Amoebiasis: Entamoeba Histolytica Life Cycle
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Questions and Answers

______ is the etiologic agent of amoebiasis.

Entamoeba histolytica

The ______ stage of E. histolytica is considered the infective stage in the life cycle.

cysts

Fecal-oral transmission is the most common mode of ______ of the disease.

transmission

Human acquire the disease by ingesting ______ cys from water, food, and hands.

<p>viable</p> Signup and view all the answers

A ______ exam can be used to diagnose amoebiasis.

<p>stool</p> Signup and view all the answers

Metronidazole (Flagyl) is used for the ______ of amoebiasis.

<p>treatment</p> Signup and view all the answers

To avoid Cholera, wash hands after ______ or before eating.

<p>defecation</p> Signup and view all the answers

Vibrio ______ is the etiologic agent of Cholera.

<p>cholerae</p> Signup and view all the answers

The period of communicability is the time the ______ test positive for the organism.

<p>stool</p> Signup and view all the answers

One of the treatment modalities for Cholera is ______ therapy.

<p>IVF</p> Signup and view all the answers

Rice ______ stool is a pathognomonic sign of Cholera.

<p>watery</p> Signup and view all the answers

Nursing management includes implementing ______ isolation.

<p>enteric</p> Signup and view all the answers

The pathognomonic sign of Bacillary Dysentery includes ______ cramping and bloody mucoid stool.

<p>abdominal</p> Signup and view all the answers

The mode of transmission of Bacillary Dysentery is through the ______ - oral route.

<p>fecal</p> Signup and view all the answers

The antibiotic ______ is used to treat severe cases of Bacillary Dysentery.

<p>ciprofloxacin</p> Signup and view all the answers

The etiologic agent of typhoid fever is _______________.

<p>Salmonella typhosa</p> Signup and view all the answers

The patient with Bacillary Dysentery is recommended to eat a ______ diet.

<p>bland</p> Signup and view all the answers

Shigella ______ is the most commonly found etiologic agent of Bacillary Dysentery in the Philippines.

<p>flesneri</p> Signup and view all the answers

The mode of transmission of typhoid fever includes the ingestion of _______________ contaminated by feces or urine.

<p>food or drink</p> Signup and view all the answers

The etiologic agent of hepatitis A is _______________ virus.

<p>Hepatitis A</p> Signup and view all the answers

Bacillary Dysentery is characterized by the presence of ______ of polymorphonuclear leukocytes in peripheral blood examination.

<p>sheets</p> Signup and view all the answers

The diagnostic test for typhoid fever is _______________ which is a confirmatory test.

<p>Typhi dot</p> Signup and view all the answers

The prevention of typhoid fever includes _______________ handwashing and proper food and water sanitation.

<p>proper</p> Signup and view all the answers

The pathognomonic sign of typhoid fever is the presence of _______________ in the abdomen.

<p>Rose spots</p> Signup and view all the answers

PARALYTIC SHELLFISH POISONING is also known as ______ Tide Poisoning

<p>Red</p> Signup and view all the answers

The causative agent of PARALYTIC SHELLFISH POISONING is ______ flagellates

<p>Dino</p> Signup and view all the answers

The mode of transmission of PARALYTIC SHELLFISH POISONING is through the ______ of raw or inadequately cooked seafood

<p>ingestion</p> Signup and view all the answers

The pathognomonic sign of PARALYTIC SHELLFISH POISONING is ______ of the face especially around the mouth

<p>numbness</p> Signup and view all the answers

Drinking ______ milk weakens the toxic effect of Red Tide

<p>coconut</p> Signup and view all the answers

There are more than ______ different bacteria, viruses, and parasites that are transmitted through sexual contact

<p>30</p> Signup and view all the answers

Study Notes

Paralytic Shellfish Poisoning (PSP/Red Tide Poisoning)

  • Causative agent: Dino flagellates, plankton
  • Mode of transmission: Ingestion of raw or inadequately cooked seafood, usually bi-valve shellfish or mollusk, during red tide season
  • Incubation period: 30 minutes to several hours after ingestion
  • Pathognomonic sign: numbness of the face, especially around the mouth
  • Signs and symptoms: vomiting, dizziness, headache
  • Treatment: no definite medication, induce vomiting, drinking pure coconut milk weakens toxic effect, sodium bicarbonate solution
  • Management: avoid eating shellfish, don't mix vinegar with shellfish, and avoid sexual contact during red tide season

Sexually Transmitted Infections (STDs)

  • Predominantly transmitted through sexual contact, including vaginal, anal, and oral sex
  • More than 30 different bacteria, viruses, and parasites that can be transmitted through sexual contact
  • Eight pathogens are linked to the greatest incidence of STIs, with four being curable: syphilis, gonorrhea, chlamydia, and trichomoniasis

Amoebic Dysentery (Amoebiasis)

  • Etiologic agent: Entamoeba histolytica
  • Two developmental stages: trophozoites and cysts
  • Incubation period: usually one to four hours, but can be shorter
  • Mode of transmission: fecal-oral transmission, human-to-human contact, and vectors such as flies, cockroaches, and rodents
  • Source of infection: human excreta
  • Period of communicability: during the duration of illness
  • Diagnostic procedures: stool exam, blood exam, liver scan, and proctoscopy/sigmoidoscopy
  • Treatment modalities: metronidazole, tetracycline, ampicillin, and fluid replacement
  • Nursing management: isolation, enteric precautions, education, and emphasis on proper hygiene and sanitation

Cholera (Cholera-El Tor)

  • Etiologic agent: Vibrio cholerae, Vibrio comma
  • Mode of transmission: fecal-oral route, ingestion of contaminated food or water, and flies, soiled hands, and utensils
  • Incubation period: from a few hours to 5 days, usually 3 days
  • Period of communicability: during the time the stool test positive for the organism
  • Diagnostic test: stool culture, rectal swab, and dark field or phase microscopy
  • Pathognomonic sign: rice watery stool
  • Treatment modalities: IVF, oral therapy, and maintenance antibiotics
  • Nursing management: strict medical aseptic practices, enteric isolation, and emphasis on proper hygiene and sanitation

Bacillary Dysentery (Shigellosis)

  • Etiologic agent: Shigella flesneri, Shigella Boydii, Shigella Connell, and Shigella Dysenteriae
  • Mode of transmission: fecal-oral route, 5F's (finger, foods, feces, flies, and fomites)
  • Incubation period: 7 hours to 7 days, average of 3 to 5 days
  • Pathognomonic sign: abdominal cramping, bloody mucoid stool, and tenesmus
  • Diagnostic exam: fecalysis or microscopic examination of stools, isolation of the causative organism from rectal swab or culture, and peripheral blood examination
  • Treatment modalities: antibiotics, IV infusion, and bland diet
  • Avoidance of milk products and anti-diarrheal drugs are contraindicated

Typhoid Fever

  • Etiologic agent: Salmonella typhosa, typhoid bacillus
  • Mode of transmission: ingestion of food or drink contaminated by feces or urine of contaminated person
  • Source of infection: 5F's (feces, flies, food, fingers, and fomites)
  • Incubation period: 5-40 days, mean 10-20 days
  • Pathognomonic sign: rose spots in the abdomen due to bleeding caused by Peyer's patches
  • Signs and symptoms: fever, headache, abdominal pain, fatigue, and rash
  • Diagnostic test: typhi dot, confirmatory test, specimen is feces, Widal's test
  • Drug of choice: chloramphenicol
  • Prevention: proper handwashing, proper food and water sanitation

Hepatitis A (Epidemic Hepatitis, Catarrhal Jaundice)

  • Etiology: Hepatitis A virus
  • Mode of transmission: ingestion of contaminated food and water, direct contact with contaminated person
  • Incubation period: 15-50 days, depending on dose, average of 21-30 days
  • Pathognomonic sign: icteric sclera
  • Signs and symptoms: fever, anorexia, headache, jaundice, clay-colored stool, and lymphadenopathy
  • Management and treatment: prophylaxis, complete bed rest, low-fat but high-sugar diet, avoid alcohol
  • Prevention and control: ensure safe water for drinking, sanitary method in preparing, handling, and serving food, proper disposal of feces and urine, and proper handwashing

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Description

Test your knowledge about the life cycle of Entamoeba histolytica, the etiologic agent of amoebiasis, also known as amoebic dysentery. Learn about the two developmental stages, trophozoites and cysts, and the incubation period of this parasitic infection.

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