OCTC-Micro-Chapter 14 – Flashcards
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What anatomical sites in the body are axenic? |
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Heart and circulatory system, Liver, Kidneys and urinary bladder, Lungs, Brain and spinal cord, Muscles, bones, Ovaries and testes, Glands (pancreas, salivary, thyroid), Sinuses, middle and inner ear, internal eye |
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What fluids in the body are axenic? |
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Blood, Urine in kidneys, ureters, and bladder, CSF, Saliva prior to entering oral cavity, Semen prior to entering urethra,Amniotic fluid surrounding the embryo and fetus |
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Pathogens are: |
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-are disease-causing organisms -are microbes that infect the body and cause disease. -produce virulence factors (toxins, enzymes) that help invade and damage host cells. |
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Pathogens spread by: |
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direct or indirect methods |
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Pathogens spread by involving: |
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Infected people Carriers Vectors Vehicles |
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Pathogens may be found residing: |
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in humans, animals, food, soil, and water |
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Pathology |
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in humans, animals, food, soil, and water |
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Etiology: |
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science that deals with cause of disease |
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Pathogenesis: |
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Manner in which disease develops The structural and functional changes brought about by the disease The final effects on the body |
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Infection: |
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invasion or colonization of the body (the host) by potentially pathogenic microbes |
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Infection multiplication of a parasitic organism or virus in or on the body of the host with or without: |
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the production of a disease |
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Parasitic organism = |
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Pathogen |
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Disease: |
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Any change from a state of health… when the body is not properly adjusted or Capable of performing its normal functions |
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Disease results: |
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When an adequate number of pathogenic cells enter the body Through a specific route and grow Disrupt tissues and cause signs and symptoms |
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ID = |
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infectious dose |
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Mutualistic relationship ex: |
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E. coli in intestines |
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Commensalism: |
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One member benefits w/out significantly affecting the other |
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Commensalism ex: |
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ex. Staphylococcus epidermidis living on skin |
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Three types of Symbiosis: |
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1. Mutualism 2. Commensalism 3. Parasitism |
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Mutualism = both members benefit from the: |
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interaction |
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Mutualism Example: |
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Bacteria in our colon have warm, moist nutrient rich environment to live in |
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When bacteria die, they release vitamins: |
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K and B vitamins that we absorb |
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Commensalism: |
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One member benefits w/out significantly affecting the other |
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Commensalism ex. : |
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Staphylococcus epidermidis living on skin |
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Other Names for Normal Microbiota include: |
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Normal microbiota Normal flora Normal microbial flora Indigenous microbiota |
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Normal flora = |
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population of microbes found on and in the body of healthy peoples |
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Resident Flora = |
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inhabit body sites for extended periods of time; throughout life |
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Transient flora = |
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only temporary |
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Two types of Normal Microbiota in Human Host: |
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1. Resident microbiota 2. Transient microbiota |
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Resident Microbiota are a part of the ___________ throughout life. |
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normal microbiota |
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Resident Microbiota are found on: |
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skin, mucous membranes of GI, respiratory tract, urethra, and vagina |
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Most resident microbiota are: |
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commensal |
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Why are Normal Microbiota in Human Host? |
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These organisms (bacteria, fungi, protozoa) colonize the body’s surfaces without normally causing disease. |
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Most normal Microbiota in Human Host are: |
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nonpathogenic |
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A few normal Microbiota in Human Host are pathogenic but: |
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held in check by antagonism |
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Normal microbial flora benefits the human host by: |
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Preventing the overgrowth of harmful microorganisms and Stimulating the immune system |
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What is Transient Microbiota? |
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Remain in the body for only hours, days, or months before disappearing. |
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Transient microbiotia may be present for a time then disappear because: |
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they cannot compete with resident microbiota |
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Transient bacteria are found in the same regions as: |
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resident microbiota |
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Why can’t Transient Microbiota persist in the body? |
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Competition from other microorganisms Elimination by the body’s defenses cells Chemical (changes in pH of vagina) Physical changes (urination, defecation, vomiting) in body that dislodge them |
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As we development in the womb, it is free of: |
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microbes (axenic) |
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Microbiota begins to develop during: |
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the birthing process. |
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By 12 hours after birth: |
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Streptococci Staphylococci Lactobacilli have colonized neonate. |
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Bottle fed infants acquire: |
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coliforms, lactobacilli, enteric streptococci and staphylococci. |
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Breast fed acquire: |
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Bifidobacterium: Which protects the infant from infection of certain intestinal pathogens. |
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Much of one’s resident microbiota is established during: |
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the first months of life |
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Establishment of normal flora continues with: |
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teething and solid food |
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Two types of Pathogens: |
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1. True Pathogens 2. Opportunistic Pathogens |
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A microbe that has a parasitic relationship with host that results in disease is called a: |
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pathogen |
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True pathogens = |
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primary pathogens |
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True Pathogens are capable of causing disease in healthy person with: |
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normal immune defenses. |
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Coronavirus causes: |
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common cold |
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Influenza virus causes: |
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flu |
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Malarial protozoan causes: |
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malaria |
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Opportunist pathogens only cause diseases: |
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1. When host’s immune defenses are weakened or host is immunocompromised 2. When introduced into an unusual location |
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Opportunist pathogens: |
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May be members of the normal flora or common in the environment |
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Examples of Opportunist pathogens: |
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1. Candida 2. E. coli 3. Pseudomonas = common in environment |
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Our normal flora maintain: |
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microbial antagonism or microbial competition. |
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The nonpathogenic microbes hold: |
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the pathogenic microbes in check. |
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What are the Three conditions when normal flora become opportunistic pathogens? |
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1. Immune suppression 2. Changes in normal microbial flora 3. Normal flora in unusual area |
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Immune suppression includes: |
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Disease, malnutrition, emotional, physical stress Very old or very young Radiation, chemotherapy Immunosuppressive drugs in transplant patients HIV virus |
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Immune suppression can enable opportunist pathogens to: |
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become pathogens |
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Changes in the normal microbiota: |
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Normal microbiota Use nutrients Take up space Release toxic waste That usually out compete pathogens |
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Changes in the normal microbiota: This is called: |
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Microbial antagonism Microbial competition |
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Changes in relative abundance of normal microbiota may allow some members of the normal microbiota to become: |
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an opportunist pathogen |
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ex. Long term use of antibiotic : |
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C. difficile |
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Killed off sensitive non pathogenic flora, now C. difficile has: |
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nutrients and room to multiply and cause a disease |
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Introduction of normal microbiota into unusual site in the body Example: |
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E. coli or Enterococcus feacalis |
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E. coli or Enterococcus feacalis are mutualistic: |
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in colon |
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But if E. coli or Enterococcus feacalis enter urethra then bladder: |
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They becomes parasitic and may cause UTI |
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Contamination: |
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Mere presence of microbes in/on body |
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Contaminants reach body in: |
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Food, drink, air, via wounds, arthropod bites, sexual intercourse |
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What is the outcome of the Contaminants? |
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1. Become part of the normal flora 2. Remain in body a short period of time as part of transient microbiota 3. Overcome body’s external defenses, multiply, become established in the body |
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The successful invasion of the body by a microbial contaminant is called an: |
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infection. |
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The infection may or may not: |
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result in disease (which has signs and symptoms). |
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Portals of Entry = |
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getting in, sites where pathogens enter the body, usually the same regions that support normal microbial flora. |
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Attaching to the Host = |
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staying in |
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Surviving Host Defenses = |
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defeat host’s defenses |
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Causing the Disease = |
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damage the host |
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Portals of Exit = |
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getting out, transmitted to another host |
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What are Four major sites of Portals of Entry |
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1. Skin 2. Mucous membranes 3. Placenta 4. Parenteral route |
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Stratum corneum : Outer layer of packed, dead, skin cells usually acts as: |
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a barrier to pathogens |
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Some pathogens can enter through openings or: |
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cuts, nicks, abrasions. |
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Some pathogens can enter through: |
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hair follicles and sweat glands. |
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Larvae of some parasitic worms create their own portal using: |
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digestive enzymes and burrow into skin to reach the deeper tissues |
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Insect bites, tick and spider bites use their: |
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probiscus to pierce through the epidermis |
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Some fungi can digest: |
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the keratin in the outer layers of skin to reach the deeper, moister dermis |
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Mucous membranes line: |
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GI, respiratory, urinary, reproductive tracts and conjunctiva |
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Mucous membranes are ____________ and provide a _____________ that is an easier portal of entry |
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thinner than skin; moist, warm environment |
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Respiratory tract: |
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Most commonly used site of entry |
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Bacteria, viruses, fungi, and protozoa: |
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Enter nose, mouth in air, on dust, in drops of moisture |
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Cold, influenza viruses can enter: |
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eye first, then respiratory tract |
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Some protozoa, helminths, bacteria, and viruses are able to survive: |
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the acidic pH of the stomach |
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Some protozoa, helminths, bacteria, and viruses may use the gastrointestinal tract as: |
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a route of entry |
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Pathogens that enter via GI tract are adapted to survive: |
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Digestive enzymes and changes in pH |
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Enteric bacteria: |
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Salmonella, Shigella, Vibrio, and E. coli (gastroenteritis) |
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Enteric Viruses: |
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poliovirus, hepatitis A virus, echovirus, and rotavirus (rotavirus = gastroenteritis) |
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Enteric Protozoans: |
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Entamoeba histolytica and Giardia intestinalis (gastroenteritis) |
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Respiratory tract portal of entry for: |
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greatest number of pathogens |
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Microbes are transferred from: |
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upper respiratory tract, to sinuses, to auditory tube then middle ear |
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Portal of entry for greatest number of pathogens is: |
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Respiratory tract. |
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Bacteria, Fungi, Protozoa, Viruses can enter through: |
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respiratory tract |
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Bacterial, fungal, and viral: |
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Pneumonia |
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Bacterial diseases: |
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strep throat, pneumococcal pneumonia, anthrax, diphtheria, TB, bronchitis, whooping cough |
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Fungal diseases: |
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blastomycosis, coccidioidomycosis, histoplasmosis, pneumocystis pneumonia |
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Viral diseases: |
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common cold, SARS, mumps, influenza, respiratory syncytial disease |
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STDs enter skin or mucosa of: |
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penis, external genitalia, vagina, cervix, or urethra. |
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Syphilis/gonorrhea were once: |
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the prominent STDs. |
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Now ____________ lead the list. |
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genital warts, chlamydia, herpes, HIV, Hepatitis B, Trichomoniasis |
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Some yeast infections caused by: |
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Candida albicans |
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Some not all Candida albicans are considered: |
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STDs |
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NOT All urogenital infections are STDs, some are: |
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UTI and yeast infections |
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The placenta is usually an effective barrier against microbes in the: |
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maternal circulation. |
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Some microbes can cross the placenta cause: |
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Spontaneous abortion (miscarriage), Congenital abnormalities, Brain, damage, Premature birth, Stillbirths |
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STORCH: |
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Syphilis Toxoplasmosis Other = Chlamydia, Hepatitis B, HIV Rubella Cytomegalovirus Herpes simplex (Hepatitis B, HIV) |
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Parenteral Route not a true portal of entry but a means by which: |
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portals can be circumvented |
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To enter the Parenteral Route: |
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Pathogens are deposited directly into tissues beneath the skin or mucous membranes by: |
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Pathogens are deposited directly into tissues beneath the skin or mucous membranes by: |
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Nail, Thorn, Hypodermic needle, Bites, Stab wounds, Surgery |
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After entering the body, microbes must __________ in order to establish _______. |
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adhere to host cells ; colonies |