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Nick Shared "Block 4" - 28 Picmonics

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Block 4

Entamoeba histolytica
Pathophysiology
Protozoa
Amebiasis
Ingestion of Cysts in Food and Water
Signs and Symptoms
Bloody Diarrhea
Flask-Shaped Ulcer
Liver Abscess
Anchovy Paste
RUQ Pain
Diagnosis
RBCs in Cytoplasm of Trophozoite
Cyst With Four Nuclei
Treatment
Metronidazole
Iodoquinol
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3 mins
Giardia lamblia
Characteristics
Protozoa
Ingestion of Cysts
Seen in Campers
Daycare Centers
Mental Hospitals
Infects Small Intestine
Signs and Symptoms
Bloating
Flatulence
Fatty Diarrhea
Diagnosis
Crescent-shaped Protozoa Adjacent to Epithelial Brush Border
Predisposed if Low IgA
Treatment
Metronidazole
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3 mins
Cryptosporidium
Characteristics
Protozoa
Ingestion of Oocysts in Food or Water
Acid Fast Cysts
Signs and Symptoms
Outbreaks of Diarrhea from Contaminated Water Supply
Mild Disease in Non-immunocompromised
Severe Diarrhea in AIDS
Treatment
Nitazoxanide for Immunocompetent
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2 mins
Trichomonas vaginalis
Characteristics
Protozoa
Signs and Symptoms
Vaginitis
Pruritus
Foul-smelling Greenish Frothy Discharge
Strawberry Cervix
Diagnosis
Corkscrew Motility on Wet Prep
Treatment
Metronidazole
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2 mins
Toxoplasma gondii
Characteristics
Protozoa
Cysts in Meat or Cat Feces
Signs and Symptoms
Brain Abscess in HIV Patients
Ring-enhancing Brain Lesions
Crosses Placenta in Pregnant Women
Congenital TORCH Infection
Treatment
Pyrimethamine
Sulfadiazine
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2 mins
Plasmodium General
Characteristics
Protozoa
Malaria
Anopheles Mosquito
Signs and Symptoms
Cyclic Fever
Headache
Anemia
Splenomegaly
Diagnosis
Blood Smear
Treatment
Chloroquine
Mefloquine for Resistant Types
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3 mins
Plasmodium Specific
Malariae
Fever Every Three Days
Vivax/Ovale
Fever Every Two Days
Duffy Antigen Binding Site
Duffy often absent in Black Population
Primaquine treats dormant form in liver
Falciparum
Most severe
Irregular Cycles
Occludes capillaries in the brain, kidneys, and lungs
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4 mins
Babesia
Characteristics
Protozoa
Ixodes Tick
Same vector as Borrelia
Northeastern US
Asplenia
Signs and Symptoms
Fever
Hemolytic Anemia
Diagnosis
Blood Smear
Maltese Cross
Treatments
Atovaquone
Azithromycin
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3 mins
Leishmania donovani
Pathophysiology
Protozoan
Visceral Leishmaniasis
Hepatosplenomegaly
Spiking Fevers
Skin Pigmentation
Sandfly
Diagnosis
Macrophages with Amastigotes
Treatment
Amphotericin B
Oral Miltefosine
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2 mins
Trypanosoma Brucei
Characteristics
Protozoa
Trypanosoma Gambiense
Trypanosoma Rhodesiense
Tsetse Fly
Disease
Painful Bite
African Sleeping Sickness
Recurring Fever
Capacity for Antigenic Variation
Enlarged Lymph Nodes
Encephalitis
Treatment
Suramin for Blood-Borne Disease
Melarsoprol for CNS Penetration
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2 mins
Trypanosoma cruzi
Pathophysiology
Protozoa
Triatomine Bug
Kissing bug
Painless bite
Predominantly in South America
Symptoms
Chagas disease
Romana's sign
Dilated Cardiomyopathy
Megacolon
Megaesophagus
Diagnosis
Blood smear
Treatment
Nifurtimox
Benznidazole
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2 mins
Pinworm (Enterobius Vermicularis)
Pathophysiology
Nematode (Roundworm)
Ingestion of Eggs
Intestinal Infection
Anal Pruritus
Diagnosis
Scotch Tape Test
Treatment
Albendazole
Pyrantel Pamoate
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2 mins
Strongyloides Stercoralis
Pathophysiology
Nematode (Roundworm)
Larvae in Soil Penetrate Skin
Uncomplicated Disease
GI Distress
Loffler's Syndrome
Dermatitis
Disseminated Disease
Immunosuppressed
Treatment
Ivermectin
Albendazole
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2 mins
Onchocerca Volvulus
Pathophysiology
Nematode (Roundworm)
Female Blackfly Bite
Hyperpigmented Skin
River Blindness
Treatment
Ivermectin
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1 min
Loa Loa
Pathophysiology
Nematode (Roundworm)
Fly Bite
Calabar Swellings in Skin
Conjunctiva
Treatment
Diethylcarbamazine (DEC)
Albendazole
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1 min
Schistosoma
Pathophysiology
Trematode (Fluke)
Snail-infested Water
Intense Immune Response
Intestinal Disease
Hepatosplenic Granuloma
Squamous Cell Cancer of the Bladder
Diagnosis
Parasitic Antigens via ELISA
Treatment
Praziquantel
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2 mins
Taenia Solium
Pathophysiology
Cestode (Tapeworm)
Taeniasis
Ingestion of Larvae in Undercooked Pork
Asymptomatic, in Bowels
Cysticercosis
Ingestion of Cestode Eggs
Skin, CNS and Muscles
Treatment
Albendazole
Praziquantel
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1 min
Echinococcus Granulosus
Pathophysiology
Cestode (Tapeworm)
Ingestion of Eggs from Dog Feces
Hydatid Cysts in Liver
Fibrosis and Necrosis
Anaphylaxis if Antigens Released
Treatment
Albendazole
Surgical Removal
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1 min
Pityriasis Versicolor (Tinea versicolor)
Mechanism
Lipid-Dependent Fungus
Fatty Acids Damage Melanocytes
Malassezia Furfur
Hot, Humid Weather
Signs and Symptoms
Hypopigmentation
Hyperpigmented Patches
Diagnosis
Spaghetti and Meatball Appearance on KOH Prep
Fragmented Hyphae with Clusters of Yeast
Treatment
Topical or Oral Antifungals
Selenium Sulfide
Zinc
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4 mins
Sporothrix Schenckii
Characteristics
Fungi
Thermally Dimorphic
Cigar-shaped Yeast Forms
Rose Thorn Prick
Packaging Peat Moss
Signs & Symptoms
Local Pustule or Ulcer
Nodules on Draining Lymphatics
Treatment
Potassium Iodide
Itraconazole
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2 mins

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