Animal and Human Reservoir
Poultry and Eggs
Turtles
PMN Immune Response
Symptoms
Gastroenteritis
Diarrhea
Possibly Bloody
Treatments
No Antibiotics
No Vaccine Available
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2 mins
Yersinia Pestis (Black Plague)
Characteristics
Gram-Negative
Bacilli
Oxidase-Negative
Non-lactose Fermenting
Prairie Dogs
Fleas
Polysaccharide Capsule
Vw Antigen
F1 Antigen
Inhibits Macrophages
Southwest Region
Signs and Symptoms
Lymphadenopathy
Pneumonia
Black Cutaneous Hemorrhagic Lesions
Buboes
Diagnosis
Bipolar Giemsa Staining
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3 mins

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