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 |