PMN filled with Neisseria gonorrhoeae => Gram- diplococci, glucose fermenter, non maltose fermenter, oxidase positive.
Very inflammatory response: exudate with high number of PMN. TX with ceftriaxone and always ALWAYS test for Chlamydia trachomatis (since is more common and exudate is similar)
How to tell them apart?
N. gonorrhoeae’s exudate is more purulent than C. trachomatis.
N. gonorrhoeae’s exudate is “greenish-yellowish” but C. trachomatis’s is whiter.
N. gonorrhoeae is always inside a PMN while C. trachomatis is not
Grows in Thayer-Martin medium (chocolote agar + antibiotics, is a selective medium)
Colon: pseudomembranous colitis due to Clostridium difficile (pseudomembranous inflammation) Note the gray-yellow pseudomembrane covering the entire mucosal surface. Damage is due to a toxin produced by C. difficile. Similar to diphtheria, the toxin produces necrosis of the mucosa and submucosa without actual invasion by the bacteria. A toxin assay of stool is the best method for diagnosing the disease. Ampicillin is the MC drug causing pseudomembranous colitis and does so by destroying colonic bacteria that normally keep C. difficile in check.
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A sample of notes from Medical Virology // I keep the margins empty so that I have space to add in relevant additional material from extra reading
[17 Dec 2017] (i thought i’d posted but it’s not appearing? ):) so sorry for the lack of original posts all these months! school has been so tough & i’ve just completed my mid-sem assessments & it’s finally my break! can’t wait to unwind and catch up on my sleep ;-;
CYSTIC FRIBROSIS
G511D mutation: missense mutation, Glycine replaced by Aspartate.
Only 5% of pts with CF have this mutation.
Defective channel opening or gating.
IVACAFTOR: new drug, acts directly in the CFTR channel, opens it up. First drug that afects the ethiology :)
Trade name: Kalydeco
Staphylococcus epidermidis is a coagulase negative, Gram-positive coccus. The organism uses sophisticated regulatory networks to adapt its metabolism to suit varying environmental conditions. S. epidermidis relies on biofilm formation to protect cells from the host immune system and other anti-microbial molecules.
Amazing web site!
It’s Medical Mnemonics Monday!
Renal Papillary Necrosis is a form of nephropathy characterized by coagulative necrosis of the renal medullary pyramids and papillae.
Causes of Papillary Necrosis can be remembered by the mnemonic “POSTCARDS”.
P yelonephritis
O bstruction of the urogenital tract
S ickle cell disease
T uberculosis
Chronic liver disease,
A nalgesia /A lcohol abuse,
R enal transplant rejection
D iabetes mellitus
S ystemic vasculitis
Check out the list of the previous Medical Mnemonics here.
Facultative intracellular
Sulfatides: inhibit PHAGOLYSOSOME FORMATION allowing intracellular survival.
Cord Factor (serpentine growth in vitro): disrupts mithochondrial respiration and oxidative phosphorilation and inhibits leukocyte migration.
Tuberculin + Mycolic Acid: type IV hypersensitivity (delayed hs), Cellular Mediated Immunity (CMI)
….and that is how viruses go about their non-lives!!
my biology professor at the end of a lecture about viruses, presumably, i wouldn’t know, i wasn’t paying attention, i’m using context clues here (via scienceprofessorquotes)