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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...
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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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#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. :)
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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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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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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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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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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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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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
H H.influ H
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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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M.CC of meningitis in Renal transplant and Cancer- Listeria Identified by tumbling motility
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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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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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@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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@nellie http://en.m.wikipedia.org/wiki/Metronidazole
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@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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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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dpt vaccin-IMMUNIZATION WITH DPT VACCINE INDUCES PRODUCTION OF CIRCULATING IgG AGAINST THE EXOTOXIN BETA SUBUNIT---- THEREFORE PREVENTING DISEASE.
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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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#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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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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guys i dont understand bacterial genetics clearly even aft listening videos.. can any one summarize on that topic plzz..... thankx
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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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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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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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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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THANKS dr9no... :)) thats a nice way to remmber this confusing fact.
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if someone has endocarditis and damage valve what pathogen ? viridance group( sanguis)
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#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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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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oh i forget do u know his club is metachoromatic blue red plz avoid him
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#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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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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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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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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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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"Stay inside when it's Really Cold." 1. Rickettsia 2. Chlamydia Obligate intracellular bugs can't make own ATP.
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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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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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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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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
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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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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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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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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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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#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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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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gonococci doesnt have vaccine why? due to rapid antigenic variation of pilus protein
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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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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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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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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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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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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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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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UNPASTUERISED MILK--- LISTERIA, CAMPYLOBACTOR JEJUNI. __________________________________________________________ Y. ENTEROCOLITICA--- contminatd milk etc. causes MESENTRIC ADENITIS--- mimi CROHNS OR APPENDICITIS
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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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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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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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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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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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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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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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hey can u gUys pl explain why asplenic pts have increased risk for SHiN bacterimia nd BABESIOSIS?? THANKS
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#2776129
nazzy - 11/13/12 08:04
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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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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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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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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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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yea that sucks... can ppl understand we ALL Need to contribute. :((((
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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
I AM WONDERING if Ehrlichia is transmitted bY Ixodes tick or Lone Star Tick??different ways in FA and Kaplan
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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
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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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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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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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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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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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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atropine??
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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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pl give answers for the bact genetics qqq u asked.. its quite important... thanks for asking a hy question
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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
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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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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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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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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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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@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
Hey guys sorry for being late. Very useful thread . Will contribute soon.
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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
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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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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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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Reccuring fever during African Sleepinfg Sickness coz of antigenic variation (transmitted By TseTse fly:)
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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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@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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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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Chloroquine SE=retinopathy
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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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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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hey zen, so nice of u.. u can post it in this thread or sparate thread according to ur convinience...
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@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
@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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U world question
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#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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Add if more
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Diarrhoaes with small infective dose -shigella -C.jejuni -Enta amoeba histolytica - Giardia
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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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, 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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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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#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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"Always Bring Polymerase Or Fail Replication" Arena Bunya Paramyxo Orthomyxo Filo Rhabdo Negative RNA viruses need their own polymerase
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thx larva
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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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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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ooohhhhhhhhhh i like the pseudomonas larva. ONE last thing i would add ... to tweak it psedomonas is also catalase +
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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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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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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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thanks larva:))
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#2776439
zen786 - 11/13/12 15:04
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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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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antigenic variation seen in--1--- influenza virus 2--- n. gonorrhoa pilus protein 3--- trypanosoma gambiense/ rhodisiense/brucei
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Antigenic variation remember BeTHIN (capital ) Borrelia Trypanosoma HIV Influenza N. gonorrhoeae
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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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#2776491
shilu - 11/13/12 16:14
Parvovirus B19 In utero--Hydrops fetalis Children--Erythema infectiosum Adults- Rheumatoid arthritis like symptoms
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B19 virus attaches to human erythriods cells via the blood grp P antigen.
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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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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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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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#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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#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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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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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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@ 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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#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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mycoplama & chlamydia & legionella- treat with macrolide Azithromycin prophylaxis for patients with HIV with CD4 < 50- prevent MAI infection
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Welcome zen, that's the least I can do. I will join in for Biochem. Thanks
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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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Imipenam- causes seizures ( cilastatin needed) Meropenam- no seizures and can be given without cilastatin
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hosts in life cycleDog- E. granulosis Cat- toxoplasmosis Schistosomiasis- Snail ( h/o egyptian people)
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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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#2776609
zen786 - 11/13/12 18:02
Atypical pneumonia MCQ SIR ............... Mycoplasma Chlamydia Q Fever (Coxiella Burnetti) SARS Influenza RSV
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#2776612
drda - 11/13/12 18:05
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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Dihydrofolate reductase inhibitors 1) Trimethoprim- bacteria 2) Methotrexate- more affinity for eukaryotic cells( DOC- choriacarcinoma)
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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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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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@ 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
GREAT GOING kocharovv!!! get a good night sleep brother!!! you EARNED IT!! see you tomorrow :)
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P.s everytime i try to post something... It's already here loll you guys are QUICK!!
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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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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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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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Staph Aureus can be grown on Sheep agar, do not confuse with "heterophile antibody test of EBV"
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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 : 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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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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drda I was thinking abt the same when saw this )))actually gonna check and post
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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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@ajcago- Its ok.. You post. The more we read, the more we retain. Let it get repeated
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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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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
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
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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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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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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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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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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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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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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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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avoid egg based vaccines in patients allergic to eggs. flu based, yellow fever vaccines, slightly mmr vaccines.
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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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avoid egg based vaccines in patients allergic to eggs. flu based, yellow fever vaccines, slightly mmr vaccines.
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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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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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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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