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46 Cards in this Set

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  • Back
Early congenital syphilis
1st 2 years of life.
exagerrated response of secondary syphilis.
influenza like symptoms, HSM, desquamation on palms and soles
Late congenital syphilis
After 5 years
-frontal bossae
-saddle nose
-short maxilla
-peg shaped upper central incisors
-mulberry molars
-Higoumeniaka's sign (unilateral enlargement of sterno-clavicular part of clavicle)
Hutchinson's triad
in late congenital syphilis
-teeth=peg shaped upper central incisors
-interstitial keratitis
-CN8 deafness
Zoophilic fungi
Mental Warty Dog
T. mentagrophytes
T. verrucosum
M. canis
Geophilic fungi
T. nigra-E. wernieckii
Black Piedra-P. Hortae
White Piedra-T. Bergelli
M/C cause of tinea manuum and pedis
1. T. rubrum
2. T. mentagrophytes
3. E. flocossum
What flouresces on Wood's lamp?
Pteridine products

-M. audoinii
-M. canis

365 nm, nickel-oxide filter
M/C saphrophytic causes of onychomycosis?
Scopulariopsis
Tinea capitis Ectothrix
Cats and Dogs Fight and Growl Sometimes
M. Canis
M. Audouinii
M. Distortum
M. Ferrugineum
M. Gypseum
Tinea Capitis Endothrix
Yoko Gave Ringo Two Violins
T. Yaundei
T. Gouruilli
T. Rubrum
T. Tonsurans
T. Violaceum
Terbinafine inhibits?
squalene oxidase

-allylamines are -cidal
Azoles inhibit?
lanosterol 14-a demethylase

-static
KOH from roof of blister skin M/C
T. mentagrophytes
Erythrasma
Corynebacterium minitussismum
-gram (+) rod

Coral red fluorescence-Copro III
M/C cause of tinea capitis
T. tonsurans (U.S.)
M. canis (worldwide)
Chronic Mucocutaneous Candidiasis associations
Adult-assoc. with Thymoma.
APEDED syndrome
(AIRE gene)

-Hypoparathyroidism m/c endocrine association.
Black Widow Spider
Latrodectus mactan
Toxin=alpha latrotoxin
(neurotoxin increases catecholamine release and can mimic acute abdomen)
"hour glass on body"
Brown recluse spider
Loxosceles reclusa
Spingomyelinase-D
-->severe necrosis
Chancroid
H. ducreyi (Gram - rod)
-kissing ulcers
-school of fish pattern on Gram Stain
-Tx azithromycin
G. inguinale
C. granulomatis
-painless papules
-No LAD
-Donovan bodies=bipolar staining bacilli in vacuoles in histiocytes
tx=TMP/SMX
Ulcer assoc. with M. ulcerans
"Buruli ulcer"
2nd line treatment for primary syphilis?
Doxy 100 mg po bid x 14 days, erythro 500 qid for 14 days
Late latent > 1 year
2.4 million units PEN once weekly for three weeks or doxy for 30 days
False positives for syphilis
-pregnancy
-SLE
-chronic liver disease
-IV drug use
-advancing age
infections, vaccinations possibly
Requires thiamine and inositol for growth?
T. verrucosum
Black Dot Ringworm
T. tonsurans
M/C cause tinea corporis gladiatorum
T. tonsurans
45 degree angled, wide branching hypae?
aspergillus

Septated whereas Zygomeces is not. Aspergillus and zygomyces go into blood vessels
Bodies associated with molluscum contagiosum?
Henderson-Patterson
Describe Koplick's Spots
punctate white spots with surrounding erythema in buccal mucosa. Seen in Measles.
What type of virus is herpes?
DS enveloped DNA virus
Describe Forsheimer's spots?
petechial papule son soft palate seen in Rubella (RNA virus in Toga family)
Target of Parvovirus B19
red cell globoside (Group P antigen)
Describe Nagayama's spots?
soft paplae red papules seen in Roseola (HHV6)
Superantigen binds to what?
Class II MHC and Vb regions of TCR's
(5-25% stimularion versus 0.05% of specific antigens)
Enteroviruses are in what family?
Picorna virus family (ssNaked RNA virus)
Where does smallpox start?
starts in face and goes down
Sacral zoster is associated with what?
neurogenic bladder
Hand Foot Mouth is assoc. with wht virus m/c?
coxsackie a16
Bed Bug
Cimex Lenticularis

Hep B association
P. acnes produces
protoporphyrin 9 (abs at 417-432 nm)
HA MRSA codes for resistance with what?
SCCmecII codes for multi-drug resistance
Enterovirus are in what family
Picorna virus family.
Naked SS RNA
Perineal rash in 67% with what febrile dermatoses?
Kawasaki's
Treats both type I and II reactions in Leprosy
Clofazamine
3 TYPES OF LEISHMANIASIS?
Mucocutaneous-L. braziliensis
Visceral-m/c L. donovani
Cutaneous