clin med test 3

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Author:
lakelley88
ID:
200548
Filename:
clin med test 3
Updated:
2013-02-14 10:40:10
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clin med test
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worms & protozoa
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  1. treatment for Trichinellosis
    Prednisone & mebendazole
  2. two phases of Trichinellosis
    • intestinal-larvae burrow into small intestine-N/V constipation ab pain
    • muscle-periorbital/facial edema, tetinal hemorrhages, myalgias, m. edema, weakness
  3. treatment of hookworms
    mebendazole
  4. most prevalent intestinal helminthic parasite
    roundworm
  5. S/S of pinworm
    perianal puritis, esp at night
  6. tx of roundworm
    mebendazole
  7. tx of pinworm
    mebendazole
  8. tx of whipworm
    mebendazole
  9. Strongyloidiassis mcly found where
    southern states
  10. tx of strongyloidiasis
    Albendazole
  11. treatment of visceral larva migrans
    tiabendazole Y diethylcarbamazine
  12. s/s of filariasis
    inflammation/obstruction of lymph channels
  13. transmission of Loiasis loa loa
    by horseflies and deeflies in Africa
  14. stages of Schistosomiasis
    • 1. schistosomal dermatitis
    • 2. fever, cough, malaise, urticaria
    • 3. eggs deposited in intestine or bladder
  15. tape worms come from
    undercooked fish, pork, from ingestion of eggs
  16. treatment of Echinococcosis
    s/s?
    • surgical removal of cysts/mebendazole
    • cysts develop in liver, lungs, organz
  17. mc S/S of primary toxoplasmosis
    lympphadenopathy
  18. S/S of immunosupporessed toxoplasmosis
    • CNS infection-encephilitis, meningoencephalitis, cerebral mass
    • myocarditis, lympadenitis, pericarditis, peritonitis
  19. dx of toxoplasmosis
    biopsy to confirm dx
  20. congenital toxoplasmosis happens when
    • when mother is infected
    • 85% appear normal at birth 85% develop abnormalities
  21. abnormalities developed in congenital toxoplasmosis
    chorieretinits, hearing loss, developmental delay, microcephaly, fetal death, seizures, hydrocephalus, fever, rash
  22. dx of congenital toxoplamosis
    serologic methods, PCR
  23. treatment of toxoplasmosis
    pyrimethamine, sufonamides
  24. treatment of preganant mother w toxoplasmosis
    spiramycin
  25. S/S of malaria
    HA, back pain, sweating, N/V diarrhea, cough, delirium, focal seizures

    anemia 
  26. blackwater fever from malaria results in 
    intravascular hemolysis
  27. treatmetn of malaria
    chloroquine
  28. tx of chloroquine resistant
    • 1. quinine sulfate
    • 2. doxy
    • 3. pyrimethamine
  29. drug to treat liver infection of malaria
    primaquine
  30. treatmetn of babesiosis
    clindamycin & quinine
  31. babesiosis transmitted by 
    deer ticks
  32. babesiosis s/s
    • constitutional symptoms
    • HA 
    • hemolytic anemai
  33. treatment of giardia
    metro
  34. giardia inhibits
    small intestine
  35. s/s of giardia
    diarrhea, foul smelling stool, flatulance, cramps, nausea, fatigue, watery diarrhea

    lasts more than 7 days
  36. amebiasis found where
    colon
  37. s/s of E. histolotica (amebiasis)
    • blood mucus in stool
    • tenesmus, flatulence
    • liver abscess, malaise, anorexia, ab pain
    • anemia
  38. treatment of e histolotica
    metro
  39. treatmetn of isosporiasis
    bactrum
  40. s/s of isosporiasis
    fever malaise ab pain, diarrhea
  41. treatment of cyclosporiasis
    bactrum
  42. s/s of cyclosporiasis
    diarrhea, flue like s/s, anorexia, fatigue
  43. treatmetn of cryptosporidiosis
    supportive
  44. s/s of cryptosporidiosis
    non-bloody diarrhea, watery, ab pain, never, anorexia, wtg loss
  45. treatmetn of Leishmaniasis
    stodium stibogluconate
  46. American trypanosomiasis 
    Acute s/s
    • non pitting facial edema & extremities
    • myocarditis
    • meningoencephalitis
  47. American trypanosomiasis
    Chronic
    • involves heart & GI
    • megacolon, myocarditis
  48. treatment of american trypanosomiasis
    acute
    chronic
    • acute-Nifurtimox
    • Chronic-parasitemia
  49. African trypanosmiasis s/s
    • meningoencephalitis
    • meningomyelitis
    • chancres at site of bite
  50. tx of african sleeping sickness
    eflornithine

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