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5fe91ca8_rds_about_Food_Basics_2__CSCA___Definition
[Term] VINAIGRETTE [Definition]
A temporary W/O emulsion. The classic ratio is 3 parts oil to 1 part acid.
[]
Flashcards about Food Basics 2 (CSCA)
Definition
http://www.studystack.com/flashcard-1287109
37/1438042982013.25_20150728002302-00299-ip-10-236-191-2_724779855_3.json
5fe91ca8_rds_about_Food_Basics_2__CSCA___Definition
[Term] ZABAGLIONE/ZABAYON/SABAYON [Definition]
An Italian whipped custard usually served as a dessert sauce. Classically made with Marsala, the yolks, sugar and wine are whipped over low heat until they are combined. Today different wines are used and additional ingredients are added for flavor.
[]
Flashcards about Food Basics 2 (CSCA)
Definition
http://www.studystack.com/flashcard-1287109
37/1438042982013.25_20150728002302-00299-ip-10-236-191-2_724779855_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What type of bacteria are the majority of GI pathogenic bacteria [Answer]
Gram Negative Bacteria
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Why would you use MacConkey agar in a fecal culture [Answer]
it inhibits gram positive growth. And you get a color change based on lactose fermentation
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Why would you use Hektoen Enteric Agar for a fecal culture [Answer]
it inhibits the growth of common colon flora and help selectively recover salmonella and shigella spp. if they are present and you have indicators to detect H2S production
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Why would you use Campylobacter blood agar in a fecal culture [Answer]
agar enriched to recover campylobacter spp. from stool
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Apart from a fecal culture what other tests can you run to differentiate what is causing the GI infection [Answer]
CBC with Diff. UA Stool Analysis (microscopic, fecal leukocytes, fecal lactoferrin(indicates neutrophils are present))
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What antigen is found on the outer membrane of gram negative bacteria [Answer]
O-antigen
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What Antigen is found on the flagella of gram negative bacteria [Answer]
H- antigen
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] When they have a capsule what type of antigen is found on gram negative bacteria [Answer]
K antigen
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Why do we care what antigen is found on gram negative bacteria [Answer]
helps to characterize and identify the bacteria
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the most common route of GI infection [Answer]
Fecal to oral route of contamination is most common also could be inadequately cleaned or cooked foods or water contaminated with fecal matter
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the general progression of bacterial infections of the GI tract [Answer]
bacteria passes through the intestines -attaches to mucouse layer or intestinal epithelia -secret toxin -induce diarrhea and other symptoms -then hopefully cleared by host immune system
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the general s/sx of GI infections [Answer]
Diarrhea, Cramps and Vomiting
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are some of the causes of acute diarrhea lasting less than 7-14 days [Answer]
drugs infectious agents feeding after a long fast fecal impaction
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the tx for acute diarrhea [Answer]
monitor electroylytes and hydration and use fluid replacement therapy as needed also bismuth compound or anti-nausea meds can be offered as needed
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Are there vaccines available for GI bacteria [Answer]
NO GALT(gut associated lymphoid tissue) will normally clear bacteria with innate immunity and IgA
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Gram Negative Bacillus most strain rapidly ferment lactose and produce indole. Many strains are actually a normal GI flora so it can be hard to discriminate them from pathogenic strains [Answer]
E. Coli
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is significant of the following strains of E. Coli Enterotoxigenic E. coli (ETEC) Enteropathogenic E.coli (EPEC) Enterohemorrhagic E.coli (EHEC) Enteroinvasive E.coli (EIEC) Enteroaggregative E.coli (EAEC) [Answer]
They are pathogenic strains of E. Coli
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the typical source of infection of Enterotoxigenic E. coli (ETEC) [Answer]
lack of good hygienic practices (ingesting contaminated food or water) Major Cause of Travelers Diarrhea
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the major cause of traveler's diarrhea [Answer]
Enterotoxigenic E. coli (ETEC)
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the progression of infection of Enterotoxigenic E. coli (ETEC) [Answer]
ETEC is ingested and attach to intestinal epithelia by pili in the small intestines -secretes one or both of two types of toxins causing symptoms -immune system clears infection after 3-4 days
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what are the s/sx of infection with Enterotoxigenic E. coli (ETEC) [Answer]
WATERY Diarrhea, cramps, Vomiting, malaise, low grade fever More severe symptoms if ETEC secretes both types of toxins
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] in what age group are infections of Enterotoxigenic E. coli (ETEC) most common [Answer]
under 5 or over 15 yrs old
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] How do you differentiate ETEC from enterobacteria or plain E. Coli [Answer]
The toxins it secrets
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the two toxins that Enterotoxigenic E. coli (ETEC) can secrete [Answer]
ST- small toxin LT- heat labile toxin (made of A and B subunits A pierces membrane B aids in membrane Binding)
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what is the treatment with infection of Enterotoxigenic E. coli (ETEC) [Answer]
hydration as needed for symptoms only can give supportive care antibiotics will only shorten symptoms by 1 day. Although some physicians will take or prescribe antibiotics as prophylatic for traveling
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] How do you diagnose some one with an infection of Enterotoxigenic E. coli (ETEC) [Answer]
They will have Characteristic symptoms -watery diarrhea -abdominal cramping -low grade fever WITH ONLY lactose fermenting organisms on fecal cultures
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what is the source of infection of Enteropathogenic E. coli, EPEC [Answer]
fecal oral contamination from poor hygienic practices. Adults are generally carriers and Infants get the disease
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what is the progression of infection of Enteropathogenic E. coli, EPEC [Answer]
-EPEC is ingested and attaches to epithelial cells by pili in small intestines -Secretes factors that alter host cells -creates a pedestal for bacterial cell -induces diarrhea by loss of villi and lack of absorption -immune system clears the infectio
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what are the s/sx of infection w/ Enteropathogenic E. coli, EPEC [Answer]
Fever vomiting WATERY diarrhea that may have large amounts of MUCUS Associated with clusters in the US
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What E. Coli infection is associated with CLUSTERS in the US e.g. nursery and hospital outbreaks [Answer]
Enteropathogenic E. coli, EPEC
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Enteropathogenic E. coli, EPEC are groupd with what type of pathogens [Answer]
Attachement and Effacement pathogens- all have a type III secretion system that is highly conserved
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the stages of infection w/ Enteropathogenic E. coli, EPEC [Answer]
A- initial adherence B- Injection- type III secretion system C- Tight Adherence- Pedestal formation D- Diarrhea
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the Type III secretion system like [Answer]
it is like a hypodermic needle at the cellular level and is the most complex bacterial secretion system
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Since adults are carriers of Enteropathogenic E. coli, EPEC that means they don't develop a lasting immunity but since they don't have sympotms how are they dealing with the Enteropathogenic E. coli, EPEC [Answer]
likely have developed a resistance or tolerance to the bacteria
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the tx for Enteropathogenic E. coli, EPEC infections [Answer]
hydration as needed antibiotics are generally not needed you can give bismuth compounds for symptomatic relief
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the likely source of infection of Enterohemorrhagic E. coli, EHEC [Answer]
ingestion of insufficiently cleaned or cooked foods. Resevoir is usually adult cattle wich are asymptomatic
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the progression of infection w/ Enterohemorrhagic E. coli, EHEC [Answer]
-EHEC are ingested and attach to epithelial cells via pili in the large intestines -Secrete factors that alter host cell -for a pedestal for the bacterial cell -secrete toxins that damage or kill host cells -immune system clears the infection
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the s/sx of Enterohemorrhagic E. coli, EHEC infection [Answer]
!!! water diarrhea that progresses to BLOODY diarrhea -abdominal cramps -+/- fever -may also have hemolytic uremic syndrome
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is hemolytic uremic syndrome HUS [Answer]
toxin release into bloodstream lysis erythorcytes, thrombocytes and destroys glomerular capillary endothelial cells. can be fatal if kidney failure is not prevented
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what is Enterohemorrhagic E. coli, EHEC O157:H7 most commonly associated with [Answer]
HUS hemolytic uremic syndrome
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] how is Enterohemorrhagic E. coli, EHEC similar to EPEC [Answer]
they both are A/E pathogens and carry a type III secretion system to induce pedestal formation
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the mortality rate of patients w/ infection of Enterohemorrhagic E. coli, EHEC that develop HUS [Answer]
3-17% 30% will have permanent disabilities (chronic renal insufficiency, hypertension, and neurological defects)
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are Enterohemorrhagic E. coli, EHEC toxins functionally similar to [Answer]
Shiga Toxin they have AB type toxins
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what is the tx for Enterohemorrhagic E. coli, EHEC infection [Answer]
MONITOR for RENAL FAILURE hydration as needed antibiotics are usually not required
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] How can you tell your patient is infected w/ Enterohemorrhagic E. coli, EHEC [Answer]
cultures FAIL to ferment sorbitol (macConkey agar using sorbitol) Culture of O157 are sero positive -MUG assay EHEC typically don't produce Beta-Glucoronidase while 92% of other strains do
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are Enteroinvasive E. coli, EIEC biochemically, genetically and pathogenically related to [Answer]
Shigella Spp.
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are S. flexneri S. boydii S. sonnei S. dysenteriae [Answer]
Strains of Shigella Spp.
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what are the sources of infection w/ Enteroinvasive E. coli, EIEC [Answer]
Fecal oral contamination contaminated food or water outbreaks reservoirs involve human sources
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the progression of infection of Enteroinvasive E. coli, EIEC [Answer]
-EIEC is ingested and attach to large inetsine epith cells w/ pili -secret factor that induce uptake and transmission by M cells -Entry into the inf. or lat. sides of intest. epithelial cells -replication in epithelial cells -immune system clears inf
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what are the s/sx of infection w/ Enteroinvasive E. coli, EIEC [Answer]
many are asymptomatic w/ transient fever early symptoms- fever, severe cramps, WATERY diarrhea late symptoms- reduced fever increased diarrhea with BLOOD, urgency, tenesmus
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] How are Shigella Dysenteriae type 1 different from Shigella Spp and EIEC [Answer]
IT secrets shiga toxin whil Shigella spp. and EIEC do not
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the tx for Enteroinvasive E. coli, EIEC infection [Answer]
antibiotics in severe cases to decresae length of symptoms -hydration as needed (severe dehydration is possible)
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] How do you dx infection w/ Enteroinvasive E. coli, EIEC [Answer]
culture on differential and selective media (Hektoen enteric agar, MacConkey) DNA probes for EIEC are commercially available
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the source of infection w/ Enteroaggregative E. coli, EAEC [Answer]
little is known. fecal to oral is likely also linked with foodborne outbreaks
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what is the progression of infection w/ Enteroaggregative E. coli, EAEC [Answer]
=EAEC are ingested and attach to large intestin epithelia -Bacteria replicate and aggregate in a unique Stacked Brick fashion -secrete several toxins leading to inflammation and intestinal damage -immune system clears the infection
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what are the s/sx of infection w/ Enteroaggregative E. coli, EAEC [Answer]
WATERY diarrhea (some cases may include blood or mucus in the feces) abdominal cramps EAEC may cause diarrhea for greater than 14 days especially in HIV patients and travelers.
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What toxins does Enteroaggregative E. coli, EAEC secrete [Answer]
ShET1(shigella enterotoxin 1) similar to toxin in most shigella flexneri strains -- causes diarrhea w/ mechanism other than cAMP, cGMP or Ca2+ EAST1- similar to ETEC toxin ST PET- serine protease that alters enterocyte cytoskeleton
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Why is there no vaccine against E. Coli [Answer]
many strains are non pathogenic and actually resident members of the normal GI flora
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the TX for Enteroaggregative E. coli, EAEC [Answer]
antibiotics may be helpful for prolonged disease and give hydration as needed
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the key in differential diagnosis between different strains of E coli. [Answer]
key differential is whether diarrhea contains blood or mucus
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] If the Diarrhea is WATERY what strains would you suspect [Answer]
EPEC, ETEC, most viral, (EAEC)
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] If the diarrhea is Bloody what strains would you suspect [Answer]
EHEC, Shigella spp./EIEC, (EAEC)
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] If the diarrhea is water + mucus what strain would you suspect [Answer]
EPEC
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] If your patient has recently traveled what cause of dirrhea would you suspect [Answer]
ETEC, EAEC, Rotavirus, EIEC
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] If your patient recently ate a meal of beef and now has Diarrhea what would be your suspected cause [Answer]
EHEC
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] If you patient has had diarrhea for the past 7 days what would you suspect [Answer]
EAEC, Shigella/EIEC, ETEC
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Gram Positive Bacillus, Obligate Anaerobe readily forms spores [Answer]
Clostridium dificle
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Where do you typically get an infection from clostridium dificle [Answer]
typically no socomial infection but can be community acquired as 3% of humans are normal carriers
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What acounts for 30% of all antibiotic associated diarrheas [Answer]
Clostridium dificle
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the progression of infection from clostridium dificle [Answer]
1. Ingest contaminated food ( prior to or after antibiotic clearance of normal GI flora) 2. Colonization of gut and secretion of toxins 3. Extent of Ab production to toxin A determine outcome of infection
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the s/sx of infectino with clostridium dififcle [Answer]
diarrhea may be mild and watery or be bloody -cramps -fever -leukocytosis -pseudomembranous colitis
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the 3 toxins that clost. Dif. can secrete [Answer]
toxin A- Glucosyl Transferase targeting small GTPasees (Ras and Rho) Toxin B- similar to A but not enterotoxigenic Binary Toxin- ADP ribosylating enzyme targeting actin similar to C2 toxin and Iota Toxin
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the antibiotics used to treat infection with C. Dificle [Answer]
Vanco, or Metronidazole
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] how do you dx infection w/ C. DIF [Answer]
Culture Gram Staining- is a gram pos bacillus Detection of Endospores
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Gram Neg Bacillus that is not halophilic [Answer]
V. Cholera and V. Mimicus
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Where do you typically get V. Cholera from [Answer]
lack of good hygenic practices ingesting contaminated water or food
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What products have been associated with outbreaks of V. cholera [Answer]
Fish, Seafoods, milk, ice cream, and unpreserved meats
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Why are infections with cholera associated with a high dose of the organism to cause infection [Answer]
V. Cholera is killed by acid so you need a lot to get past the stomach acid and cause infeciton
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the progression of infection with V. Cholera [Answer]
1. Cholera are ingested and attach to intestinal epithelia 2. Secretion of Toxin and assumption of sx 3. Immune system clears the infection
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Does Cholera damage the enterocytes [Answer]
no
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the associated s/sx of V. Cholera infection [Answer]
Severe Water Diarrhea Vomiting at onset Muscle Cramps due to dehydration
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Are there any vaccines available for V. Cholera [Answer]
Yes oral vaccines available outside of US -live attenuated strain -killed vaccine + B subunit Vaccine
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] If you give immediate hydration therapy to a patient infected w/ V. Cholera what do you reduce to mortality risk to [Answer]
Reduces mortality risk to less than 1%
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Gram Neg Bacillus that is curved, motile microaerophilic fastidious [Answer]
Campylobacter jejuni
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the typical sources of infection from Campylobacter jejuni [Answer]
Direct contact with infected animals such as dogs, cats, birds indirect through eating contaminated water or milk or undercooked poultry associated w/ large outbreaks
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the leading cause of bacterial gastroenteritis [Answer]
Campylobacter jejuni
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the progression of infection w/ Campylobacter jejuni [Answer]
1- C. Jejuni attaches to GI epithelium 2- Invades enetrocytes directly or passes through to lamina propria 3- Induces diarrhea uk method 4- immune system clears infection in 2-5 days
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the s/sx of infection w/ Campylobacter jejuni [Answer]
abdominal Pain within 2-10 of infection cramps diarrhea- bloody fever chills Rarely any nausea or vomiting
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What happens in .1% of infections w/ Campylobacter jejuni [Answer]
get Guillain-Barre syndrome esepcially HLA-B27 positive patients
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what plays a role in providing immunity from Campylobacter jejuni [Answer]
Immunoglobulins give protective immunity
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] what is the tx for infection w/ Campylobacter jejuni [Answer]
fluid and electrolyte replacement
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] How do you dx infection w/ Campylobacter jejuni [Answer]
oxidase positive motile gram neg bacillus Culture on CAMPY-BAP Growth at 42C (inhibits growth of other enetrics) Microaerophilic
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] Gram Neg. Spirilum microaerophilic multiple sheathed flagella produces urease to create ammonia to neutralize stomach acids [Answer]
Helicobacter pylori
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the progression of infection w/ H. Pylori [Answer]
1- Ingest Bacteria which migrates through gastric mucus layer 2- Inflammation of epithelium and halt mucus production 3- thining of mucus layer leads to damage of epithelium by gastric secretions (ulcers) 4- infection may persist for years or life
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What are the s/sx of infection w/ Helicobacter pylori [Answer]
Belching to vomiting epigastric pain/burning/gnawing (2-3 hours after meals) Relieved by eating, atacids, antisecretion agents Small% of infections lead to gastric cancer
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] How can you prevent infection w/ Helicobacter pylori [Answer]
no effective or proven method to prevent infection
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] What is the tx for H. Pylori [Answer]
combine antibiotics with antisecretory agents
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json
730cca9e_rds_about_Session_2_Microbio15__Answer
[Question] How do you dx infection w/ h. pylori [Answer]
serology/ELISA it is difficult to culture
[]
Flashcards about Session 2 Microbio15
Answer
http://www.studystack.com/flashcard-332500
37/1438042982013.25_20150728002302-00232-ip-10-236-191-2_728758789_3.json