Malaria Flashcards

1
Q

What is a parasite of the genus plasmodium that is transmitted via the femael anopheles mosquito?

A

Malaria

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2
Q

what are the subtypes of malaria?

A

P. falciparum
P vivax, P ovale, P malariae

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3
Q

what is the incubation period for malaria?

A

7-30 days

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4
Q

most lethal version of malaria?

A

P Falciparum

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5
Q

what is the sporogony phase of malaria?

A

sexual cycle in female anopheles mosquito

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6
Q

what is the exoerythrocytic phase of malaria

A

asexual cycle in human liver

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7
Q

What is the erythrocytic phase of malaira?

A

asexual reproduction in RBCs

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8
Q

When do sx of malaria start to develop?

A

as early as 7 days after bite, as late as several months or more after exposure.

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9
Q

Which category of malaria is characterized by cyclical (paroxysmal) fever, flu like sx, jaundice and mild anemia secondary to hemolysis

A

Uncomplicated malaria

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10
Q

Which category of malaria is characterized by small blood vessel infarctions, capillary leakage and organ dysfunction, altered mental status, hepatic failure, and severe anemia

A

severe malaria

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11
Q

what is the clinical hallmark of malaria?

A

paroxysmal fevers

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12
Q

stages of paroxysmal fever

A

cold- 1 hour
febrile- 2-6 hrs
diaphoretic- 2-4 hrs
NORMAL
repeat of cycle in 48-72 hrs.

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13
Q

treatment options of malaria are dependent on:

A

species of malaria
severity of infection
likelihood of drug resistance
pts age and pregnancy status

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14
Q

Treatment of uncomplicated malaria

A

Chloroquine phosphate 1g,
THEN .5 in 6hrs
THEN .5 in 2 days

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15
Q

treatment of malaria if its in an areath cloroquine resistance?

A

Malarone (artovaquone/proquanil)

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16
Q

Treatment of severe malaria

A

Artesunate 2.4 mg/kg IV
followed by doxy 100mg BID

17
Q

treatment of P ovale malaria

A

Either treat as complicated or severe and add primaquine 52.6 mg

18
Q

chemoprophylaxis for malaria

A

Depending on duration of travel
Atovaquone-proquanil
Doxycycline
Mefloquine
Primaquine

** do not use same drug for treatment that was used for chemoprophylaxis**

19
Q

What is the most important protective measure for malaria?

A

proper clothing and awareness

20
Q

Disposition of malaria

A

MEDEVAC