Chris Shared "Micro Exam 3" - 21 Picmonics
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Micro Exam 3
Epstein Barr Virus Mononucleosis
- Mononucleosis
- Fever
- Hepatomegaly
- Splenomegaly
- Pharyngitis
- Posterior Cervical Lymphadenopathy
- Atypical Lymphocytes
- Heterophile Antibodies
- Rash Develops if treated with Ampicillin
- Hodgkin's Lymphoma
2 mins
Cytomegalovirus (CMV)
- Characteristics
- Enveloped
- Double Stranded DNA
- Herpesvirus 5
- Diagnosis
- Non Heterophile Antibodies
- Owl's eye inclusions
- Signs and Symptoms
- Congenital TORCH infection
- Mononucleosis
- Pneumonia
- AIDS retinitis and esophagitis
- Infection in transplant recipients
2 mins
Varicella (Chickenpox)
- Mechanism
- Varicella Zoster Virus (VZV)
- Signs and Symptoms
- Red Maculopapular Rash
- Vesicles Ooze and Crust
- Pruritus
- Centripetal
- Considerations
- Varicella Immunization
- Skin Care to Minimize Itching
- Isolate until Vesicles Crust
2 mins
Varicella Zoster Virus (VZV)
- Herpesvirus 3
- Characteristics
- Enveloped
- Double Stranded DNA
- Signs and Symptoms
- Chickenpox
- Pneumonia
- Encephalitis
- Trigeminal and Dorsal Root Ganglia
- Shingles
- Diagnosis
- Tzanck Test
- Multinucleated Giant Cells
- Cowdry A Inclusion
- Treatment
- Acyclovir
2 mins
Human Papillomavirus (HPV)
- Characteristics
- Non-enveloped
- Circular
- Double Stranded DNA
- Disease
- Warts 1, 2, 6, 11
- Condyloma acuminata
- Type 16, 18
- Cervical Carcinoma
- Penile Carcinoma
- AIDS/Immunocompromised
- Worsened by Smoking
- Diagnosis
- Koilocytic change in squamous epithelium
- Pyknotic Nuclei Surrounded by Clear Halo
- Treatment
- Vaccine Available
4 mins
Epstein Barr Virus
- Characteristics
- Herpesvirus 4
- Double Stranded DNA
- Linear
- Enveloped
- Signs and Symptoms
- Infectious Mononucleosis
- Virus Attaches to CD21 in B Cells
- Nasopharyngeal Carcinoma
- Burkitt's Lymphoma
- Hodgkin's Lymphoma
1 min
Pneumocystis jirovecii
- Fungi
- AIDS/Immunocompromised
- Fever
- Hypoxemia
- Bronchoalveolar Lavage
- Biopsy
- Methenamine Silver Stain
- Saucer/cup shaped yeast forms
- Diffuse interstitial pneumonia CXR
- TMP-SMX
- Start prophylaxis when CD4 drops under 200
1 min
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
2 mins
Candida Albicans
- Fungi
- Yeast with Pseudohyphae at 20 Degrees C
- Germ Tube Formation at 37 Degrees C
- Pruritic Vaginitis
- White Cottage Cheese Discharge
- Fiery Red Mucosa
- Diabetics
- Antibiotic Use
- Esophageal Thrush in Immunocompromised
- Diaper Rash
- Endocarditis in IV Drug Users
2 mins
Mucor and Rhizopus
- Characteristics
- Fungi
- Irregular Non-septate Hyphae
- Branching Wide Angles over 90 degrees
- Signs and Symptoms
- Leukemic Patients
- Proliferate due to excess ketones and glucose
- Diabetic Ketoacidosis (DKA)
- Rhinocerebral frontal lobe abscess
- Penetrate cribriform plate into brain
- Black Necrotic Eschars on Face
2 mins
Aspergillus fumigatus
- Characteristics
- Fungi
- Monomorphic
- Septate Hyphae
- Branch at Acute Angles
- Fruiting Bodies
- Disease
- Allergic Bronchopulmonary Aspergillosis (ABPA)
- Eosinophilia
- Increased IgE
- Glucocorticoids +/- Azoles
- Pulmonary Aspergillosis
- TB Cavity
- Lung Aspergilloma
- Hemoptysis
- Invasive Aspergillosis
- AIDS/Immunocompromised
- Chronic Granulomatous Disease
- Hemorrhagic Infarction
- Necrotizing Bronchopneumonia
- Voriconazole +/- Caspofungin
3 mins
Blastomyces
- Characteristics
- Fungi
- Hyphae Form at 20°-25°C
- Yeast Form at 37°C
- Round Yeast
- 5-15 Micrometer (um or μm)
- Single Broad-Based Buds
- Thick Doubly-Refractive Walls
- East of the Mississippi River and Around the Great Lakes
- Signs and Symptoms
- Pneumonia
- Skin Infection
- Bone Infection
- Granulomatous Response
- Treatment
- Itraconazole
- Amphotericin B
3 mins
Coccidioidomycosis
- Characteristics
- Fungi
- Dimorphic
- Southwest
- After earthquakes
- Spherule
- 20-60 um
- Signs and Symptoms
- Pneumonia
- Meningitis
- Bone Infection
- Skin infections
- Erythema Nodosum
- Granulomatous Inflammation
- Caseous Necrosis
2 mins
Histoplasmosis
- Fungi
- 2-5 um
- Yeast Cells within Macrophages
- Starling Bird Poop
- Bat Poop
- Caves
- Mississippi and Ohio River Valleys
- Pneumonia
- Caseating Granuloma
- Erythema Nodosum
1 min
Cryptococcus neoformans
- Characteristics
- Monomorphic
- Encapsulated
- Polysaccharide Capsule
- Narrow-Based Buds
- Latex Agglutination
- Pigeons
- India Ink
- Mucicarmine stain
- Signs and Symptoms
- AIDS/Immunocompromised
- Meningitis
- Soap Bubble Lesions in Brain
- Pneumonia
- Treatment
- Fluconazole
- Flucytosine
- Amphotericin
3 mins
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
4 mins
Terbinafine
- Indications
- Dermatophytosis
- Onychomycosis
- Mechanism
- Inhibits Squalene Epoxidase
- Side Effects
- Hepatotoxicity
- GI Distress
- Taste Disturbances
- Headache
2 mins
Azoles (Ketoconazole)
- "-azole" suffix
- Indications
- Local and Less Serious Systemic Mycosis
- Mechanism
- Inhibits Ergosterol Synthesis
- Inhibits P450
- Side Effects
- Liver Dysfunction
- Inhibition of Testosterone Synthesis
1 min
Echinocandins
- "-Fungin" Suffix
- Indications
- Invasive Aspergillosis
- Candida
- Mechanism
- Inhibits Cell Wall Synthesis
- Inhibits Synthesis of Beta-glucan
- Side Effects
- GI Distress
- Flushing
1 min
Acyclovir (Zovirax)
- Mechanism
- Guanosine Analog
- Inhibits Viral Replication
- Thymidine Kinase Activation
- Indications
- Herpes Simplex Virus (HSV)
- Varicella Zoster Virus (VZV)
- Side Effects (Oral)
- Headache
- GI Distress
- Side Effects (IV)
- CNS Toxicity
- Nephrotoxicity (Crystalline Nephropathy)
- Considerations
- Prevents Recurrent Episodes
- Slow IV Infusion
2 mins
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