Kristen Shared "IHD3" - 101 Picmonics

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IHD3

Amphotericin B
Indications
Systemic Mycosis
Fungal Meningitis
Last Resort for Protozoan infections
Mechanism
Polyene
Binds Ergosterol
Forms Membrane Pores
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1 min
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
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1 min
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
Bacillus Anthracis (Anthrax) Characteristics
Characteristics
Gram-Positive
Spore-Forming
D-glutamate Polypeptide Capsule
Protective Antigen
Lethal Toxin
Edema Factor
Increased cAMP
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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
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2 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
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2 mins
Bartonella henselae
Characteristics
Gram-Negative
Pleomorphic
Bacillus
Signs and Symptoms
Cat Scratch Fever
Lymphadenopathy
Bacillary Angiomatosis
Patients with AIDS
Mimics Kaposi Sarcoma
Benign
Reactive Arthritis
Non-Caseating Granuloma
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2 mins
Beta-Lactamase Inhibitors
Considerations
Often Combined with Penicillin Antibiotics
Drug Names
Clavulanic Acid
Sulbactam
Tazobactam
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51 secs
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
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3 mins
Brucella
Characteristics
Gram-Negative
Coccobacillus
Unpasteurized milk
Goat cheese
Inside macrophages
Signs and Symptoms
Lymphadenopathy
Granulomas
Undulating fever
Treatment
Doxycycline
Gentamicin
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2 mins
Campylobacter Jejuni
Characteristics
Gram-Negative
Bacillus
Flagella
Curved
Corkscrew Appearance
Oxidase-Positive
Grows Well at 42 Degrees
Undercooked Poultry
Unpasteurized Milk
Puppies with Diarrhea
Signs and Symptoms
Bloody Diarrhea
Guillain-Barre syndrome
Reiter's Syndrome or Reactive Arthritis
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3 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
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2 mins
Chlamydia
Mechanism
Chlamydia trachomatis
Assessment
May Be Asymptomatic
Dysuria
Epididymitis
Discharge
Dyspareunia
Interventions
Doxycycline
Azithromycin
No Intercourse for 1 Week
Treat Partners
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2 mins
Chlamydia Characteristics
Characteristics
Cannot Make ATP
Elementary body infects
Intraepithelial
Reticulate Body Replicates
Diagnosis
Cell Wall Lacks Muramic Acid
Giemsa Stain
Inclusion Bodies
Treatment
Azithromycin (Preferred)
Doxycycline
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2 mins
Chlamydia trachomatis
Characteristics
A to C
Trachoma
Follicular Conjunctivitis
Blindness
Africa
L1 to 3
Lymphogranuloma venereum
Buboes
Genital Ulcer
D to K
Urethritis and PID
Neonatal Pneumonia
Staccato Cough
Neonatal Conjunctivitis
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2 mins
Chloramphenicol
Mechanism
Bacteriostatic
Inhibits 50S Peptidyltransferase Activity
Indications
Meningitis
Rocky Mountain Spotted Fever in Pregnant Women
Side Effects
Anemia
Aplastic Anemia
Gray Baby Syndrome due to Decreased UDP-Glucuronyl Transferase
Resistance Caused by Plasmid Encoded Acetyltransferase
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2 mins
Common Causes of Meningitis: Adolescent and Adult (6 - 60 Years Old)
Enteroviruses
Herpes Simplex Virus (HSV)
Neisseria meningitidis (#1 Cause in Teens)
Streptococcus pneumoniae
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1 min
Common Causes of Meningitis: Children (6 Months - 6 Years)
Enteroviruses
Neisseria meningitidis
Haemophilus influenzae Type B
Streptococcus pneumoniae
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2 mins
Common Causes of Meningitis: Elderly (60+ Years Old)
Streptococcus pneumoniae
Gram-Negative Rods
Listeria Monocytogenes
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56 secs
Common Causes of Meningitis: Newborn (0-6 Months)
Group B Streptococci
E. coli
Listeria monocytogenes
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1 min

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