Vector Borne Diseases Overview
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Questions and Answers

What is the hallmark sign of hemorrhagic mediastinitis in anthrax patients?

  • Pruritic macule
  • Colicky pain
  • Abdominal pain
  • Hemorrhagic mediastinitis (correct)
  • Which diagnostic procedure is considered most definitive for rabies?

  • Blood culture
  • Antibody testing (correct)
  • CT scan
  • Fecalysis
  • What is the primary drug of choice for treating ascariasis?

  • Mebendazole
  • Praziquantel
  • Piperazine citrate
  • Albendazole (correct)
  • Which symptom is NOT associated with rabies?

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

    What type of management is emphasized for preventing secondary infections in pediculosis?

    <p>Environmental sanitation</p> Signup and view all the answers

    What is the primary causative agent of Schistosomiasis?

    <p>Schistosoma japonicum</p> Signup and view all the answers

    Which clinical manifestation is characteristic for ascariasis?

    <p>Colicky and cramping abdominal pain</p> Signup and view all the answers

    What is a recommended nursing management technique for rabies?

    <p>Provide optimum comfort and prevent injury</p> Signup and view all the answers

    Which treatment should be initiated as soon as possible for bites and scratches with bleeding in rabies cases?

    <p>PEP and IgG vaccine</p> Signup and view all the answers

    Which option is an environmental management strategy for controlling schistosomiasis?

    <p>Treating the breeding site of snails</p> Signup and view all the answers

    What clinical manifestation is NOT typically associated with pediculosis capitis?

    <p>Palpable intestinal obstruction</p> Signup and view all the answers

    What nursing management step is essential for a patient with anthrax?

    <p>Cleaning equipment used by the patient</p> Signup and view all the answers

    Which diagnostic method is used to identify Ascaris lumbricoides infection?

    <p>Kato-Katz technique</p> Signup and view all the answers

    Study Notes

    Vector Borne Diseases

    • Anthrax:

      • Causative agent: Bacillus anthracis spores
      • Incubation period: 1-6 days
      • Clinical presentation: Edema with pruritic macules and papules, eschar, fever, nausea, vomiting, abdominal pain, bloody diarrhea, hemorrhagic mediastinitis.
      • Diagnostics: Patient history, chest X-ray, CT scan, blood and tissue culture, CSF analysis.
      • Medical management: Penicillin, Erythromycin, Gentamicin. Prophylaxis: Doxycycline, Ciprofloxacin for 60 days.
    • Ascariasis:

      • Causative agent: Ascaris lumbricoides roundworm
      • Clinical presentation: Periumbilical pain, RUQ pain, colicky and cramping abdominal pain, palpable intestinal obstruction.
      • Extraintestinal infection: Rales, hemoptysis.
      • Diagnostics: Fecalysis (Kato-Katz technique), abdominal X-ray.
      • Medical management: Albendazole, Mebendazole, Piperazine citrate.
    • Pediculosis (Head Lice):

      • Causative agent: Pediculus humanus capitis
      • Clinical presentation: Head itching, minute red spots, skin crusting, excoriation, generalized itching of affected region.
      • Diagnostics: Physical assessment.
      • Medical management: 1% malathion powder, gamma benzene hexachloride shampoo (for head lice).
    • Pediculosis (Body Lice):

      • Causative agent: Pediculus humanus corporis
      • Clinical presentation: Generalized itching of affected region.
      • Diagnostics: Physical assessment.
      • Medical management: Good hygiene, boiling and laundering of clothing.
    • Pediculosis (Pubic Lice):

      • Causative agent: Pthirus pubis
      • Clinical presentation: Generalized itching of affected region.
      • Diagnostics: Physical assessment.
      • Medical management: Kwell or gamene (Lindane) cream.
    • Rabies:

      • Causative agent: Rhabdovirus
      • Clinical presentation: Prodromal/invasion-fever, anorexia, malaise, sore throat, copious salivation, lacrimation. Neurological-muscle excitability, fasciculation, mental depression, melancholia, pain on the bite site, mild dysphagia, apprehension, delirium, maniacal behavior, severe pain in muscles, hydrophobia, acrophobia, hyperptyalism, photophobia, autonomic paralysis.
      • Diagnostics: Antibody-most definitive diagnostic procedure such as Negri bodies in the brain tissue.
      • Medical management: Soap and running water, Rabies vaccine, Rabies immunoglobulin (passive immunity), Tetanus antitoxin.

    Schistosomiasis

    • Causative agents: Schistosoma japonicum, Schistosoma mansoni, Schistosoma haematobium.
    • Clinical presentation: Pruritic rash (summer itch), low-grade fever, myalgia, cough, abdominal discomfort, hepatomegaly, splenomegaly, bloody mucoid stool, jaundice.
    • Complications: Liver cirrhosis, cor pulmonale, portal hypertension, heart failure, internal renal failure.
    • Diagnostics: Fecalysis (Kato-Katz technique), liver or rectal biopsy, ELISA, Circumoval precipitin test (confirmatory).
    • Medical management: Praziquantel for 6 months.

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    Description

    This quiz explores various vector-borne diseases including Anthrax, Ascariasis, and Pediculosis (Head Lice). Participants will learn about causative agents, clinical presentations, diagnostic methods, and medical management options for each disease. Perfect for students in health and medical fields.

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