Please enable JavaScript.
Coggle requires JavaScript to display documents.
from Gram +/- bact - Coggle Diagram
from Gram +/- bact
*Chlamydia
- atypical bacteria
--> can cause atypical NUDE MONA
- lives intracellularly
- doesn't have a cell wall
--> due to reduced muramic acid content
- tx = RNA synthesis
--> 1st line = azithromycin
--> 2nd line = doxycycline (+ ceftriaxone for possible Niessera gonorrhea)
Subtypes of Chlamydia
- Trachomatis is what we are worried about in adults
- C pneumonia is mostly in kids and young adults with chlamydia
-
*Trachoma under the upper eyelid in Chlamydia trachomatis
- can cause scratching of the cornea and blindness if not treated
-
CHLAMYDIA CLAM goes on a date with TACOMA TRUCK = trachomatis who tells her call me MAYBE
- CHLAMYDIA CLAM = TRACOMA TRUCK
- MAYBE have symptoms
TRACOMA TRUCK brings CHLAMYDIA CLAM to the E-PICK DEAD MOUSE concert where the TRACOMA TRUCK turns into a douch and PEES FIRE on EVRYTHING and sets EPICK DEAD MOUSE ON FIRE
TRACOMA TRUCK then takes CHLAMYDIA CLAM to the dirty bathrooms and tries to have PAINFUL SEX with her with his DISC PIRRANA when she sprays WHITE CHLAM DISCHARGE all over the TRACOMA TRUCK and leave him
- painful sex = dyspareurina
- white discharge
next CHAMYDIA CLAM leaves TRACOMA TRUCK for a COLL DOG IS CYCLING, but then he gets distracted and leaves CHLYMIDIA CLAM for some ZIPPER MICE
- doxicycline = 1st line treatment
- azithromycin = 2nd line treatment
--> note add CHEF WITH TRIAXONE to these for GONORRHIA is suspected also
EVERYONE in the end of this stroy get CHLYMIDIA and has to tell all their parterners and can't have sex for ONE WHOLE WEEK
CHLAMYDIA CLAMS have a lot of ex, but are actually EMPTY INSIDE, they need to replicate INSIDE OTHERS with their SEX and CANNOT see their own emptiness because they LACK a MURAMIC MIRROR for a cell wall to see how empty they are
- obligate intracellular organisms
- lack cell wall due to no abnormal muramic acid
2 stages of EMPTY CHLAMYDIA CLAMS use to make their GIEMS STAINED GEMS
- 2 stages
- EMPTY CHLAMYDIA CLAM stained by GIEMSA GEM STAIN
first they release ELEMENTARY ELEPHANT BODIES to ENTER their host during sex, second they bring the ELPHANTS back and clamp down on them to turn them into RETICULOCYTE REPLICATING RATS
- stage 1 = ELEMENTARY ELEPHANT BODIES
- stage 2 = RETICULOCYTE RATS REPLICATE inside the shell
- TX = ZIPPER MYC = azythromycin
- DOGS IS CYCLING = doxycycline
-
*Urethritis +/- epidydimitis in men
- 2 causes of urethritis and epidydimitis are broken into 2 categories
--> Gonoccal vs NON-Gonoccal
- BOTH organisms are intracellular
--> Gonoccal = Niesserisa gonnorrhea
--> Non-Gonoccal = Chlamydia trachomatus
- Niesserisa gonnorrhea
--> intracellular
--> Gram - dipplococci
- Chlamydia traachomatus
--> intracellular
--> does NOT stain
- tx: you normally treat for both Gonoccal AND non-Gonoccal in urethritis or infectious epydimitis
--> since they are both intracellular and can infect at same time
- tx Gonoccal = ceftriaxone (2 weeks)
- tx NON-Gonoccal = clarythromycin (1 gram only)
-
*Chlamydia vs Gonorrhea urethritis
- note always treat as if infected by BOTH
--> dual therapy of
--> cephtriaxone (3rd gen ceph) = Gonorrhea
--> Azyhtromycin (Macrolide) = Chlamydia
- .#1 STI in the US = Chlamydia
- .#2 STI in the US = Gonorrhea
--> both are intracellular organisms
Tx Chlamydia and Gonorrhea together
- dual therapy of
--> cephtriaxone (3rd gen ceph)
--> Azyhtromycin (Macrolide)
-
-
*Spirochetes Bacteria = Spiral Bacteria
- Spirochete Bacteria = Syphilis + Borreli
- cause serious infections
- they are Spirochete = SPIRAL bacteria
--> rather than Gram - or Gram +
- Tx for spirochetes = IM benzapine penicillin G
*Syphilis (Trepo MEME) = Treponeme
- serious disease in 4 stages
- "ABC ... EASY as SYPHILI
ABC ... EASY as PSTC
.. and TREPONEME"
- vaso vasorum mediastinal tear in thoracic aorta
--> can causes dilation of the aortic valve
--> aortic regurge
SYPHILLIS SYPHIPHIS on his PODIUM of the GREEKS 1 2 3 POSING for a PICTURE taken by PENICILLIN with his TRIPOD with PENDULUM balance
- SYPHILLIS PODIUM of the GREEKS 1 2 3
--> Syphillis has 3 stages and congenital also
--> primary secondary and tertiary syphilis
- CAMERA TRIPOD with PENDULUM balance
- SYPHILIS 1 = holding a PAINLESS CHAIN CAR = Chancre
- SYPHILIS 2 = showing off his UNIQUE MAC PAP RASHES oh his PALMS and FEET and offerring the judges some CONDOM LATTE WITH WARTS
--> UNIQUE MAC PAP RASHES oh his PALMS and FEET should be thought of as SYPHILIS until PROVEN OTHERWISE rule since most rashes stay off the palms and feet if they are systemic
--> chonylomata latta genital warts are in the groin or on the external genitalia
- SYPHILIS 3 = AORTITIS WHALE WITH GUMMAS on his MOUTH and SYPHILIS in his SPINE
SYPHILIS SYSIPHIS is battling the BOULDER of the GODs by using his TORCHeS to make a BABY STONE STATUE to fight off the BOULDER
- SYSIPHILIS SYPHILYS causes TORCH infections in babies and is passed on from the mother
SYSIPHILIS makes the BABY STONE STATUE
- BABY STONE STATUE
--> results in still birth
- a SABER TOOTH TIGER bites his TIBIA SHINS
--> SABER SHINS are anterior bowing of the legs seen in syphiliis and look like SABER TOOTHS
- the BABY has EARMUFFS SAHDES from his EYES and DROPS FETALIS to put in his eyes after all the CRYING from the SABER SHIN TOOTH TIGER BITE
--> EARMUFFS = def
- SHADES = blind
--> DROPS FETALIS = collection of fluid in a fetus body
-