Ewag - PHMP Reviewer
Ewag - PHMP Reviewer
➢ Most cases of laryngitis are mild and ➢ Practice good hand hygiene and respiratory
resolve on their own within a week or etiquette. Hand hygiene is especially
important after coughing and sneezing and
two, but some cases may require
before preparing food or eating. Good
medical treatment.
respiratory etiquette involves covering your
➢ When bacterial laryngitis does occur, cough or sneeze.
the most common bacteria that can ➢ Wash thoroughly the glasses, utensils, and
cause it include Streptococcus plates after someone who is sick uses them.
pyogenes, Haemophilus influenzae, ➢ Avoid crowded places.
Moraxella catarrhali. ➢ Wear personal protective equipment like
facemasks in crowded places.
TREATMENT
DIPHTHERIA - It is a serious bacterial infection
➢ There is no specific drug of choice for that usually affects the mucous membranes of
treating laryngitis, as the treatment the nose and throat.
approach will depend on the underlying
cause and severity of the condition. ➢ The disease is caused by
Therefore, the best approach is to focus Corynebacterium diphtheriae.
on relieving symptoms and allowing the ➢ It produces toxin (exotoxin) only when
body to heal naturally. the bacillus is itself infected
(lysogenized) by a specific virus
(bacteriophage) carrying the genetic
PREVENTIVE MEASURES information for the toxin (tox gene).
TREATMENT
➢ Stay hydrated.
➢ Practice good vocal hygiene. ➢ DTaP vaccine (Diphtheria, Tetanus,
➢ Rest the voice. and Pertussis)
➢ Practice good hand hygiene. ➢ Antibiotics: Penicillin G or
Erythromycin.
PREVENTIVE MEASURES
TREATMENT
PREVENTIVE MEASURES
TREATMENT
GINGIVITIS
➢ EPEC EIEC ➢ Infant and
➢ Gingivitis can worsen, allowing
Children diarrhea,
Porphyromonas, Streptococcus, and
Dysentery
Actinomyces species to spread and
cause periodontitis. ➢ ETEC ➢ Traveler’s
➢ Prevotella intermedia, Fusobacterium Diarrhea
species, and Treponema vicentii are ➢ EHEC EAEC ➢ Blood
involved, it can lead to acute necrotizing Diarrhea, Hemolytic
ulcerative gingivitis. Uremic Syndrome
HERPETIC GINGGIVOSTOMATITIS
➢ The herpes simplex virus type 1 can
cause lesions of the mouth and throat
called herpetic gingivostomatitis.
PEPTIC ULCER often mild, but severe complications
➢ H. pylori causes an inflammatory may develop in some cases.
response with neutrophils, ➢ Ascaris lumbricoides eggs are
lymphocytes, plasma cells, and transmitted through contaminated food
macrophages within the mucosal layer or water and hatch in the intestine.
and causes epithelial cell degeneration ➢ Juvenile larvae travel to the lungs and
and injury. then to the pharynx, where they are
swallowed and returned to the
COMPLICATIONS INCLUDE: intestines to mature.
➢ unabated symptoms, bleeding, ➢ These nematode roundworms cause
perforation, penetration, gastric outlet ascariasis.
obstruction, and gastric malignancy
(adenocarcinom and MALT lymphoma). NECATOR AMERICANUS AND ANCYLOSTOMA
DOUDENALE
TYPHOID FEVER ➢ cause hookworm infection when larvae
➢ Causative agent Salmonella enterica penetrate the skin from soil
serotype typhi contaminated by dog or cat feces.
➢ Contracted by ingestion of STRONGYLOIDES STERCORALIS
contaminated food or water that must ➢ transmitted from soil through the skin
survive the gastric pH barrier in the to the lungs and then to the intestine
stomach prior to adherence in the small where they cause strongyloidiasis.
intestine. ➢ DOC ivermectin.
➢ Once within the submucosa, the ENTEROBOIUS VERMICULARIS
bacterium causes hypertrophy of the ➢ nematode pinworms transmitted by the
Peyer’s patches. fecal-oral route. After ingestion, they
➢ Abdominal symptoms, pain, nausea, travel to the colon where they cause
vomiting, constipation/diarrhea, enterobiasis.
intermittent confusion, apathetic affect. TRICHURIS TRICHIURA
➢ can be transmitted through soil or fecal
VIRAL HEPATITIS contamination and cause trichuriasis.
➢ Hepatitis may be caused by several After ingestion, the eggs travel to the
unrelated viruses: hepatitis viruses A, B, intestine where the larvae emerge and
C, D, and E. mature, attaching to the walls of the
➢ The hepatitis viruses differin their colon and cecum.
modes of transmission, treatment, and ➢ Trichinella spp. is transmitted through
potential for chronic infection. undercooked meat.
➢ Larvae in the meat emerge from cysts
PROTOZOAL INFECTIONS and mature in the large intestine.
➢ Giardiasis, cryptosporidiosis, ➢ They can migrate to the muscles and
amoebiasis, and cyclosporiasis are form new cyst causing trichinosis.
intestinal infections caused by TAENIA SPP. AND DIPHYLLOBOTHRIUM LATUM
protozoans. ➢ tapeworms transmitted through
➢ Protozoan intestinal infections are undercooked food or the fecal- oral
commonly transmitted through route.
contaminated food and water. ➢ Taenia infections cause taeniasis.
➢ Treatment varies depending on the ➢ Tapeworms use their scolex to attach to
causative agent, so proper diagnosis is the intestinal wall.
important. ➢ Larvae may also move to muscle or
➢ Microscopic examination of stool or brain tissue.
biopsy specimens is often used in ➢ DOC Mebendazole
diagnosis, in combination with other TAENIA SOLIUM
approaches. ➢ More danger than T. saginata because
HELMNTHIC INFECTIONS of ROSTELLUM.
➢ Helminths often cause intestinal LIVER FLUKE: FASCIOLA HEPATICA
infections after transmission to humans INTESTINAL FLUKE: FASCIOLOPSIS BUSKI
through exposure to contaminated soil,
water, or food. Signs and symptoms are
MICROBIAL DISEASES OF THE ➢ Oliver Wendell Holmes and Ignaz
CARDIOVASCULAR AND LYMPHATIC SYSTEM Semmelweis demonstrated that
puerperal sepsis was transmitted by the
STRUCTIRE OF THE CARDIOVASCULAR SYSTEM hands and instruments of midwives and
➢ The heart, blood, and blood vessels physicians.
make up the cardiovascular system. ➢ DOC for septic shock: levophed or
norepinephrine.
STRUCTIRE OF THE LYMPHATIC SYSTEM
➢ Lymph, lymph vessels, lymph nodes, RHEUMATIC FEVER
and lymphoid organs constitute the ➢ Rheumatic fever is an autoimmune
lymphatic system. complication of streptococcal infections
➢ Responsible for immune response. /streptococcus pyogenes
VECTOR-TRANSMITTED DISEASES
➢ Plague is caused by Yersinia pestis. The
vector is usually the rat flea (Xenopsylla
cheopis).
➢ Relapsing fever is caused by Borrelia
spp. and transmitted by soft ticks.
➢ Lyme disease is caused by Borrelia
burgdorferi and is transmitted by a tick
(Ixodes).
BURKITT'S LYMPHOMA
➢ Epstein-Barr virus (EB virus, HHV-4)
causes Burkitt’ s lymphoma.
➢ Burkitt’ s lymphoma tends to occur in
patients whose immune system has
been weakened, for example, by
malaria or AIDS.
➢ Can also cause cancer.
INFECTIOUS MONONUCLEOSIS
➢ Infectious mononucleosis is caused by
EB virus.
➢ The virus multiplies in the parotid
glands and is present in saliva. It causes
the proliferation of atypical
lymphocytes.
MICROBIAL DISEASES OF THE NERVOUS ➢ It produces the neurotoxin
SYSTEM tetanospasmin, which causes the
symptoms of tetanus.
STRUCTURE AND FUNCTION OF THE NERVOUS
SYSTEM
➢ The Central Nervous System (CNS)
consist of the brain, which is protected
by the skull bones, and the spinal cord
which is protected by the backbone.
➢ The Peripheral Nervous System (PNS)
consists of the nerves that branch from
the CNS.
➢ The CNS is covered by three layers of
membranes called meninges.
- The Dura mater
- Arachnoid mater
- Pia mater
Haemophilus influenzae
NORMAL FLORA: Throat
VACCINE: HIB conjugated vaccine
Neisseria meningitidis
NORMAL FLORA: Throat
VACCINE: Purified capsular polysaccharide
vaccine
Streptococcus pneumoniae
NORMAL FLORA: Nasopharynx
VACCINE: Conjugated vaccine
- PCV13
- PPSV23
Listeria monocytogenes
➢ causes meningitis in newborns, the
immunosuppressed, pregnant women,
and cancer patients.
➢ acquired by ingestion of contaminated
food, listeriosis may be asymptomatic in
healthy adults.
➢ it can cross the placenta and cause
spontaneous abortion and still birth.
Clostridium tetani
TETANUS - caused by an exotoxin produced by
C. tetani.