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* DAY 1: Microbiology revision !!!!!!!FIRST AID #708581


zen786 - 11/12/12 20:08

Starting off with MICROBIOLOGY, Please note i posted this thread a little earlier then I had stated but thats because of I won't have access to my computer at 11pm today in particular. I apologize for that. I WILL RE-EMPHASIZE ON THIS MATTER: IF NO MAJOR ACTIVITY then we will discontinue.... This thread will remain ACTIVE until tomorrow [11/13/2012] 11 pm EASTERN STANDARD TIME. where at that point day 2**** behv science and psychiatry will begin :) 10 days , hardcore, thanksgiving break :) please share all your high yield information with regards to microbiology from first aid. Only share your own notes with first aid which maybe from multiple sources [kaplan, MMRS, etc] PLEASE DO NOT POST QUESTIONS ON THIS THREAD. PLEASE DO NOT CHANGE TOPICS .... share high yield facts, mnemonics, & Concepts. well I wish everyone the best of luck and as some of us stated we will be giving our nbme's after this so please work hard... 10 days is not a lot ... if we can devote this it will only benefit us .... cheers and good luck...

Archives

my first contributions : *mycobacteria is the only gram + organism that does not "stain well" *tularemia also requires charcoal yeast agar as well as legionella. *cysteine can be use to detect : the "ELLA SISTERS" [franciella, brucella, legionella, pasturella]

*TB & listeria : prevent phagolysosome phagocytosis *TB : prevents phagosome & lyososome fusion *listera : escapes before phagosome and lysosome fusion
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID

#2775856
zen786 - 11/12/12 20:16

maconkeys agar :

consist of bile salts and crystal violets which prevent "gram + bacteria" growth. only consist of lactose carbohydrate : therefore if taken up the bacteria that it will test for will be "gram - " lactose fermenters will show "pink colonies". but if theres no PINK colonies then the bacteria is STILL gram - .... the only point here that we can conclude is that its not a LACTOSE fermenter. :)

maconkey agar is neutrally RED stain


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775858


zen786 - 11/12/12 20:22

Catalase : found within living cells allows human beings to convert h2o2 into H2O and O2 preventing oxidative damage. but patients with CGD this can not occur due to nadph oxidase deficiency preventing the cofactor formation required for H2o2 formation. therefore the humans then use bacterial h2o2 for oxidative damage done to those bugs.... but bacterias that are catalase positive prevent this from happening via converting their own h2o2 into h2o and o2 hence the catalase bugs then promote their infection..

catalse + bugs = staph, aspergillus ... add to the list theres more :)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775859


zen786 - 11/12/12 20:28

gram negative bugs have endotoxin on their cell surface [LPS] which when bound to a macrophage toll like receptor molecule promotes TNF alpha release . TNF alpha mechanism : tnf alpha release binds to tnf alpha receptor which causes a conformational change in the ligand protein SODD. - > this causes the dissociation of the protein from the intracellular "death domain" - > which enables TRADD protein to bind to death domain. - > leads to protein folding activating 3 pathways. pathway 1: Nf-Kb : which tries to promote cell survival and causes inflammation is "anti-apoptotic" pathway 2: MAPK kinase: which translocates allowing transcription factor C-Jun activation which is a PRO - apoptotic molecule. pathway 3: induction of death signal: via TRADD binding to FADD protein. - > which recruits cysteine proteases caspases - > raises intracellular caspases 8 - > which is autoproteolytic ... - > cleaving off caspases enzyme - > leading to apoptosis.

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775861


zen786 - 11/12/12 20:30

giemsa stain : mnemonic = These Bugs Color Pink giemsa stains pink ..... T : trypanosomes, B : borrelia , C : chlamydia , P: plasmodium congo red stain is for : amyloidosis
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775862


zen786 - 11/12/12 20:32

obligate anaerobes : clostridium bacteroides actinomyces

drug of choice : metronidazole & clindamycin


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775863


ph3 - 11/12/12 20:32

Obligate anaerobes- ABC Actinomyces Bacteroides clostridia

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775865


drda - 11/12/12 20:33

reserve drug for anaerobes- aztreonam


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775866


zen786 - 11/12/12 20:33

superoxide dismutase : which are absent in obligate aneraobes just like catalase. superoxide dismutase : dismutation of superoxide into O2 & 2h2o2 = requirement for antioxidant. aminoglycosides can not be use to treat OBLIGATE* anaerobes because they require O2 for function.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775872


zen786 - 11/12/12 20:39

note : first aid section "encapsulated bacteria" states : in the right margin : "capsule conjugated with a protein, serves as antigen in vaccines" - > this is basically increase T cell response.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775873


apatole - 11/12/12 20:41

Lysogenic phages can transfer genes for virulence to a non-virulent strain of bacterium making it virulent. Examples are: 1. EHEC - Shiga-like toxin 2. C. Botulinum 3. V. Cholera 4. C. Diphtheria 5. S. pyogenes - erythrogenic toxin
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#2775875
zen786 - 11/12/12 20:44

excellent way of explaining lysogenic bugs @apatole, Thank you :) vaccines method basically is in SIMPLE terms: scientist take a polysacchride capsule antigen [ a molecule of antigen ] and attach a protein aka * IMMUNOGEN * to it that will generate an immune response .... [T cell ] which now will lead to "class switching and memory building". if this protein is not attached then only IgM present.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775882


best87 - 11/12/12 21:10

Causes of Meningitis: 0 to 6 moths 6months to 6yrs 6yrs to 60yrs 60+years G:Goup B Strep S strep pneumonia S L Listeria

E EColi N N.meningitis N G Gram negative rods

L Listeria E Ecoli E S strep peumo

H H.influ H

so its GEL SNEH SNEH and LGS

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775883


best87 - 11/12/12 21:14

heyy the above msg was typo error sorry

Bugs causing meningitis its GEL for 0to 6months its SNEH for 6months to 6yrs and 6yrs to 60yrs and LGS for 60+yrs
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775889


donblade - 11/12/12 21:28

Catalase bugs;SPANKS Staph Pseudomonas Aspergillos Nocadia Kleibsiela Seratia


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775892


drda - 11/12/12 21:37

Add e.coli , listeria and candida in the list for catalase +

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775893


drda - 11/12/12 21:38

M.CC of meningitis in teens- meningococci


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775894


drda - 11/12/12 21:38

M.CC of meningitis in Renal transplant and Cancer- Listeria Identified by tumbling motility
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775895


drda - 11/12/12 21:40

Oxidase+ Pseudomonas V.cholera C.jejuni H.pylori


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775896


drda - 11/12/12 21:41

Non-motile, Non H2 S forming- Shigella Motile, h2S forming- salmonella


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775903


sepusmle - 11/12/12 21:55

lysogenic phages- add "o" antigen of salmonella


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#2775908
apatole - 11/12/12 22:02

@zen adding on to the polysaccharide capsule antigen. We can take a polysaccharide capsule antigen of certain bugs such as S. pneumoniae, N. meningitidis, and H. Influenzae and couple it to a protein carrier such as diphteria toxoid or tetanus toxoid and give it as a vaccine. Why do we do this? As zen stated it makes the polysaccharide antigen recognizable to T-cells since their antigen recognition sites can only pick up peptides. The classic example we need to know for step 1 would be H. Influenza capsule combined with diptheria toxoid.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775911


drda - 11/12/12 22:04

lactose fermenters= E.ccoli Klebsiella Enterobacter citrobacter Serratia


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775912


best87 - 11/12/12 22:04

Arthropod borne viruses: Filovirus Arbovirus Bunyavirus Togavirus

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775913


drda - 11/12/12 22:05

Elongation factor-2 inhibition- pseudomonas and diptheria


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775914


drda - 11/12/12 22:06

Rubella- togavirus Rubeola- Paramyxovirus( measles) Roseola- HHv-6


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775930


zen786 - 11/12/12 22:26

Thanks guys, I will pick up tomorrow morning I'm done for the night, Goodluck to everyone keep the thread alive guys!! @asg30, and few other members I'm looking for u guys!!!! Let's get it done!
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775944


nellie333 - 11/12/12 22:51

@zen786....Sorry joining in late. but your coverage for abc anaerobes...I have a uworld explanation that stated metro doesn't cover gram + anaerobes and thats why usually DoC is clindamycin...

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775951


zen786 - 11/12/12 22:58

@nellie http://en.m.wikipedia.org/wiki/Metronidazole
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775957


nellie333 - 11/12/12 23:05

@zen ok thanks. I'm not sure why uworld states. that... moving on: v. cholera and c. jejuni BOTH COMMA shaped, oxidase + and gram - but v. cholera can grow on an alkaline media
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775970


asg30 - 11/12/12 23:21

hello all, sorry a bit late.. treatment of c. diphtheriae infection( IN ORDER OF IMPORTANCE) :--1---- ADMINISTRATN OF DIPTHERIA ANTITOXIN--- inctivates all circulating toxins, though ineffective against toxin that has already reached the cardic or neural cells. tus it is essential to prevent further damage to the heart / cns. (PASIVE IMM) 2--- ADMIN OF PENICILLIN/ERYTHROMYCIN--- kills bact, thus halting release of new exotoxins. 3--- DPT VACINE--- provides lasting immunity agnst future diph. infection (ACTIVE IMMUNITY) SO, ANTITOXIN TREATMENT IS THE MOST IMPORTANT AND HAS THE GREATEST EFFECT ON PROGNOSIS.
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#2775973
asg30 - 11/12/12 23:35

CULTURE MEDIA--H.INFLUENZAE---- chocolate agar with factor V( HAEMATIN) AND F. X NAD) N. gonorrhaea--- thayer martin or VPN MEDIA VANCOMYCIN, POLYMYXIN, NYSTATIN) to inhibit the growth of other g+ G- and fungi.. thus it is a selctive media.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775976


asg30 - 11/12/12 23:37

dpt vaccin-IMMUNIZATION WITH DPT VACCINE INDUCES PRODUCTION OF CIRCULATING IgG AGAINST THE EXOTOXIN BETA SUBUNIT---- THEREFORE PREVENTING DISEASE.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775980


asg30 - 11/12/12 23:44

superantigens---> bind to mhc II + T CELL RecePTOR ----> polyclonal t cell aCtivation -----> release of large no. of IFN GAMMA AND IL2-----> SYSTEMIC TOXICITY. EG---- s. aureus--- TSST1----> TSS ENTEROTOXIN--- FOOD POISONING, EXFOLIATIN--- SSSS S.PYOGENES-- SCARLET FEVER ERYTHROGENIC TOXIN also known as EXOTXIN A---- causes TSLS
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID

#2775982
asg30 - 11/12/12 23:49

CAPSULES--BACILLUS ANTHRACIS--- only bact wth a POLYPEPTIDE CAPSULE--- D- GLUTAMATE CAPSULE. H. INFLUENZAE---- capsule is composd of RIBOSE, RIBITOL, PHOSPHATE-- K/A PRP ( phosphoribosyl ribitol phosphate)... so antibody to PRP facilitate phgocytois of c. diphtherieae.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775987


asg30 - 11/12/12 23:58

DIAGNOSIS OF TREPONEMA PALLIDUM--1-- DARKFIELD MICROSCOPY--- DONE RIGHT AFTER SPECIMEN COLLECTON FROM THE EXUDATE OF THE ULCER- TO SEE THE MOTILE HELICAL BACT. ( differentiats it fom other spirochaetes) 2--- SROLOGICAL TSTS-NONTREPONEMAL TESTS-- VDRL, RPR for the presence of CARDIOLIPIN------- its a SCREENING TEST---- affectd by antibiotic theapy-- thus used for F/U OF TREATMENT AND DISEASE PROGRESION. TREPONEMAL TESTS--- FTA-ABS, MHA-TP detect specific treponemal ag.---- CONFIRMATORY TESTS-- REMAINS (+) FOR LIFE.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775997


dracpd - 11/13/12 00:32

guys i dont understand bacterial genetics clearly even aft listening videos.. can any one summarize on that topic plzz..... thankx

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2775998


asg30 - 11/13/12 00:32

can someone pl give some hy info on plasmid?


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776002


asg30 - 11/13/12 00:55

MYCOPLASMA--- contains sterol but no cell wall MYCOBACTERIA--- contain mycolic acid. high lipid content. so require acid fast stain like ZIEL NEELSON STAIN. NOCARDIA-- is also weakly acid fast
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776007


asg30 - 11/13/12 01:10

CRYPTOCOCCUS DIAGNOSIS -------------------------------------IT SI A HEAVILY ENCAPSULATED YEAST. 1--INDIA INK 2--- MUCICARMINE STAIN--- stains the thick POLYSACCHARIDE capsule RED. 3--- MOST SPECIFIC-- LATEX AGGLUTINITION TEST-- detects the polysaccaride capsular ag. 4---- CULTURE -- ON SABOURAUD'S AGAR
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776015


dr9no - 11/13/12 01:48

TSST is super Ag that binds toMHC2 and Tcell receptor TSST : T -> TCell , 2S ->MHC 2
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#2776016
asg30 - 11/13/12 01:51

ACTINOMYCES --- yellow SULPHUR GRANULES. S.AUREUS---YELLOW PIGMENT PSEUDOMONAS AERUGINOSA--- BLUE GREEN PIGMENT serratia--- RED PIGMENT
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776019


dr9no - 11/13/12 01:56

what is CAMP test? The CAMP test is a test to identify Group B -streptococci based on their formation of a substance (CAMP factor)that enlarges the area of hemolysis formed by -hemolysin from Staphylococcus aureus. strep agalactiae go CAMP with s.aureus their camp area is large place of hemolysis they can playing with each other!( hollucination for recall;-)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776020


asg30 - 11/13/12 02:02

THANKS dr9no... :)) thats a nice way to remmber this confusing fact.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776021


dr9no - 11/13/12 02:05

if someone has endocarditis and damage valve what pathogen ? viridance group( sanguis)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID

#2776022
asg30 - 11/13/12 02:07

EXOTOXIN--is a polypeptide in composition. is located in plasmid or bacteriophage. high toxicity. toxoids used as vacines TETANUS, BOTULISM, DIPHTHERIA ENDOTXIN--is a lipopolysacaride in compositon. is located in bact chromosome. low toxicity. no vaccine available. MENINGOCOCCIMIA, SEPSIS BY G NEG RODS.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776023


dr9no - 11/13/12 02:11

ur wellcome ;-) Elek is a bad man (toxin test) that have club ( coryne bacterium ) with his club he can do bad things like stop pr synthesis
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776024


dr9no - 11/13/12 02:12

oh i forget do u know his club is metachoromatic blue red plz avoid him
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID

#2776025
kocharov777 - 11/13/12 02:14

Thanks for such an effort guys.I am a bit late coz of time zone,but i'll try to compansate it with activity here we go 1.the bacterial structure that gives rigidity and maintains shape of bug =peptidoglycan 2.the bacterial structure that serves as a site of oxidative and transport enzymess=plasma membrane(LPT bilayer) 3.site of beta lactamases=periplasm(only G-) 4.flagellum=prt vs pillus/fimbria=glycoprt,spore=dipicolinicacid ONE major feature of glycocalyx=mediates adherense to foreign surfaces e.g. cathethers,artificial valves,etc(S. epidermidis dlycocalyx,S viridans-mediates formation of dextrans---->adherence)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776028


kocharov777 - 11/13/12 02:19

Actinomyces aNaerob=1A+1N Nocardia Aerob=1A+1N


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776029


larva - 11/13/12 02:21

Bugs that do not gram stains well "These Rascals May Microscopically Lack Color." 1. 2. 3. 4. 5. 6. Treponema - darkfield microscopy; fluorescent ab stain Rickettsia - intracellular parasite Mycobacteria - high-lipid wall (mycolic acid); acid-fast stain Mycoplasma - no cell wall (sterols) Legionella - primarily intracellular; silver stain Chlamydia - intracellular; no muramic acid in cell wall
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#2776030
asg30 - 11/13/12 02:23

B. PERTUSSIS TOXIN----> INHIBITS G alpa i ------> stimulates cAMP----> INCREASE INSULIN. INCREASED INSULIN---1--- causes lymphocytosis 2---causes histamine sensitivity--- whooping cough
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776031


larva - 11/13/12 02:23

What are some properties of SHiN? 1. Encapsulated: antiphagocytic 2. IgA protease: allows respiratory mucosa colonization 3. Transformation/competence: allows uptake of DNA from environment
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776032


larva - 11/13/12 02:25

Name the diseases associated with exotoxin (3) and endotoxin (2). Exotoxin: 1. Tetanus 2. Botulism 3. Diphtheria Endotoxin: 1. Meningococcemia 2. Sepsis by GNR

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776033


larva - 11/13/12 02:26

Name the ADP ribosylating A-B exotoxins (4). Recall: B binds cell surface receptor, A performs ADP-ribosylation to alter host protein function. 1. C. diphtheria: inactivates EF-2, similar to Pseudomonas exotoxin A 2. Vibrio cholerae: ADP-ribosylates G protein to stimulate adenylyl cyclase, extrude Cl- and fail to absorb Na+ (H2O into gut lumen, rice water diarrhea!) 3. E. coli (heatl-labile stimulates adenylate cyclase, heat-stable stimulates guanylate cyclase: "Labile like the Air, stable like the Ground") 4. Bordetella pertussis: increases cAMP by inhibiting G-alpha, inhibits chemokine receptor causing lymphocytosis
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776034


larva - 11/13/12 02:28

"Stay inside when it's Really Cold." 1. Rickettsia 2. Chlamydia Obligate intracellular bugs can't make own ATP.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776035


asg30 - 11/13/12 02:31

cl tetani and cl botulinum both cleave SNARE PROTEIN rqd for release of NT--GLYCINE AND GABA in case of cl. tetani and ACH in case of cl. botulinum

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776036


larva - 11/13/12 02:33

diarrhoea producing bugs: Eating Contaminated Stuffs Causes Very Big Smelly Vomit. E.H. E. COLI 0157:H7(UNDERCOOKED MEAT, HAMBURGER) CLAUSTRIDIUM BOTULINUM(CANNED FOOD) SALMONELLA(POULTRY, MEAT, EGGS) CLAUSTRIDIUM PERFRINGENS(REHEATED MEAT) VIBRIO PARAHAEMOLYTICUS(SEA FOOD) BACILLUS CEREUS(REHEATED RICE) STAPH AUREUS(MEATS, MAYO, CUSTARD) VIBRIO VULNIFICUS(SEA FOOD)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776037


kocharov777 - 11/13/12 02:35

ABC anaerobs lack catalase-->susceptible to oxidative damage


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776039


larva - 11/13/12 02:37

Endotoxin features ENDOTOXIN: Endothelial cells/ Edema Negative (gram- bacteria) DIC/ Death Outer membrane TNF O-antigen X-tremely heat stable IL-1 Nitric oxide/ Neutrophil chemotaxis
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776042


asg30 - 11/13/12 02:45

HEY LARVA... i was just going to smmarise the toxins.. thanks for doing it..:)) do u know of ne other competent bacteria??
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#2776043
kocharov777 - 11/13/12 02:47

Capsule only(polysaccharide)--->IgM(Pneumovax) Capsule+Prt--->T cells-->class switching(HiB,Meningococcal vaccine etc.)


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776044


asg30 - 11/13/12 02:47

@LARVA--what is O-ag of ENDOTOXIN ?? PL xplain


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776046


kocharov777 - 11/13/12 03:03

only heat stable exotoxin=S. aureus enterotoxin endotoxin is released only when the bug is lysed preformed toxin(before ingestion) ---A. aureus enterotoxin,Botulotoxin(adults) toxin is formed after ingestion----E.coli,Cholera,Shigella,Botulism(infants from honey)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776050


dr9no - 11/13/12 03:20

A repetitive glycan polymer contained within an LPS is referred to as the O antigen, O antigen is exposed on the very outer surface of the bacterial cell, and, as a consequence, is a target for recognition by host antibodies.

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776052


asg30 - 11/13/12 03:22

TRANSDUCTION--1-- GENERALISED/ PACKAGING EVENT--LYTIC PHAGE INFECTS BACT-----cleaves bact. chromosomal dna into many fragments--- also synthesises viral proteins--these bact dna fragmants get packaged into viral capsid wich goes and infects other bact. 2--- SPECIALISED/EXCISION EVENT--LYSOGENIC phage infects bact--- the viral dna gets incorporated into the bact dna--- whn the phage dna is excised, some flanking bact genes come along with it----- this dna containing both phage and bact genes, is packaged into phage viral capsid and goes and infects other bact. if someone can explain it in a simpler way pl do so. it took me many readings to get this into my head !!!!
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776054


kocharov777 - 11/13/12 03:37

mnemonic ABCD etecA(labile)+Bordetella+Cholera+Dyphteria(along with Ps.aerug.)=ADP ribisylating


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776055


asg30 - 11/13/12 03:43

S. AUREUS--Most common cause of tricuspid endocarditis in IV DRUG ABUSERS. (2ND MCC--- ps. aeruginosa.) MCC OF OSTEOMYLITIS. MRSA--- imp cause of nosocomial and commnity acqd infections

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776057


dr9no - 11/13/12 03:48

asg30 : transduction accurs when a virus that infect bacteria called a BACTEROPHAGE, carrise a peice of bacterial DNA from one bacterium to another , do u know bactriophage look like? like spiders with long skinny neck Generalized: after phage penetration into host bacterium the phage trancribed replicated and translater ,at the same time the bacterial DNA is destroyed eventually.somethimed pieces of bacterial DNA are left intact, if these pieces are the same size as the phage DNA they can accidentally be packed into the phage capsid head.following lysis of the cell and release of the phages the one phage with bacterial DNA in its head can then infect another bacterium,this type of genetic transfer is more effective than tranformation coz the transferred DNA piece is protected from destruction during transfer by the phage capsid that hold it
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776058


kocharov777 - 11/13/12 03:59

Microscopic appearence of serpantine or medusa head-B. anthracis Listeria-G+ with LPS

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776059


asg30 - 11/13/12 04:01

THANKS DR9no !!!! great explanation :))


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#2776060
dr9no - 11/13/12 04:02

we had 2 models of phages : virulant: infecting the bacteria reproducting and then lysing and killing the bacteria temperate: have a good temperament and dont immediately lyse the bacteria , its DNA becomes incorporate into bacterial choromosome and the DNA then waits for a command to activate. ok in specialized transduction we have temperate phage ,after the DNA of phage incorporate to DNA bacterial its name changed to prophage and the bacterium is now lysogenic normally the prophage do nothing but it can eventually become active if become active the prophage DNA is spliced out of the bacteral choromosome and replicated translated and packaged into capsid sometime there is an error in splicing and a piece of bacterial DNA that lies at one side of prophage will be cut replicated and packaged with phage DNA this may result in a transfer of that peice of bacterial DNA to another bacteria
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rocked - 11/13/12 04:24

DNA viruses made easy http://www.youtube.com/watch?v=9CujPUqJwaM


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asg30 - 11/13/12 04:31

in healthy individuals, the GIT s many many no. of strict anaerobes like fusobact, clostridium, bifidobact, etc that suppress the growth of cl. difficle. thus even if healthy ind. ingest cl . difficle, THE PROTECTIVE MECHANISM OF INTESTINAL BIOMASS, dosnt let cl. difficle infection develop. ANTIBIOTIC THERAPY--- KILLS THE INTESTINAL BACTERIA-- CL . DIFICLE FLOURISH--- CAUSE PSUDOMEMBRANOUS COLITIS

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dr9no - 11/13/12 04:35

gonococci doesnt have vaccine why? due to rapid antigenic variation of pilus protein
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dr9no - 11/13/12 05:12

salmunella has Vi antigen this is a polysacharide capsule that sorrounds the O antigen thus protecting the bacteria from antibody attack on to O antigen (Vi for virulance) so in sickel cell or asplenia are more suseptible to salmonella infection
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dr9no - 11/13/12 05:19

shiga toxin have 2 subunit B for binding microvilluse in colon allowing the entry of A subunit that inactivate 60s ribosome inhibit pr syn and kill intestinal epithelial cell
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asg30 - 11/13/12 05:38

CORD FACTOR _____________ cord factor is the virulence factor for mycobacteria. M.tb cannot infect without C.F.....it is responsible for inactivating neutrophil, damaging mitochindria and induces release of TNF. on culture, m. tb grows in parallel chains--- this growth pattern k/a SERPENTINE CORDS IS due to C.F.

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asg30 - 11/13/12 05:39

TREATMENT of cl. difficle--- metronidazole


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776072


asg30 - 11/13/12 05:43

can some one pl give some hy info about atpical mycobacteria ?


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776075


asg30 - 11/13/12 05:50

WHERE IS EVRYONE--NAZZY, SOMU, CARVIDILOL, SAYIDINE ?? U ALL SAID U WILL BE THERE. COME ON GUYS, only me and dr9no, kocharov777 are keeping the thread active.. pl everyone share info.
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#2776080
asg30 - 11/13/12 06:24

H. INFLUENZAE-AEROSOL TRANSMISSION. Most invasive dse is causd b capsular type B. part of SHiN--- produces IgA PROTEASE, CAPSULE-- ANTIPHAGOCYTIC, its a COMPETENT BACTERIA( ie TRANSFORMTION) can also be grown with staph aureus which produces factor V. prophylaxis--- rifampin. Rx--- ceftriaxone .
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kocharov777 - 11/13/12 06:26

Some notes that I marked in G+ section 1.Listeria-transvaginal(NOT transplacentar) transmission,Beta Hemolytic.actin rockets(help moving). 2.Bacillus anthracis-microscopic appearence of serpentine or medusa head or box car 3.Lepromatous lepra VS. Tub lepra---what really distioguishes these 2 is granulomas in Tub. lepra(which is of course much less severe) 4.Myc. Tub-Sulfatide=antiphagocytic,Cord factor(surface glycolipid)=main virulence factor(block macrophage activation by INF gamma),promotes resistance to antituberculoids,also responsible for Xmas tree appearence on culture medium 5.BCG vaccine does not prevent infection,rather the complications of Tub such as tub. meningitis 6.Cl. dypht.-ELEK test 7.Clofazimine is an important agent in lepra treatment
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#2776084
kocharov777 - 11/13/12 06:34

why Vanco and Pen G cannot act on G-???coz outer membrane prevents entry of these agents
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asg30 - 11/13/12 06:36

virulence factors for e.coli-FIMBRAE-- cystitis, pyelonephritis. K CAPSULE-- Pnemonia, neonatal meningitis. LPS ENDOTOXIN--- septic shock _____________________________________________ organisms using pilli/fimbrae--e.coli meningococci b.pertussi v.cholerae
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asg30 - 11/13/12 06:47

unlike other e.coli types, EHEC doesnt ferment SORBITOL AND neither does it produce glucoronidase. 0157;H7---- M C STRAIN. produces shiga-like toxin--- cleaves host cell rRNA , inactivates 60S ribosomal SU-- PRODUCES H.U.S--- ANEMIA + THROMBOCYTOPENIA + ARF.

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asg30 - 11/13/12 07:02

UNPASTUERISED MILK--- LISTERIA, CAMPYLOBACTOR JEJUNI. __________________________________________________________ Y. ENTEROCOLITICA--- contminatd milk etc. causes MESENTRIC ADENITIS--- mimi CROHNS OR APPENDICITIS
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asg30 - 11/13/12 07:07

unpasteurised milk--- also brucella


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asg30 - 11/13/12 07:11

infection from environmental water sources-LEGIONELLA --detected by presence of antigen in pt's urine PSUDOMONAS--- swimming pool etc-- hot tub folliculitis. malignant otitis extrna, in DM pts, etc LEPTOSPIRA-- water contaminated with rat urine
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asg30 - 11/13/12 07:27

G (-) FACTS--______________ LEGIONELLA--- charcoal yeast extract agar with iron and cystiene.---- legionarre's diseae, pontaic fever.---- LABSHYPONATREMIA ( IMP NEW UW QUESTION) PSEUDOMONAS--- causes ECTHYMA GANRENOSUM SHIGELLA--- pathogenesis-- mucosal invasion--- shigella invades the intestinal epithelial cells-- esp. the M CELL IN PEYER PATCHES--- this is how it evades phagosomes-- spreads to other epi. cells and release SHIGA TOXIN--- hig inflmmatory response---DIARRHOEA. shigella>>>>> virulent than salmonella LEPTOSPIRA--- water contaminatd with animal urine---ICTEROHEMMORHAGIC FEVER---> liver failure--jaundice and renal failure--- azotmia
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kocharov777 - 11/13/12 07:37

just to add GLegionella Loose stool with few or no bugs,Diagnosis=antigen detection in URINE Ps.Aerug-malignant otitis externa(GRANULOMAs) Shigella-ACTIN POLYMERIZATION Salmonella-Widal test,Vi antigen(anto opsonization),antibiotics prolong disease course(WHY???can anybody explain???)
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#2776114
asg30 - 11/13/12 07:45

PILUS mediates bact adherence to the cell surface GLYCOCALYX mdiates bact adherence to foreign surfaces
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nazzy - 11/13/12 07:47

OK I AM READY IN FULL FORCE. LET'S MAKE TODAY AS PRODUCTIVE AS POSSIBLE, YA'LL .

LETS DO THIS!!!!!!!!!!! JUST SO YA KNOW MICRO IS MY FAVORITE SUBJECT :))))) I WILL SHARE MY PERSONAL MNEMONICS WITH YOU ALL
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asg30 - 11/13/12 07:48

aspiration pneumonia--klebsiella oropharynx anaerobes--- bacteroides, fuobacterium, peptostreptococus alo causes rt lower lobe lung abscess
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#2776120
kocharov777 - 11/13/12 07:51

Scenario a 16 yo boy develops flulike smptms,jaundice,conjunctivitis after sweamming in local small lake-Leptospirosis(Weil disease is a more severe type-jaundice+azotemia+fever,hemmorrhage,anemia)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776122


kocharov777 - 11/13/12 07:53

BIG point Asplenic patients have increased risk of BABESIOSIS(+SHiN of course)


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dr9no - 11/13/12 07:56

kocharov777 : dead salmonella release endotoxin


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776124


nazzy - 11/13/12 07:57

SEGMENTED RNA VIRUSES: ROBA ( i dont take credit for Roba, its in FA somewhere:))

REO Orthomyxo Bunya Arena now whats the most important thing to remember of all 4? Reo- ONLY double stranded RNA virus Ortho- nothing we don't already know. We all know this is the flu. Associate HA and Neuraminidase with this. HA and NA (think Drift-- which is minor) compared to Shift. Bunya- one of 3 circular (mneomonic BAD: Bunya, Arena, Delta; all circular) Arena- think of mice, hamsters. THe only thing keep at the back of ur mind is Lassa fever encephalitis.

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asg30 - 11/13/12 07:59

wow.. thank goodness someone is here other than me... ok nazzy , u take over now.. me going to study uninterupted for the next 2 hrs wthout/ with minimal typing.. :)) !!
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asg30 - 11/13/12 08:01

hey can u gUys pl explain why asplenic pts have increased risk for SHiN bacterimia nd BABESIOSIS?? THANKS
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776128


nazzy - 11/13/12 08:01

hahha who else is here, except me... asg30? :)


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#2776129
nazzy - 11/13/12 08:04

wait.. is that a trick ques? It's bc they're encapsulated ofcourse


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nazzy - 11/13/12 08:08

Ohhhhh Someone here... know of examples, that demonstrate: Transduction (gen vs specialized) Transformation Transposition Conjugation Phenotypic mixing

It's one thing to read it in books--- another thing to see it in a vignette. What are key words that you look for .... to know which one to pick
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kocharov777 - 11/13/12 08:09

Asplenia-->low IgM--->low opsonization-->low killing of encapsulated bugs. It is other in Babesiosis as it is an intra RBC bug,the infected RBCs are destroyed in spleen,so no spleen-->no elimination-->spreading
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#2776132
nazzy - 11/13/12 08:11

would ALL intracellular bugs @kocharov.. hence be susceptible to ...spread in an asplenic patient then?
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776133


kocharov777 - 11/13/12 08:12

http://www.google.am/imgres?hl=ru&sa=X&biw=1241&bih=606&tbm=isch&prmd=imvns&t...,s:20,i:196 charcot joint..3' syphilis,Im sure they are able to show this joint also mark that in 3' syphilis you can see stroke without hx of HTN
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nazzy - 11/13/12 08:14

ALL DNA VIRUSES require a nucleus except POXVIRUS which replicates in cytoplasm ALL RNA VIRUSES replicate in enucleated cells except Orthomyxovirus!!!!!!!!
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776135


asg30 - 11/13/12 08:16

KOCHAROV and dr9no. came in shortly... mostly its just me :(( more than 1000 views and only me and 2-3 more pple contributing ! :((
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776136


nazzy - 11/13/12 08:18

yea that sucks... can ppl understand we ALL Need to contribute. :((((
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776137


kocharov777 - 11/13/12 08:18

I guess only intra RBC bugs as they are filtered by spleen


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776139


nazzy - 11/13/12 08:20

enucleated = replicating in cytoplasm. So ALL RNA viruses replicate in cytoplasm- with the exception of Orthomyxovirus
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#2776140
nazzy - 11/13/12 08:22

2 things affect Oligodendrocytes......

Multiple Sclerosis JC virus


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kocharov777 - 11/13/12 08:23

HIV is also an exception


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kocharov777 - 11/13/12 08:24

I AM WONDERING if Ehrlichia is transmitted bY Ixodes tick or Lone Star Tick??different ways in FA and Kaplan
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776143


nazzy - 11/13/12 08:26

Erlichia is the Lone star tick.... ixodes is lyme disease. Shit... thats' what i always thought
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#2776144
dr9no - 11/13/12 08:27

it doesnt matter asg30! go on lets talk about mycology my exam is on 22 nov.:|


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kocharov777 - 11/13/12 08:28

Transmitted by 1. LOUSE-recurrent fever,Epidemic typhus 2.Fleas-endemic typhus,Plague 3.Ticks-Lyme,Babesia,Ehrlichia???,RSMF,Tularemia,Francisella,Colorado tick fever


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nazzy - 11/13/12 08:34

the first that RSV does when it enters the cell: It uses its RNA dep RNA polymerase to create a mRNA (positve sense RNA) in order to start the translation process.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776148


nazzy - 11/13/12 08:35

so... i have posted about 7 things now. And no one has commented. Is this how we do it? We post............. and dont really communicate with one another ?
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776152


asg30 - 11/13/12 08:42

tranSformation--- comptent bact---SHiN transduction specialised--- shiga like toxin, cholera toxin, diph toxin, botulinm toxin, erythrogenic toxin-scarlet fever. reassortment--- influenza a @nazzy--- pl provide the other examples
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776153


zen786 - 11/13/12 08:45

Good morning guys , it's 9 am on my part currently so I will shortly join you guys after I run my errands!!

I just read all the posts and I'm very glad to see you guys active!! Just remember the more you type and post the better you will remember and recall!!! Thank you.... I haven't made my contributions but I will start shortly!!! :) We have till tonight 11 pm
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#2776154
kocharov777 - 11/13/12 08:45

nazzy,thanks for posting.I commented of course one of your posts(RNA replication),but this is not the case...the most important thing is realizing that whatever we do,we do first of all for us::)I am posting things that I've gathered during a year,hardly memorizable,also HY things gained from several Qbanks.Typing here helps to consolidate(it is for yourself:),and also other members can take from ur post what they fibd useful.these are great reminders.I think it is a good way of communication..commenting is not always nesessary,just when u find useful or somebody asking anything or you got a question:))) thanks
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dr9no - 11/13/12 08:45

histoplasma and blastomyces : mississipi river coccidiosis: soutwestern us ( arizona, new mexico, southern colifornia) coccidiose has become common in AIDS patient who have resided in arizona ! so a sick AIDS patient with history of previous residence in aouth western would raise suspicions.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776156


kocharov777 - 11/13/12 08:51

Naegler's reaction =Cl. perfringens lecithinase activity on egg yolk agar


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776157


asg30 - 11/13/12 08:53

good evening zen...its evening in india and its our festival today--- HAPPY DIWALI TO ALL. ya i worked haRd to keep the thead active... along with a few friends... kocharov777, dr9no, larva and nazzy.. hope to see activity from more members. CHEERS!

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nazzy - 11/13/12 08:53

alright guys----- muscle weakness, palpitations, mydriasis.

do you think of poisoning with ATROPINE OR BOTULINUM TOXIN?


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nazzy - 11/13/12 08:54

happy diwali Asg... It's 9am here on the east coast :)


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asg30 - 11/13/12 08:55

atropine??
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776161


dr9no - 11/13/12 08:55

summary of histoplasma blastomyces and coccidiodes like tuberculosis: inhaled primary infection in lung,asymptomatic, mild sever or chronic, lung granulomas,calcification and or cavitation, unlike tuberculosis: no person to person transmission,fungi with spores, not acid fast ps: histoplasma nonencapsulated,present in bird and bat dropping so out break of pneumonia accur when cleaning chicken coops, cave exploring
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asg30 - 11/13/12 08:56

pl give answers for the bact genetics qqq u asked.. its quite important... thanks for asking a hy question
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776174


kocharov777 - 11/13/12 09:08

well.. if you are given a pic that show WBC with berry cluster inclusions--->clue Ehrlichiosis(no rash) Q fever-presents as PNEUMONIA(despite the name) also I gotta nice scheme for ricketsial infections Ricketsial diseases RASH+ RASHRSMF Typhal Coxiella Ehrlichia .palms and soles .R. Prowazeki NO rash Lone Star Tick .CoA and NAD requirement .R. Typhi NO WF reaction Red inclusion .Palm and sole sparing NO arthropod in WBC
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#2776176
kocharov777 - 11/13/12 09:09

WTFFFFFF there is no scheme shown (((sorry.my scheme's shape is destroyed


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nazzy - 11/13/12 09:11

answer is Botulinum toxin. while we see mydriasis with Atropine..... we don't see flaccid paralysis (muscle weakness) with atropine. only with botulinum.

I want someone here to please speak of the bacterial genetic processess too. I don't know that too well- and its VERY high yield. Recap: Transduction (ex of both specialized vs general) , transformation, conjugation, phenotypic mixing, transposition. In FA they will give u the book definition---- but if it was so easy-- then most ppl wouldn't be getting these questions wrong!!!!!! There has to be someone out there------ who knows which key words to pick out-- when picking one of these terms.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776180


kocharov777 - 11/13/12 09:11

Ricketsial infection diagnosis-latex agglutination

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776181


dr9no - 11/13/12 09:12

A latex fixation test (or latex agglutination test) is an agglutination technique used to detect antigens, such as those produced in response to the rubella virus or the rheumatoid factor. May be used for Rickettsia, coccidioidomycosis, though numerous sources of interferences (e.g., large immune complexes and high protein concentrations) lessen the utility of the latex agglutination (LA) test in most situations. There is an excellent LA test for cryptococcus.It also is used in definitive diagnosis of Group A streptococcus
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776182


kocharov777 - 11/13/12 09:17

Nazzy I saw some nice topics abt Bact genetics in pagse 5-7(as I remember,check it).If u still got any Qs..u r welcome
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776188


nazzy - 11/13/12 09:28

Syphilis = dark colored maculopapular rash + codylomata lata (secondary syphilis)


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kocharov777 - 11/13/12 09:28

http://www.google.am/imgres?hl=ru&sa=X&biw=1241&bih=606&tbm=isch&tbnid=8vBElu...:0,s:0,i:63 follicular conjunctivitis caused by Chl. trachomatis (A_C)


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776191


asg30 - 11/13/12 09:29

ya nazzy, dr9no. and I tried to explain some bact genetics in or own words, as we understood them... i know its v tough, n even after studying this topic again n again, i get the qqqs wrong!! :( i hope zen or someone will post some qqqs in short for better understanding.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776193


nazzy - 11/13/12 09:30

I tried to find it on pages 5-7.. I couldnt find :( Maybe zen can go over bacterial/ viral genetics. It is so TOUGH!!!
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776196


asg30 - 11/13/12 09:32

@kocharov-hey isnt rickettsial diseases diagnosed by weil fellix reaction?? is LAT a more specific test?? as it is in the case of cryptococcus?
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#2776197
asg30 - 11/13/12 09:35

@nazzy-- its there on pages 7-8 of this thread.. hope u find it


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dr9no - 11/13/12 09:45

brief of milk : listeria,brucella,yersiena, campylobacter


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776202


shilu - 11/13/12 09:54

Hey guys sorry for being late. Very useful thread . Will contribute soon.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776205


zen786 - 11/13/12 09:58

Hi guys, I see the difficulty with bacterial genetics. I will explain in an hour - 2 hours.... I'm just busy with some errands... Sorry will join very soon :)
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#2776210
shilu - 11/13/12 10:05

spore are made of keratin like coat and lipicolinic acid


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776222


drda - 11/13/12 10:18

spore has dipicolinic acid


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776246


kocharov777 - 11/13/12 11:12

asg30 WF reaction is a distinguishing feature of Ricketsial family(although Coxiella does not cause WFR),Latex lutination is diagnostic..You are right in case of Cryptococcus-SPECIFIC test is LA,not any India ink or Mucicarmin staining datas thanks
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776248


drda - 11/13/12 11:15

WF reaction is done using Proteus antigen


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776249


drda - 11/13/12 11:16

Proteus and cryptococcus are both urease +


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776269


shilu - 11/13/12 11:53

beta hemolysis on blood agar -staph aureus -strep pyogenes -strep agalactiace -Listeria
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#2776276
nazzy - 11/13/12 12:10

staph aureus and Listeria, show beta hemolysis? What is your source????
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776277


kocharov777 - 11/13/12 12:11

EPEC---destruction and effacement of villi of small intestine in children


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776278


asg30 - 11/13/12 12:19

@nazzy--ya this is given in uworld


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776284


shilu - 11/13/12 12:23

@nazzy- FA 2012 pg 156 - about beta hemolytic bacteria


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776287


kocharov777 - 11/13/12 12:28

Dyphteri management 1.Antitoxin 2.Penicillin or erythromycin 3.DTP

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776293


shilu - 11/13/12 12:34

strep viridans produces extracellular polysaccharides ie dextrans from sucrose.These dextrans facilitate these viridans to adhere to fibrin. when there is endothelial trauma there is deposition of fibrin and platelets and so these bacteria get deposited on them. ----sub acute bacterial endocarditis-------------------------source U world
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776302


kocharov777 - 11/13/12 12:42

Reccuring fever during African Sleepinfg Sickness coz of antigenic variation (transmitted By TseTse fly:)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776311


nazzy - 11/13/12 12:54

GUYS--- is this stuff high yield/ important?????????? How do CERTAIN VIRUSES PRODUCE THEIR mRna? DNA viruses- they transcribe their mRna directly from their DNA genome Positive RNA viruses- their genome = mRNA. So they use direct translation from their genome to make protein instead. (not mRNA) Negative sense RNA- produce first a + sense intermediate. They carry with them a RNA dep RNA polymerase in the virion-to make the mRNA Positive sense RNA- produce first a - sense intermediate. then translate proteins directly from its genome using cellular ribosomes. Retrovirus (BIG Exception; does its own thing) 1) uses a double stranded DNA intermediate to make its mRNA 2) transcription from pro viral DNA
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776313


dracpd - 11/13/12 12:54

@zen: i hav a small req can u start a new thread for bact genetics and drug resistance separately.. it s a small topic but very HY.. so we can discuss it thoroghly.. plz
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776316


nazzy - 11/13/12 12:56

Yes thats a good idea.... That's what I am reading/ trying to fully grasp. It's too much confusion in this thread!!!!!
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#2776321
kocharov777 - 11/13/12 13:01

Malaria forms (If anybody adds anything I wud appreciate) 1.Hypnozoite-Liver 2.RBC Schizont with merozoites 3.Released from RBC-Shizont??? Schuffner dots are seen in Both OVALE+VIVAX or???Wiki says both
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776322


shilu - 11/13/12 13:02

Acid fast - mycobacteria -Nocardia -cysts of cryptosporidium


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776325


kocharov777 - 11/13/12 13:06

Chloroquine SE=retinopathy
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776328


kocharov777 - 11/13/12 13:09

ACID FAst +Pneumocystis Jirovici

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776331


zen786 - 11/13/12 13:11

I'm working on the presentation of bacterial genetics and drawing up some images for you guys... give me some time... I will make a separate posts for my colleagues if they request it [asg30, kocharovv, drda,apatole, dr9no] if they request it.... Its only fair because they have been the highest contributors thus far....
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776339


nazzy - 11/13/12 13:20

hey im contributing a ton zen :)))


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776342


kocharov777 - 11/13/12 13:22

Chancroid-Hemophylus ducrei(painful)-school of fish appearence(microscopic) Granuloma Inguinale-Klebsiella inguinale-intracytoplasmatic Donowan bodies Lymphogranulemma venerum-Chlam. trachmatis L1-L3 intracytoplasmatic inclusions
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776348


shilu - 11/13/12 13:30

Allergic bronchopulmonary aspergillosis can cause proximal bronchietasis in asthma pts


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776350


asg30 - 11/13/12 13:32

hey zen, so nice of u.. u can post it in this thread or sparate thread according to ur convinience...
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776352


asg30 - 11/13/12 13:37

@zen and another thing, its 12 past in my part of the world...so i'll be going off to sleep soon. pl lets do BEH SC AND PSYCH tomorrow... after this marathon micro, biochem will be very dificult to finish.. I Am sooo tired
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#2776354
shilu - 11/13/12 13:38

Rifampin prophylaxis in close contacts in -Meningococci -H. influenza


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776356


zen786 - 11/13/12 13:39

@asg30 tomorrow we shall start behv and pysch :) no worries... @nazzy sorry ur contributions are also great thank u. I'll post here and a separate post as well :) goodluck.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776357


asg30 - 11/13/12 13:39

@shilu.. May i ask whats the source of ur info regarding ABPA??


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776358


shilu - 11/13/12 13:40

U world question
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID

#2776361
asg30 - 11/13/12 13:43

ok.. thank u for putting it up:))... i think i missed out on this fact while doing uw.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776368


shilu - 11/13/12 13:55

Vaccine preventable diarrhoes Hep A Salmonella Rota virus

Add if more
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776370


dr9no - 11/13/12 13:56

yes i agree too. plz say it by example or question .thx


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776374


kocharov777 - 11/13/12 13:59

Rectal prolapse--Trichurius trichuria Treatment of Larva migrans-Diethylcarbamazine or Mebendazole


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776381


shilu - 11/13/12 14:08

Diarrhoaes with small infective dose -shigella -C.jejuni -Enta amoeba histolytica - Giardia
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776384


dr9no - 11/13/12 14:12

some one plz explain this whats the negative stranded viruses? virion brings its own RNA dependent RNA polymerase .?
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#2776386
larva - 11/13/12 14:14

" Doesn`t it sound like you are repeating the same word Trichuris,Trichuris?" ........... Children affected by this develop 'Repeated 'diarrhea and develop Rectal prolapse... DOC - Mebendazole
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776389


larva - 11/13/12 14:17

, a virus whose genetic information consists of a single strand of RNA that is the negative which does not encode mRNA (messenger RNA).
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776390


asg30 - 11/13/12 14:18

APERGILLUS FUMIGATUS __________________________ causes the follOWING--1--- ABPA--- IN C.F, ASTHMA pts l2---ung cavity aspergilloma-- after t.b , in the lung cavities causd by t.b 3---invasive aspergillosis--- in immunocompromised pts and in CGD 4---SOME species of aspeRgillus produce AFLATOXIN--- which causes HEPATOCELLULAR CA.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID

#2776391
nazzy - 11/13/12 14:19

Yes. the negative sense RNA viruses will carry with them RNA dep RNA polymerases to make a positive sense intermediate---------------from which mRNA can be synthesized.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776392


larva - 11/13/12 14:19

"Always Bring Polymerase Or Fail Replication" Arena Bunya Paramyxo Orthomyxo Filo Rhabdo Negative RNA viruses need their own polymerase
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776393


dr9no - 11/13/12 14:19

thx larva
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776397


asg30 - 11/13/12 14:23

HOSP ACQD BLOODSTREAM INFECTN-due to INTRAVASCULAR CATHETERS. M.C ORG--- COAG. NEG STAPH, S.AUREUS, E.COLI, ENTEROBACTER, ENTEROCOCCI, PSEUDOMONAS , KLEIBSIELLLA, CANDIDA.

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776412


larva - 11/13/12 14:36

Use the mnemonics "P. AERUGINOSA" P: Phospholipase C, Pigments (pyocyanin, pyoverdin, fluorescin) A: Aerobic E: Exotoxin A, Exotoxin S, Elastase, Endotoxin R: Rod, Resistance, Recurrent pneumonia U: Urinary Tract Infection (UTI) G: Green-blue pigment, Grape like odor I: Iron containing lesion N: Negative gram, Non lactose fermenter, Nosocomial infections O: Oxidase positive S: Slime capsule A: Adherin Pilli
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776420


nazzy - 11/13/12 14:43

ooohhhhhhhhhh i like the pseudomonas larva. ONE last thing i would add ... to tweak it psedomonas is also catalase +
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776421


asg30 - 11/13/12 14:44

HEY PEUDOMONAS works thru exotoxin a... but where does phospholipase c come in?? is it another exotoxin?? pl explain
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#2776427
asg30 - 11/13/12 14:52

STROGYLOIDES STERCORALIS--Can cause COUGH, ASTHMA LIKE BRONCHOSPASM AND HEMOPTYSIS. may cause TRANSIENT PNEUMONIA a larva migrates thru the lungs on their way to the laryngoparynx.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776428


larva - 11/13/12 14:52

Phospholipase C is a heat labile hemolysin. P. aeruginosa lipopolysaccharide (LPS), phosholipase C (PLC), and exotoxin A (ETA) can cause pulmonary inflammation. Both LPS and PLC induced high levels of tumor necrosis factor alpha (TNF-alpha), IL-1, 1IL-6, gamma interferon etc.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776432


larva - 11/13/12 15:00

Strongyloides Stercoralis MNEMONIC: I'm so strong that I can live in the soil and go through intact skin and cause diarrhea and pneumonitis
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776438


asg30 - 11/13/12 15:04

thanks larva:))
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID

#2776439
zen786 - 11/13/12 15:04

bacterial genetics and replication ....

http://www.usmleforum.com/files/forum/2012/1/708691.php going to take a 30 mins break guys that took me a good 2 hours!!! darn i need to pick up my speed otherwise ill fall short!!!
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776441


shilu - 11/13/12 15:06

Whiff test for bacterial vaginosis -high pH -add koH to slide containing vaginal secretion- emits fishy odour -Light microscpy- clue cells
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776450


asg30 - 11/13/12 15:18

antigenic variation seen in--1--- influenza virus 2--- n. gonorrhoa pilus protein 3--- trypanosoma gambiense/ rhodisiense/brucei
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776452


larva - 11/13/12 15:25

Antigenic variation remember BeTHIN (capital ) Borrelia Trypanosoma HIV Influenza N. gonorrhoeae
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776454


asg30 - 11/13/12 15:33

ok guys gudnite, see you all tomorrow :)) have to do better time management from tomorrow. hope to wake up to lot of hy info !!! cheers!!
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776459


kocharov777 - 11/13/12 15:38

MEasles later consecuences 1.SSPE 2.Giant cell pneumonia


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#2776491
shilu - 11/13/12 16:14

Live non attenuated vaccine--- adenovirus


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776497


shilu - 11/13/12 16:19

Parvovirus B19 In utero--Hydrops fetalis Children--Erythema infectiosum Adults- Rheumatoid arthritis like symptoms
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776498


shilu - 11/13/12 16:20

B19 virus attaches to human erythriods cells via the blood grp P antigen.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776508


shilu - 11/13/12 16:33

CMV I mmunocompetent--- mononucleosis HIV----retinitis Organ transplantation---Pnemonitis Immunosuppressed---Disseminated cmv causes diarrhoea and hepatitis
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#2776550
larva - 11/13/12 17:08

CMV Menifestations : "MRDICS": - Microcephaly vs. macrocephaly secondary to hydrocephalus in congenital toxoplasmosis - Mental Retardation - Deafness (sensorineural) also seen in congenital rubella - Itracranial Calcifications (periventricular) vs. the intracranial calcifications distributed throughout the cortex and basal ganglia in congential toxoplasmosis - Seizures (likely due to the intracranial calcifications)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776556


drda - 11/13/12 17:15

Triad of congential 1) Toxoplasmosis- chorioretinitis, intracranial calcification and hydrocephalus 2) syphilis- hutchinson's teeth( notched central incisors) + interstitial keratitis+ 8th nerve deafness snuffles- earliest sign of cong. syphilis mulberry molars also seen in syphilis 3) Rubella- PDA + cataracts 4)CMV- Seizures is an imp clue
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776557


drda - 11/13/12 17:15

only diploid virus- HIV

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776558


zen786 - 11/13/12 17:17

Staph Auerus toxins: alpha toxin : hemolysis beta toxin : sphingomyelinase proteins a+b+c of gamma toxin : a+b = hemolysis , b+c = leukocidin hemolysin : hemolysis leukocidin : destroy wbc enterotoxin : food poisioning tsst - 1 : release of cytokines epidermal exofliative - scalded skin syndrome : nikolskys sign
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776559


drda - 11/13/12 17:17

Reverse transcriptase 1) HIV 2) HBV 3) Telomerase


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776560


zen786 - 11/13/12 17:17

listeria monocytogenes is the only gram + organism with lipopolysaccharide endotoxin.


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#2776561
drda - 11/13/12 17:18

Pox virus- unlike other DNA viruses Does not replicate in nucleus Is not iscosahedral Naked viral genome is not infectious
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776563


drda - 11/13/12 17:21

Paramyxovirus implicated in causing Paget's disease


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776564


drda - 11/13/12 17:21

EBV receptor- CD 21 on B cells


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776566


drda - 11/13/12 17:22

in SSSS the exfoliative toxin- mechanism is cleavage of desmoglein 1


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#2776568
larva - 11/13/12 17:24

Zoonotic bacteria: Big Bad Bugs From Your Pet named Ella Bartonella Boriella burdorferi Brucella Francisella tularensis yersinia Pestis pasturElla"
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776569


drda - 11/13/12 17:25

Adenovirus-Buzz words 1) Military recruits 2) pink eye 3)hemorragic cystitis hemorrhagic cytitis - caused by cyclophosphamide is prevented by mesna but treated with N-acetyl cysteine Hemorrhagic mediastinitis- caused by B. anthracis - only org with polypeptide capsule , spore forming
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776572


drda - 11/13/12 17:27

Superficial vascular lesions( proliferation) 1) with neutrophils- B. henselae 2) with lymphocytes- Kaposi's sarcoma ( HHV-8, seen in male homosexuals)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776574


drda - 11/13/12 17:29

Fusion protein- seen in paramyxoviruses- drug used- palivizumab


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776578


drda - 11/13/12 17:35

@ zen- when are you starting psych and BS. I haven't read these subjects so would not be contributing in that thread. Thanks for all the effort of coming up with this whole thing
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776583


shilu - 11/13/12 17:40

Atypical pnemonia -mycoplasma -chlamydia -legionella


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#2776585
zen786 - 11/13/12 17:43

@drda , Thank you for your amazing contributions!!! I sincerely appreciate it. We will be doing Psychiatry + behavioral science tomorrow for the set. and then the following day biochemistry :)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776586


drda - 11/13/12 17:44

mycoplama & chlamydia & legionella- treat with macrolide Azithromycin prophylaxis for patients with HIV with CD4 < 50- prevent MAI infection
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776588


drda - 11/13/12 17:45

Welcome zen, that's the least I can do. I will join in for Biochem. Thanks
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776592


drda - 11/13/12 17:49

allergy to penicillin G+ organisms- use macrolide G- organisms- use aztreonam ( can be used to treat only g- rods) I want to make a correction. In a previous post I wrote that reserve drug for anaerobes is Aztreonam . I actually meant Imipenam.

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776594


zen786 - 11/13/12 17:50

:) thanks Drda!! will see you after today then* :)


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776596


drda - 11/13/12 17:50

Imipenam- causes seizures ( cilastatin needed) Meropenam- no seizures and can be given without cilastatin
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776597


drda - 11/13/12 17:51

Photosensitivity - tetracyclines -sulfonamides -chlorpromazine - Amiodarone


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776599


drda - 11/13/12 17:54

hosts in life cycleDog- E. granulosis Cat- toxoplasmosis Schistosomiasis- Snail ( h/o egyptian people)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776601


drda - 11/13/12 17:56

Strawberry tongue seen in- Scarlet fever( sandpaper rash) - Kawasaki's disease ( desquamating rash on hands and feet, only indication of aspirin in children to prevent coronry aneurysms.) Aspirin in children- Reye's syn- Microvesicular steatosis
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776604


drda - 11/13/12 17:58

Double zone hemolysis- Cl. perfringens Swarming on the agar- Proteus


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#2776609
zen786 - 11/13/12 18:02

novobiocin : dna gyrase inhibitor , competitive inhibitor of ATPase


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776610


larva - 11/13/12 18:03

Atypical pneumonia MCQ SIR ............... Mycoplasma Chlamydia Q Fever (Coxiella Burnetti) SARS Influenza RSV
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776611


drda - 11/13/12 18:04

Novobiocin- sensitive- S.epidermidis resistant- S. saprophyticus Both are urease +


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID

#2776612
drda - 11/13/12 18:05

Coxiella is spore forming and is spread without a vector


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776614


larva - 11/13/12 18:07

Drugs causing photosensitivity PQRST AND CNG P- Phenothiazines Q- Quinine, Quinolones, Quinidine R- Retinoids S- Sulphonamides, Sulfonylureas T- Tetracyclines, Thiazides A- Amiodarone N- NSAID'S-- Ibuprofen, naproxen, celecoxib D- Dapsone C- Chloroquine, Chlorpromazine N- Nalidixic acid G- Griseofulvin
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776619


drda - 11/13/12 18:20

Thanks larva , that's a great list !

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776620


drda - 11/13/12 18:22

Dihydrofolate reductase inhibitors 1) Trimethoprim- bacteria 2) Methotrexate- more affinity for eukaryotic cells( DOC- choriacarcinoma)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776621


kocharov777 - 11/13/12 18:23

I am done untill antimicrobials...no more effort for today(3am).I will do it tomorrow just before BS(hope it will be much easier) I wanna share some notes. 1.Roseola RASH is after FEVER,distiguishes frm Parvo and measles 2.Mubiluncus..G+ bug that seen in Bacterial vaginosis,but self is not STD 3.Nitrite test + characteristic for G-.exception is S,.Saprophyiticus 4.Killed BACTERIAL VACCINES for Anthrax,Bordetella,Yersinia,Cholera 5.P.Aeruginosa is a MCC of osteomyelitis in drug ubusers(also diabetics) 6.Shiga toxin-actin polymerization 7.HIV--ELISA(ruling out=sensitive),WB(ruling in=specific) 8.TAT gene-viral replication,NEF gene-decreases MHC I 9.CCR5 deletion=beneficial....CXCR4 deletion--FATAL(remember 4 is a fatal number loool) 10.HCV RNAPOL lacks proofreading--->antigenic variations 11.The Virion enzyme of HBV=DNA dependent DNAPOL 12.Prt F characteristic feature of paramyxoviruse(PALIVIZUMAB = ANTI Fprt) 13.ANtigenic drift is the result of RNA POL error of influenza 14.HAV causes smoking aversion 15.Smallest virus =Parvo
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776623


myrock99 - 11/13/12 18:24

guys you all are amaizing. i have started late today i have done some q . and i am doing fa. i see some great explinations. thank you . wow . i ll post soon.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776624


drda - 11/13/12 18:25

@ kocharov One correction- The FA errata had asked to delete that S. Saprophyticus gives + nitrite test. its only GReport Abuse

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#2776626
drda - 11/13/12 18:26

Largest Virus- Pox virus


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776627


zen786 - 11/13/12 18:27

GREAT GOING kocharovv!!! get a good night sleep brother!!! you EARNED IT!! see you tomorrow :)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776628


zen786 - 11/13/12 18:27

P.s everytime i try to post something... It's already here loll you guys are QUICK!!
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776631


drda - 11/13/12 18:30

@kocharov- why is CXCR 4 deletion fatal?


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776638


drda - 11/13/12 18:35

Antibody to the core antigen is present in chronic hepatitis. Recovery is only indicated by the presence of the Antibody to HBsAg

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776639


kocharov777 - 11/13/12 18:36

Thankks for correction)) I marked this point from either Qbank which asked which of the following can be beneficial for HIV...There were a point just mentioned abt CXCR4(sorry cant remember any explanation)
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776640


drda - 11/13/12 18:38

The reason I am asking is that CXCR 4 is present on T cells and its deletion would be probably beneficial as the HIV requires it for penetration. We might come across something about this later. Thanks a lot for the contribution.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776641


zen786 - 11/13/12 18:39

Staph Aureus can be grown on Sheep agar, do not confuse with "heterophile antibody test of EBV"
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776644


drda - 11/13/12 18:41

heterophile test in mononucleosis- + is EBV - is CMV


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776651


ajcago - 11/13/12 18:47

Hello everyone , sorry for being late. I've read until page 8. I will post some notes now and I really don't know if you already have them in the previous pages.

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#2776652
larva - 11/13/12 18:49

hepatitis viruses People Hopes For Deluxe House. ........... hepatitis A =Picornaviridae family. hepatitis B =Hepadnaviridae family. hepatitisC =Flavivirus. hepatitis D =Delta virus hepatitis E =Hepe Virus hepatitis virus vowels effect bowels A and E effect the bowels causing diarrhoea.,trasmitted feco-orally
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* Invasive aspergillosis #2776653


ajcago - 11/13/12 18:49

Invasive aspergillosis : immunosuppressed patients. The neutopenia associated with leukemias and lymphomas is strongly associated with invasive aspergillosis. Lung is the most common place. C/P : hemoptysis, lung granulomas. Aspergillus has a predilection of blood vessels , spreading hematogenously and potentially causing tissue infarcts in the skin , paranasal sinuses , kidneys , endocardium and brain. ttt : Amphotericine B.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776655


zen786 - 11/13/12 18:49

somebody explain : first aid page 146 : 2011 edition says : "PHaryngitis can result in rheumatic PHever and glomerulonePHritis. No rheum for SPECCulation subcutaneous plaques, polyarthritis, erythema marginatum, chorea, carditis what does that mnemonic even mean ? lol

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776657


kocharov777 - 11/13/12 18:50

drda I was thinking abt the same when saw this )))actually gonna check and post
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776658


zen786 - 11/13/12 18:50

LARVA that was too good !!! with the hep!!


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* Pasteurella mutocida #2776659


ajcago - 11/13/12 18:50

Pasteurella mutocida is a gm ve rod commonly found as a part of the normal oral flora of cats and dogs . It causes rapidly progressive soft tissue infection following an animal ( usually cats) bite. Local soft tissue infection can lead to draining cutaneous sinus tracts , lymphadenopathy, osteomyelitis and septic joints. Its an acute infection.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776660


drda - 11/13/12 18:51

@ajcago- Its ok.. You post. The more we read, the more we retain. Let it get repeated
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776661


ajcago - 11/13/12 18:51

The most common pathogens isolated from hospital acquired bloodstream infections are : Coagulase negative staph Staph aureus Enterococcus E.Coli Enterobacter Psudomonas Klebsiella Candida.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776662


zen786 - 11/13/12 18:52

agree with drda @ajcago :)


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776663


ajcago - 11/13/12 18:52

Most enveloped nucleocapsid viruses acquire their lipid bilayer envelope by budding through the plasma membrane of the host cell. Exceptions include the herpesviruses, which bud through and acquire their envelope from the host cell nuclear membrane.
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#2776665
drda - 11/13/12 18:53

Hep A& E- do not have carriers


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776666


ajcago - 11/13/12 18:54

Legionella infection should be suspected in ptn with radiograhpic evidence of pneumonia with high fever and accompanying GIT symptosms such as diarrhea. DX : Antigen in Urine. Ttt of choice : Erthromycine

Pneumonia + Diarrhea = Legionella


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776667


ajcago - 11/13/12 18:55

To destroy HIV Boiling for 1 min or water chlorination , bleach , formalin , UV irridation. Bcoz it lacks a lipid soluble envelope it can withstand exposure to 20% diethyl ether , chloroform or 50% trichloroflurethane. ttt with acid doesnt cause sufficient damage.( it can easily withstand an acidic gastric environment. Heating to 60% will
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776668


ajcago - 11/13/12 18:55

Campylobacter fetus ( or intestinalis ) is an opportunistic pathogen that infects immunocompromised persons. Infection can cause septicemia in newborns , women in the third trimester of pregnancy and debilitated elderly patients.

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776669


ajcago - 11/13/12 18:56

HBSAg the first virological marker detected in the serum after inoculation , it PRECEDES both the elevation of serum aminotransferases and the onset of clinical symptoms.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776670


drda - 11/13/12 18:56

Legionella pts have hypontremia and confusion also. Aerosol transmission


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776672


drda - 11/13/12 18:58

Could you explain why HBsAg is not detected in the window period if it appears first and we have to use Anti- HBc
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776686


larva - 11/13/12 19:23

Tips to remember: Hep C- Chronic,Cirrhosis,Carcinoma,carriers Hep D- Defective,Dependent on Hep B Hep E- Expectant mothers,Epidemics.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776689


ajcago - 11/13/12 19:31

drda HBsAg disappears as simply because of immunological response (HBsABs). First, you have Ag excess phase , then Ag=AB ( precipiation of their complex and so neither of them appear) and finally ABs excess phase.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776694


drda - 11/13/12 19:36

Thanks ajcago
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#2776698
zen786 - 11/13/12 19:42

the only time u can give oral vancomycin is in treatment for C.difficle. otherwise IV vancomycin is nephrotoxic .... oral vancomycin is not absorbable.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776701


roshank06 - 11/13/12 19:47

Important Pictures CMV Owl's Eye: http://upload.wikimedia.org/wikipedia/commons/a/ab/Cytomegalovirus_01.jpg Treponema Pallidum- Darkfield microscopy: http://upload.wikimedia.org/wikipedia/commons/2/29/Treponema_pallidum.jpg Legionella- http://www.microbeworld.org/index.php?option=com_jlibrary&view=article&id=756 Crytococcus Neoformans- India Ink: http://classconnection.s3.amazonaws.com/70/flashcards/1509070/jpg/cryptococcu...5515633.jpg Listeria Monocytogenes- http://www.microbeworld.org/index.php?option=com_jlibrary&view=article&id=790 Ghon Complex: http://dc342.4shared.com/doc/PBflh_YO/preview008.png Psuedomonas Aeruginosa: http://upload.wikimedia.org/wikipedia/commons/c/cf/Pseudomonas_aerugin...osa_SEM.jpg http://upload.wikimedia.org/wikipedia/commons/e/ef/Pseudomonas_aeruginosa_sme...0-02-10.JPG Streptococcus Pneuomonia: Gram Positive Diplococci. http://aapredbook.aappublications.org/content/1/SEC131/SEC241/G2227.large.jpg Mycobacterium Tuberculosis. Caseating Granulomas containing Langhans Giant Cells. http://www.vetmed.vt.edu/education/Curriculum/VM8304/vet%20pathology/VET%20PA...20GIANT.jpg MTB: Can be recognized by their red color on acid-fast staining. http://aapredbook.aappublications.org/content/1/SEC131/SEC283/G3378.large.jpg Staphylococcus Aureus. Gram positive cocci in clusters. http://www.napavalley.edu/people/srose/PublishingImages/S.%20smeg%20and%20S.a...st%20st.JPG Neisseria Gonorrhoeae. Multiple gram negative diplococci with PMN leukocytes as well in the extracellular areas of a smear from a urethral discharge. http://localhealthguideonline.com/wp-content/uploads/2008/11/n.jpg Giardia Lamblia. The trophozite has a class pear shape, with double nuclei giving an owl's eye appearance. http://www.deluks.de/bilder/parasiten/slides/giardia%20lamblia%20trop...hozoid2.jpg Coccidioidmycosis. http://www.ajronline.org/content/184/2/552/F3.large.jpg Candida Albicans. Note the Branched Budding and Pseudohyphae. http://upload.wikimedia.org/wikipedia/commons/thumb/c/c1/Oral_thrush_Aphthae_...7_lores.jpg http://aac.asm.org/content/50/2/580/F4.large.jpg

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776728


zen786 - 11/13/12 20:50

avoid egg based vaccines in patients allergic to eggs. flu based, yellow fever vaccines, slightly mmr vaccines.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776778


larva - 11/13/12 22:45

DIMORPHIC FUNGI HAVE HSBC BANK HISTOPLASMOSIS, SPOROTHRIX BLASTOMYCOSISI CRYPTOMYCOSIS


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776781


larva - 11/13/12 22:51

All systemic fungi are dimorphic Cold(20) =Mold Heat (37)=Yeast All systemic fungi cause pneumonia Blastomyces- Broad Based Buds Forms Granulomatous nodules Histoplasma - Hides in Macrophages Hepatospleenomegaly Healing Calcifies lesions Coccidiodes - case rate increases after Earth Crack(quake) Causes Meningitis Arthroconidia inhaled forms Sperules with Histoplasma In Macrophages smaller than RBC Blastomyces buds same size as RBC Coccidiodes Spherules with endospores much larger than RBC

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776728


zen786 - 11/13/12 20:50

avoid egg based vaccines in patients allergic to eggs. flu based, yellow fever vaccines, slightly mmr vaccines.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776778


larva - 11/13/12 22:45

DIMORPHIC FUNGI HAVE HSBC BANK HISTOPLASMOSIS, SPOROTHRIX BLASTOMYCOSISI CRYPTOMYCOSIS


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776781


larva - 11/13/12 22:51

All systemic fungi are dimorphic Cold(20) =Mold Heat (37)=Yeast All systemic fungi cause pneumonia Blastomyces- Broad Based Buds Forms Granulomatous nodules Histoplasma - Hides in Macrophages Hepatospleenomegaly Healing Calcifies lesions Coccidiodes - case rate increases after Earth Crack(quake) Causes Meningitis Arthroconidia inhaled forms Sperules with Histoplasma In Macrophages smaller than RBC Blastomyces buds same size as RBC Coccidiodes Spherules with endospores much larger than RBC

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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776784


myrock99 - 11/13/12 22:52

thank you everybody for the great info. i have started late I just finished reading micro. i reviewd all 28 pages it is a great review. it was a wonderful idea. thank you very much. was nothing what I could add you guys nailed all the bugs . tomorow is the hardset one for me i drag reading BS. thank you for support and knowledge.
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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776789


shilu - 11/13/12 23:29

Drugs used for invasive MRSA -Vancomycin -daptomycin -linezolid


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* Re:DAY 1: Microbiology revision !!!!!!!FIRST AID #2776853


kocharov777 - 11/14/12 04:20

Although micro day is over,I wanna mention some notes coz I am just finishing antimicrobials 1.Amninoglycosides have botulinum toxin-like effect 2.Streptomycin=DOC Tularemia 3.Macrolides increase bowel motility(beneficial postoperative) 4.Macrolides are P450 inhibitors except Azythromycin 5.B6 supplementation can prevent drug induced lupus due to INH 6.Pyrazinamide-causes porphiria 7.Artesunate-blocks Pl.Falciparum ER ATPase 8.Mebendazole-Dec glucose uptake,blocks microtubule functions 9.Pyrantel Pamoate-Nm antagonist--->spastic paresis 10.Praziquantel-Ca influx,vacuolization -->parasite death 11.Amantadine side effect=Livedo reticularis 12.RIBAVIRIN MOA a-Blocks IMP dehydrogenase--->dec Guanine b-blocks RNA POL c-block post-transcriptional capping d-antimetabolite(as uridine or cytosine) e-increases Th1,dec Th2 13.enfuvertide=gp41 inhibitor 14.Maraviroc=CCR5 receptor antagonist
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