i've got worms inside me!

Question 1

beavers, camping, fatty frothy and smelly poo, cysts/trophozites?

Answer 1

giardia (duh)

Question 2

flask-shaped ulcer, bloody diarrhea, liver abscess with anchovy paste exudate?

Answer 2

entamoeba

Question 3

mild diarrhea in day care, really bad diarrhea in AIDS?

Answer 3

crypto

Question 4

eating raw pork, preggo cleaning cat litter?

Answer 4

toxo!

Question 5

meningoencephalitis that kills quickly after swimming in a lake?

Answer 5

naegleria fowleri - enters thru cribiform

no cysts - just amoeba in spinal fluid

Question 6

LAN, fever, somnolence, coma?

Answer 6

african sleeping sickness
trypanosoma brucei
tsetse fly

Question 7

i got the sleeping sickness? what can you give me?

Answer 7

suramin if blood-borne

melarsoprol for CNS

Question 8

cyclical fever, africa, mosquitoes?

Answer 8

malaria

worst is falciparum - irregular fever, cerebral

Question 9

how to tx malaria?

Answer 9

chloroquine if vivax/ovale; add primaquine if have hypnozoites
quinidine or artesunate if life-threatening or falciparum
CHECK for G6PD

Question 10

fever and hemolytic anemia in NE US?

Answer 10

babesiosis, ixodes tick

ring form and maltese cross on blood smear

Question 11

how to tx babesiosis?

Answer 11

atovaquone and azithro

Question 12

how to tx entamoeba?

Answer 12

metronidazoleiodoquinol if asx cyst passer

Question 13

how to tx crypto?

Answer 13

nitazoxanide if immunocompetent

no good tx for immunocompromised

Question 14

how to tx toxo?

Answer 14

sulfadiazine + pyrimethamine(bactrim for ppx)

Question 15

help! i’m from brazil and my heart, colon, and esophagus are ginormous! also one eye is swollen! what is wrong?

Answer 15

chagas! reduviid bug

Question 16

how to tx chagas?

Answer 16

benznidazole or nifurtimox

Question 17

malnourished child, spiking fevers, hepatosplenomegaly, pancytopenia?

Answer 17

leishmaniasis
sandfly
dx: macrophages containing amastigotes (tiny dots)

Question 18

how to tx leishmaniasis?

Answer 18

amphoB

sodium stibogluconate

Question 19

green and itchy and burning vagina, strawberry cervix, wiggly guys on wet mount?

Answer 19

trichgive metronidazole to partner too

Question 20

itchy butt at night?

Answer 20

enterobius vermicularis (pinworm)
fecal oral
scotch tape test

Question 21

tx enterobius?

Answer 21

bendazoles

Question 22

GI sx, obstruction, eggs seen in feces on microscopy?

Answer 22

ascaris lumbricoides (giant roundworm)
fecal oral

Question 23

tx ascaris?

Answer 23

bendazoles

Question 24

stepped in sand, now sx like peptic ulcer (vom, diarrhea, epigastric pain)?

Answer 24

strongyloides stercoralis

Question 25

tx strongyloides?

Answer 25

ivermectin or bendazoles

Question 26

stepped on sand, now anemic with GI sx?

Answer 26

hookworms: ancylostoma, necator

Question 27

tx hookworms?

Answer 27

bendazoles | pyrantel pamoate

Question 28

ate undercooked pork, now myalgias, fever, periorbital edema?

Answer 28

trichinella spiralis | encysted in striated mm

Question 29

tx trichinella?

Answer 29

bendazoles

Question 30

black skin nodules and blind?

Answer 30

onchocerca volvulus - river blindness | female blackfly bite

Question 31

tx river blindness?

Answer 31

ivermectin

Question 32

my skin is swelling and there are worms in my eye?

Answer 32

loa loa | deer/horse/mango fly bite

Question 33

tx of loa loa?

Answer 33

diethylcarbamazine

Question 34

elephantiasis?

Answer 34

wuchereria bancrofti | female mosquito bite

Question 35

tx wuchereria?

Answer 35

diethylcarbamazine

Question 36

which are the nematodes you eat?

Answer 36

enterobius ascaris trichinella toxocara

Question 37

which are the nematodes that go thru skin?

Answer 37

strongyloides ancylostoma necator

Question 38

which are the nematodes that you get from a bite?

Answer 38

loa loa onchocerca wuchereria

Question 39

eating undercooked pork, CNS sx?

Answer 39

taenia solium | cysticercosis

Question 40

tx taenia?

Answer 40

praziquantel | albendazole if neurocysticercosis

Question 41

ate raw fish, now B12 deficient w/o sx?

Answer 41

diphyllobothrium latum

Question 42

tx diphyllobothrium?

Answer 42

praziquantel

Question 43

ate dog feces, hang around sheep, now cysts in liver?

Answer 43

echinococcus granulosus

Question 44

tx echinococcus?

Answer 44

albendazole

Question 45

pet snail, hepatosplenomegaly, bladder squamous cell carcinoma, pulmonary htn?

Answer 45

schistosoma (mansoni, haematobium) | penetrate skin

Question 46

ate some undercooked fish, now with gallstones or cancer?

Answer 46

clonorchis sinensis | pigmented gallstones

Question 47

tx of schistosomiasis?

Answer 47

praziquantel

Question 48

tx of clonorchis?

Answer 48

praziquantel