Luke Shared "Micro-Not in Sketchy" - 13 Picmonics

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Micro-Not in Sketchy

Whipple's Disease
Tropheryma Whipplei
Gram-Positive
Middle-aged, Caucasian men and Farmers
Malabsorption
Mesenteric Nodes
Arthralgias
Cardiac Symptoms
Neurologic Symptoms
PAS-positive Foamy Macrophages
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1 min
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
Moraxella catarrhalis
Characteristics
Gram-Negative
Diplococci
Oxidase-positive
Catalase-positive
Associated Infections
Otitis Media
Sinusitis
Chronic Obstructive Pulmonary Disease (COPD)
Bronchitis
Laryngitis
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2 mins
Haemophilus ducreyi
Characteristics
Gram-Negative
Coccobacillus
Pleomorphic
Parallel Short Chains
School of Fish Appearance on Gram Stain
Signs and Symptoms
Chancroid
Painful Genital Ulcer
Buboes
Treatment
Azithromycin
Ceftriaxone
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2 mins
Syphilis TORCH
Signs and Symptoms
Nonspecific TORCH Symptoms
Often Results in Stillbirth
Hydrops Fetalis
Saber Shins
Notched Teeth
Saddle Nose
Blindness
Deafness
Hepatitis
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3 mins
Ehrlichia (ehrlichiosis) & Anaplasma (anaplasmosis)
Obligate, Intracellular GNR
White Tail Deer
Thrombocytopenia, Leukopenia
Cytoplasmic Morulae
Ehrlichiosis: Monocytes | Lone Star Tick
Anaplasmosis: Granulocytes | Ixodes tick
Tx: Doxycycline
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Erysipelothrix rhusiopathiae
Gram positive
Bacillus
Capsule
Facultative anaerobe
Turkeys
Cellulitis
Penicillin
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Aeromonas
Gram Negative Rod
Facultative anaerobe
A. hydrophila, A. veronii
Diarrhea: Cryptitis, Architectural distortion
Wound Infections (medicinal leeches) e.g. Necrotizing Fasciitis
Systemic Disease in Immunocompromised
Tx: Fluoroquinolones, TMP/SMX
Freshwater, Brackish Water exposure
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Bartonella Quintana / Bacilliformis
Trench Fever Disease
Lice
Homeless Patients
Doxycycline
Sandfly
Peru and Ecuador
Anemia
Angiomatosis
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Burkholderia
Soil
Opportunistic
B. cepacia Complex
affects CF & CGD pts.
causes Catheter-associated UTIs
Tx: TMP/SMX
B. pseudomallei
Pulmonary Melioidosis that resembles TB
Tx: Ceftazidime
B. mallei (Glanders)
Tx: Tetracyclines
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Endocarditis
Nonbacterial Thrombotic Endocarditis
Nonbacterial Thrombotic Endocarditis
Hypercoagulable State and Malignancy
Sterile Vegetations along Lines of Closure
Mitral Regurgitation
Libman-Sacks Endocarditis
Libman-Sacks endocarditis
Associated with SLE
Sterile vegetations along surface and undersurface of mitral
Mitral Regurgitation
HACEK Endocarditis
Haemophilus influenzae
Actinomyces Israelii
Cardiobacterium
Eikenella
Kingella
Endocarditis with negative blood cultures
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Relapsing Fever
Borrelia
Spirochete
Doxycycline
Borrelia hermsii
Borrelia hermsii
Tick
Borrelia recurrentis
Borrelia recurrentis
Lice
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Streptococcus Bovis
Characteristics
Group D Streptococci
Catalase-Negative
Gram Positive Cocci
Does Not Grow in 6.5% NaCl
Grows in Bile
Clinical Features
Endocarditis
Bacteremia Associated with Liver Disease
Bacteremia Associated with Colon Cancer
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2 mins

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