Daniel Shared "Derm-ortho-rheum Micro" - 21 Picmonics
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Derm-ortho-rheum Micro
Herpes Simplex Virus (HSV)
Characteristics
Enveloped
Double Stranded DNA
Linear
Signs and Symptoms
Type 1 HSV
Gingivostomatitis
Keratoconjunctivitis
Encephalitis of Temporal Lobes
Latent in Trigeminal Ganglia
Type 2 HSV
Genital Vesicles
Neonatal Herpes
TORCHES
Latent in Sacral Ganglia
Diagnosis
Tzanck Test
Multinucleated Giant Cells
Cowdry A Inclusions
Treatment
Acyclovir
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
Pox Virus
Characteristics
Enveloped
Double-Stranded DNA
Linear
Non-Icosahedral
Signs and Symptoms
Smallpox
Cowpox
Molluscum Contagiosum
Umbilicated Flesh-Colored Domed Lesions
1 min
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
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
3 mins
Bacteroides Fragilis
Characteristics
Gram-Negative
Anaerobe
Normal Colonic Flora
Produces Vitamin K
Produces Gas in Tissue
Foul-Smelling
Signs and Symptoms
Gastrointestinal Abscess
Treatment
Penicillin-Resistant
Clindamycin
Metronidazole
2 mins
Actinomyces Israelii
Characteristics
Gram-Positive
Bacillus
Anaerobe
Branching
Oral Flora
Dental Work
Oral Trauma
Associated with IUDs
Signs and Symptoms
GU Infections
Draining Sinus Tract
Facial Abscess
Yellow Sulfur Granules
Treatment
Penicillin
2 mins
Clostridium perfringens
Characteristics
Gram-Positive
Bacillus
Anaerobe
Spore-Forming
Alpha Toxin Lecithinase
Phospholipase
Heat Labile Enterotoxin
Signs and Symptoms
Myonecrosis
Gas Gangrene
Food Poisoning and Diarrhea
Treatment
Hyperbaric O2 Chamber
2 mins
Clostridium tetani
Characteristics
Gram-Positive
Bacilli
Obligate Anaerobic
Exotoxin
Spore-Forming
Renshaw Cells in the Spinal Cord
Blocks Glycine and GABA Release
Signs and Symptoms
Spasms
Risus Sardonicus
Lockjaw
Opisthotonus
3 mins
Rubeola Virus
Characteristics
RNA Virus
Paramyxovirus
Signs and Symptoms
Measles
Rash Spreads From Head to Toe
Koplik Spots First
Red Spots with Blue-White Center on Buccal Mucosa
Cough
Coryza
Conjunctivitis
Subacute Sclerosing Panencephalitis
Giant Cell Pneumonia in Immunosuppressed Patients
Warthin-Finkeldey Multinucleated Giant Cells
Treatment
Vitamin A
3 mins
Roseola
Exanthem
Herpesvirus 6
Enveloped
Double Stranded DNA
Linear
Signs and Symptoms
High Fevers Can Lead to Seizures
Diffuse Macular Rash After Fever
1 min
Parvovirus B19
Characteristics
DNA
Single Stranded
Linear
Smallest DNA virus
Non-enveloped
Signs and Symptoms
5th Disease
Slapped Cheek Rash in Children
Erythema Infectiosum
Hydrops Fetalis
RBC aplasia
Arthritis in Adults
Aplastic Crisis in Sickle Cell
Myocarditis
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
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
59 secs
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
3 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
3 mins
Brucella
Characteristics
Gram-Negative
Coccobacillus
Unpasteurized milk
Goat cheese
Inside macrophages
Signs and Symptoms
Lymphadenopathy
Granulomas
Undulating fever
Treatment
Doxycycline
Gentamicin
2 mins
Bacillus Anthracis (Anthrax) Characteristics
Characteristics
Gram-Positive
Spore-Forming
D-glutamate Polypeptide Capsule
Protective Antigen
Lethal Toxin
Edema Factor
Increased cAMP
1 min
Bacillus Anthracis (Anthrax) Disease
Signs and Symptoms
Cutaneous
Painless Black Eschar (Necrotic Lesion)
Pulmonary
Mediastinal Widening
Rapidly Fatal
Woolsorter's Disease
Gastrointestinal
Consuming Anthrax-infected Meat
2 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
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