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Microbio systems
| Question | Answer |
|---|---|
| skin colonized by | S. epidermidis |
| Nose colonized by | S. epidermidis, S. aureues |
| oropharynx | Viridans group streptococci |
| Colon | Bacteroides fragilis > E. coli |
| Vagina | Lactobacillus, E. coli, B strep |
| Seafood. Which one can also cause infection when shellfish come in contact with a wound | V. parahaemolyticus, V. vulnificus |
| Reheated meat dishes | Clostridium perfringens |
| undercooked meet | E. coli 0157 H7 |
| Camplyobacter: type of diarrhea, findings | bloody diarrhea; comma, S-shaped organisms; growth at 42 C oxidase positive |
| Salmonella, disease and distinguishing characteristic | Bloody diarrhea; lactose negative; flagellar motility |
| Shigella- cause and distinguishing characteristic | Bloody diarrhea; lactose negative; low ID50, Shiga toxin (cleaves host cell rRNA, enhances cytokine release-HUS) |
| EHEC - disease, distinguishing characteristics | Bloody diarrhea O157H7 can cause HUS; Makes shiga like toxin |
| EIEC - disease, distinguishing characteristic | Bloody diarrhea; invades colonic mucosa |
| Yersinia enterocolitica- disease, distinguishing characteristic | Bloody diarrhea; day care outbreaks, pseudoappendicitis (RUQ), ulcerative colitis |
| C. dificile- disease, distinguishing characteristic | Bloody diarrhea/watery diarrhea; pseudomembranous colitis |
| Entamoeba histolytica -disease, distinguishing characteristic | Bloody diarrhea, protozoan |
| ETEC -disease, distinguishing characteristic | Watery diarrhea, Traveler's diarrhea; produces ST and LT toxins |
| V. cholerae -disease, distinguishing characteristic | Comma shaped organisms, rice water diarrhea |
| C. perfringens -disease, distinguishing characteristic | Watery diarrhea, gas ganagrene |
| Protozoa -disease, distinguishing characteristic | Watery diarrhea; Crypto (immunocompromised), giardia |
| Viruses that cause watery diarrhea | rotavirus, adenovirus, Nowalk virus |
| Pneumonia: Nenoates (< 4 weeks) | Group B strep, E. coli |
| Pneumonia: Children (4 wk-18 yr) | Runts May Cough Sputum (RSV, Mycoplasma, Chlamydia pneumoniae, Streptococcus pneumnoiae) |
| Pneumonia: Adults (18-40 year) | Mycoplasma, C. pneumoniae, S. pnemoniae |
| Pneumonia: Adults (40-65) | S. pneumoniae, H. influenzae, Anaerobes, Viruses, Mycoplasma |
| Pneumonia: Elderly | S. pneumoniae, viruses, Anaerboes, H. influenzae, Gramn-negative rods |
| Pneumonia: Nosocomial (hospital acquired) | Staph, enteric gram - |
| Pneumonia: Immunocompromised | Staph, enteric gram-, fungi, viruses, PCP with HIV |
| Pnemonia: Aspiration | Anaerobes |
| Pneumonia: Alcoholic/IV drug user | S. pneumonia, Klebisiella, Staph |
| Pneumonia: Cystic fibrosis | Pseudomonas |
| Pneumonia: Postivral | Staph, H. influenzae |
| Pneumonia: Atypical | Mycoplasma, legionella, chlamydia |
| Meningitis: Newborn (0-6 months) | Group B strep, E. coli, Listeria |
| Meningitis: Children (6 mo - 6 years) | S. pneumoniae, N. meningitidus, H. influenzae type B, enterovirus |
| Meningitis 6-60 years | N. meningitidis, Enterovirus, S. pneumoniae, HSV |
| Meningitis: 60 years+ | S. pneumoniae, Gram - rods, Listeria |
| Viral causes of meningitis | enterovirus, espeically coxsackie, HSV, HIV, West Nile virus, VZV |
| Causes of meningitis in HIV patients | Toxo, crypto, CMV, JC (PML) |
| CSF findings Pressure, Cell type, protein, sugar: Bacteria | Increased pressure, increased PMNS, Increased proteins, decreased usgar |
| CSF findings Pressure, Cell type, protein, sugar: Fungal/TB | Increased pressure, increased lymphocytes, increased pressure, decreased sugar |
| CSF findings Pressure, Cell type, protein, sugar: Viral | Normal-increased pressure, increased lymphocytes, normal-increased protein, normal sugar |
| Way to remember CSF findings | Bacteria: increased polys, fungal/TB and viruses: viruses will have normal sugar, lower opening pressure |
| Osteomyelitis most due to ____. | S. aurues |
| Osteomyelitis: sexually active | N. gonorrhoeae (rare), septic shock more common |
| Osteomyelitis: diabetics/drug addicts | Pseudomonas |
| Osteomyelitis: Sickle cells | Salmonella |
| Osteomyelitis: Prostetic replacement | S. aureus, S. epidermidis |
| Osteomyelitis: Vertebral | Mycobacterium TB (Pott's disease) |
| Osteomyelitis: Cat/dog bites | Pasteurella multocida |
| UTI: ambulatory | E. coli > S. Saprophyticus (most common in young teenage girls that are sexually active) > Klebsiella |
| UTI: hospital | E. coli, Proteus, Klebsiella, Serratia, Pseudomonas |
| Predisposing factors to look for:, In babies, predisposing factor ____. | flow obstruction, kidney surgery, catheterization, gynecologic abnormalities, diabetes, pregnancy. Congenital anomalies |
| UTI bugs | SSEEK PP: Serratia marcescens, S. saprophyticus, E. coli, Enterobacter cloacae, Klebisiella pneumoniae, Proteus mirabilis, Psedumonas aeruginosa. |
| Large mucoid capsule and viscous colonies, lactose fermenter that produces UTI | Klebisiella pneumoniae |
| Leading cause of UTI, colonies show metallic sheen on EMB agar | E. coli |
| nosocomial, drug resistant UTIs | Enterobacter cloacae, Serratia marcescens (produces a red pigment), Pseudomonas |
| Mobility causes "swarming" on agar; produces urease, associated with struvite stones and UTI | Proteus mirabiliis |
| 3 bugs that can be acquired placentally or through birth canal | Listeria, E. coli, Group B strep, HSV-2 |
| Toxoplasma gondii | Calcifications, chorioretinitis, hydrocephalus; may be asymptomatic at birth |
| Deafness, cataracts, heart defects (PDA), "blueberry muffin baby" due to rash | Rubella |
| Petechial rash, intracranial calcifications, mental retardation, hepatosplenomegaly, microcephaly, jaundice; 90% asymptomatic at birth | CMV |
| hepatosplenomegaly, neurologic abnormalities, frequent infections | HIV |
| encephalitis, conjunctivitis, vesicular skin lesions. Often asymptomatic at birth. | HSV 2 |
| cutaneous lesions, hepatosplenomegaly, jaundice, saddle nose, saber shins, Hutchinson teeth, CN VII, rhinitis (snuffles) | Syphillis |
| Pyelonephritis Symptoms | Fever, chills, flank pain, CVA tenderness |
| UTI Symptoms | dysuria, frequency, urgency, suprapubic pain |
| Gonorrhea: clinical symptoms, organism | Urethritis, cervicitis, PID, prostatitis, epididymitis, arthritis, creamy purulent discharge. N. gonorrhae |
| Name organism, disease: Painful penile, vulvar, cervical ulcers; can cause systemic symptoms: fever, headache, myalgia | HSV-2, genital herpes |
| Urethritis, cervicitis, conjunctivitis, Reiter's, PID | Chlamydia trachomatis (D-K). Has "corkscrew" motility on wet mount |
| Ulcers, lymphadenoapthy, rectal strictures | C. trachomatis (L1-L3) |
| Condylomata acuminata is caused by: | HPV 6,11 |
| Chancroid is caused by ___ and causes ___- | h. ducreyi and causes painful genital ulcer, inguinal adenopathy |
| PID that is often asymptomatic is caused by ___ while symptomatic PID is caused by ____. | C. trachomatis, N. gonorrhoeae (acute, high fever). |
| Symptoms of PID | chandelier sign (cervical motion tendernes), purulent cervical discharge. |
| sequelae of PID include | salpingitis, enodmetritis, hydrosalpinx, tubo-ovarian abcess. |
| Fitz Hugh Curtis syndrome is seen in ____. It's described as: | FHC is found in PID. Infection of the liver capsule and "violin string" adhesions of parietal peritoneum |
| Salpingitis is a RF | ectopic pregnancy, infertility, chronic pelvic pain, adhesions |
| Hyperalimentation: RF for ___ | candida |
| Respiratory therapy equipment: RF for ____ | Pseudomonas aeuroginosa (AIR, BURNS) |
| burns: RF for ___ | Pseudomonas |
| Urinary catheterization is a RF for ____, __- | E. coli, Proteus mirabilis |
| Newborn nursery carries a risk for ___, ___ | CMV, RSV |
| Infections after influenza | Hemophilus, Strep, Staph |