Ectoparasites

7 cards   |   Total Attempts: 188
  

Cards In This Set

Front Back
Question 1
A 4 yr old homeless refugee comes in following a few days of severe puritis. Now the pt has red, pustular rash. When examining her you notice serpiginous burrow on her arms.

Name the ectoparsite and the syndrome.
What is the severe infection called and when would you see it?
What type of hypersensitivity response to mites and eggs?
Name two diagnostic tests.
Answer 1
Sarcoptes scabiei (syndrome: scabes)
Norwegian syndrome in immuno comp pts: thousands of mites, huge skin prolif, crusts (photo)
Type IV hypersensitivityresponse to mite sand eggs
Diagnostics: skin scrapping and burrow ink-test
Question 2
A day care center has an outbreak if itchy scalp children, but none of the black kids are itchy.

Name the organism.
What is causing the itchying (hypersenstivity response to what)?
how do you diagnose?
Pediculus humanus capitis (head lice)
Hypersensitivity response to the adult lice saliva (all lice)
Diagnosis by visulizing
Question 3
War time in poland again. There is an outbreak amoung refugees of fever, central to peripheral rash and headache. They are also itchy from the vectors saliva. You are on the hunt for the vector.

What is the vector? Where will you find it?
What is this vector carrying that is making all the refugees sick?
Pediculus humanus corporis (body lice)
It lives on clothes (dirty winter coats)
Vector for rikettsia prowazekki (epidemic typhus) also could be Borrelia Recurrentis (relapsing fever)
Question 4
You slutty roomate has an itchy crotch and eyes?!?! She says she uses condoms so she CANT have and STD, can she?

What is the ectoparasite?
Who should you treat?
Phthirus pubis (pubic lice)
Her and all her partners.
Question 5
Pt comes in with linear bites all over arms and legs that devloped into puritic urticarial wheals (see reverse of card).

What time is the ectoparatiste? When is the pt bitten? how do you kill this parasite?
Answer 5
Cimex Lectularius (bed bugs)
Bitten at night
Kill with heat

in line for the cimex at night

uricarial wheats-> allergic rxn to saliva of blood suckers
Question 6
Leslie just got back from her honemoon in cabo, where she walked on the beach without shoes. She have a papule between her toes with a block dot in the center. Yesterday the papule bust and let out tiny white eggs.

What is the eactoparsite? how do you treat?
Tunga penetrans, female gravid sand flea (tungiasis)
Treat: extractionw ith needle

Island of Tunga (philapenes) sand between your toes.
Question 7
Traveler arrives at your office with a furnuncular lesion (boil-like, nonhealing). He says he feels something moving inside.

Why is the syndrom?
Name the two vectors and geographic locations possible?
How to treat?
Myiasis

S africa: Tumbu fly
C/S America: Botfly

Treat by asphyxiateing the larve (emerges), they need O2

My-i botfly what a tumb you made