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Flashcards in Tropical Medicines Deck (12)
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1
Q

Malaria Summary

A

Def: Most important parasitic disease in humans

Risks:
Nonimmune individuals
immunocompromised patients
children
preg women

MC: Plasmodium falciparum
P. vivax
P. ovale

Patho:
Misquito bite
sporozoites to liver and form merozoites
Rupture of merozoites - fever
Blood rings cause splenomegaly

SS:
Cyclic fever
anemia
splenomegaly

renal/hepatic failure
ARDS

Labs:
serial blood smears
q12-24 X 3

Txt:
chloroquine
malarone
doxycycline
Mefloquine
2
Q

Malaria Summary

A

Def: Most important parasitic disease in humans

Risks:
Nonimmune individuals
immunocompromised patients
children
preg women

MC: Plasmodium falciparum
P. vivax
P. ovale

Patho:
Misquito bite
sporozoites to liver and form merozoites
Rupture of merozoites - fever
Blood rings cause splenomegaly

SS:
Cyclic fever
anemia
splenomegaly

renal/hepatic failure
ARDS

Labs:
serial blood smears
q12-24 X 3

Txt:
chloroquine
malarone
doxycycline
Mefloquine
3
Q

Dengue fever summary

A

Def: acute febrile illness, virus via mosquitos

Patho:
breed in or near houses
daytime feeders

SS:
High fever + 2 of:
- HA
- retroorbital pain
- muscle/joint pain
- bleeding
- hepatomegaly

Eval:
serology
PCR

Txt:
Oral fluids
APAP

4
Q

Dengue Hemorrhagic Fever summary

A

Def: second infrection of dengue

SS:
High fever
bleeding
hemorrhage

Eval:
serology
PCR

Txt:
Oral fluids
blood transfusion

5
Q

Dengue Hemorrhagic Fever summary

A

Def: second infrection of dengue

SS:
High fever
bleeding
hemorrhage

Eval:
serology
PCR

Txt:
Oral fluids
blood transfusion

6
Q

Cholera summary

A

Def: gram negative bacteria

Other: Cholera Gravis - epidemic form

SS:
severe, watery diarrhea

Patho:
fecal-oral
few hours to few days

Eval:
stool culture

Txt:
oral rehydrate
abx

Prevent:
no raw or undercooked seafood

7
Q

Cholera summary

A

Def: gram negative bacteria

Other: Cholera Gravis - epidemic form

SS:
severe, watery diarrhea

Patho:
fecal-oral
few hours to few days

Eval:
stool culture

Txt:
oral hydration
abx

Prevent:
no raw or undercooked seafood

8
Q

Cholera summary

A

Def: gram negative bacteria

Other: Cholera Gravis - epidemic form

SS:
severe, watery diarrhea

Patho:
fecal-oral
few hours to few days

Eval:
stool culture

Txt:
oral hydration
abx

Prevent:
no raw or undercooked seafood

9
Q

Schistosomiasis summary

A

Def: helminth in freshwater

SS:
itchy skin
fever
chills
muscle aches
cough
ab pain
hematuria
anemia
malnutrition
10
Q

Schistosomiasis summary

A

Def: helminth in freshwater

SS:
itchy skin
fever
chills
muscle aches
cough
ab pain
hematuria
anemia
malnutrition
11
Q

Soil transmitted helminths summary

A

SS:
ab pain
N/V/D

12
Q

Helminths summary

A

txt:
albendazole
praziquantel