02 Protein Synthesis
Last updated
Last updated
Bicycle: tetracycline
Typewriter: acts on bacterial ribosome, inhibiting translation
Paper jam: bacteriostatic
30 sec timer: binds reversibly to 30S ribosomal subunit
prism: broad spectrum
Bicyclist coughing: taken orally
sewage pipe: eliminated fecally, safe in renal failure patients and no dose adjustments
No mercy pharaoh: activity against methicillin resistant Staph aureus (MRSA)
Ticks: activity against tick borne bacteria (e.g. Rickettsia, Ehrlichia, Franisella, Borrelia)
Bruce the cow: activity against Brucella
Sheep with heart bell: treats culture negative endocarditis caused by Coxiella
fleas: activity against Yersinia
clam seat: treats chlamydial cervicitis and urethritis
uterus shape: treats chlamydial pelvic inflammatory disease
clam bra: treats chlamydial bronchitis and atypical pneumonia
cross country skier: treats atypical “walking” pneumonia caused by Mycoplasma
white capped mountains: treats acne
medals: multivalent cations (e.g. calcium, iron, magnesium) decrease absorption
bike pump: resistance via efflux pumps
Tetracycline resistance can occur through a decrease in intracellular concentrations of the drug (by increased efflux or decreased influx) and via synthesis of a protein that allows ribosomes to perform translation even in the presence of the antibiotic.
Causes tooth discoloration in young children (Ca deposits in newborn teeth)
Tarantula: deposits in fetal teeth and bone - teratogenic
mud puddle: GI side effects (e.g. nausea, vomiting, diarrhea)
sensitive photos: photosensitivity
Fan cone: Fanconi syndrome (type 2 RTA) associated with use of expired tetracyclines
pto, vanco, linelolid.. #Macrolide
Crow: macrolide
Typewriter: acts on bacterial 50S ribosomal subunit, inhibiting translocation
Paper jam: bacteriostatic
Red crow: erythromycin
A-Z: azithromycin
Keep clear: clarithromycin
Boarded soldier: treats Bordetella pertussis
Family photo: prophylaxis for Bordetella pertussis in close contacts
Rusty chest plate: azithromycin and clarithromycin treat community acquired pneumonia
caused by Strep pneumoniae, Haemophilus influenzae, Moraxella catarrhalis
Pencil wound: macrolides can be used in patients with a h/o penicillin allergy
Cold walking snowshoer: azithromycin treats atypical “walking” pneumonia caused by
Mycoplasma pneumoniae
Legion of ships: azithromycin treats atypical “walking" pneumonia caused by Legionella
Clam lady: azithromycin treats atypical “walking” pneumonia caused by Chlamydia
pneumoniae
Clam lady: azithromycin treats urethritis and cervicitis caused by Chlamydia trachomatis
Bart the leopard: azithromycin treats infections with Bartonella henselae (e.g. cat scratch
fever
Caged mockingbird: azithromycin and clarithromycin have activity against mycobacterium
avium
Azithromycin prophylaxis with patients with CD4 < 50
Oral erythromycin treats neonatal conjunctivitis and pneumonia caused by Chlamydia
trachomatis
Dripping wax: erythromycin drops treat neonatal conjunctivitis caused by Neisseria
gonorrhoeae
Bull neck: erythromycin treats diphtheria
Vampire babe: clarithromycin plus atovaquone treats babesiosis
Helicopter: clarithromycin, amoxicillin, and a PPI as triple therapy for Helicobacter pylon infection
Brown puddle: increased GI motility
yellow face: Acute cholestatic hepatitis causing jaundice
Torsades strip: prolonged Q-T
Broken chrome bumper: cytochrome P-450 inhibition.,
Keep clean: clindamycin
Typewriter: acts on the bacterial 50S ribosomal subunit, inhibiting translocation
Paper jam: bacteriostatic
Purple coccoid dumbbells: activity against Staph and Strep
Gasmask: anaerobic coverage
pie and red puffy glove: treats Strep pyogenes (group A strep) soft tissue infections (e.g. cellulitis)
Lung stains with holes: excellent penetration into abscesses (e.g. lung)
Choking on Bacteraid: treats oral infections and aspiration pneumonia caused by
Bacteroides fragilis
Perforated pants: activity against Clostridium perfringens
Snow-capped mountains: topical clindamycin treats moderate to severe inflammatory acne
Uterus machine: clindamycin plus gentamicin treat polymicrobial female genital tract infections (e.g. endometritis)
Judo practitioner with sai: gentamicin paired with clindamycin for broad coverage
Venus fly trap garden: treats bacterial vaginosis caused by Garderella vaginalis
Brown puddle: diarrhea
Brown geyser: pseudomembranous colitis caused by Clostridium difficile
aspiration pneumonia: important cause of lung abscess
reduced consciousness: alcoholics, anesthetized, upper GI disorders (dysphagia), upper GI
seizures (intubation, NG tube)
Clinda for anaerobes above diagphragm
Metronidazole for anaerobes below
Typewriter: acts on bacterial ribosome (binds 50s), inhibiting peptide bond formation and halting translation
Paper jam: bacteriostatic
Meningitis space helmet: empiric treatment for meningitis in developing countries (e.g. Strep pneumoniae, Haemophilus influenzae, Neisseria meningitidis)
Earth ball: used in developing countries
Spotted hand and foot rock climber: alternative agent in serious rickettsial infections (e.g. Rocky Mountain spotted fever - tick borne disease caused by Rickettsia rickettsiae) (doxy CI in pregnancy)
Deflated inner tubes: anemia due to dose related reversible suppression of RBC production
Plastic bone: aplastic anemia
Grey baby syndrome - accumulation of the drug in newborns (due to ineffective glucuronic
acid conjugation system) causes flaccidity, hypothermia, shock.,
Police line: linezolid
Typewriter: binds to bacterial 50S ribosomal subunit, preventing formation of initiation
complex
Paper jam: bacteriostatic
Purple jewels in clusters and chains: activity against gram positive bacteria (Staph, Strep,
Enterococcus)
No mercy pharaoh: activity against MRSA
Coughing nurse: treats nosocomial MRSA infections (e.g. hospital acquired pneumonia)
Resisting van: activity against vancomycin resistant bacterial strains
Diplococcus rock drums: activity against vancomycin resistant enterococcus (VRE)
Broken plates: thrombocytopenia
Cut security camera wire: optic neuropathy
Gloves and shoe-covers: stocking-glove peripheral neuropathy
Happy face: serotonin syndrome.,
Sai: aminoglycoside
Kanji translators, tRNA hat: acts on the bacterial ribosome, halting translation
30 min: binds irreversibly to the 30S ribosomal subunit, inhibiting formation of initiation complex
Smeared kanji: misreading of mRNA
Dead translator: bactericidal
Ninjutsu master: neomycin
Sai master: streptomycin
Cobra ninja: tobramycin (similar spectrum of activity as gentamicin)
Katana master: amikacin
Judo master: gentamicin.,
Ivy: IV administration
Neomycin: oral
Beta-lactam bomb: coupled with cell wall active drugs (e.g. beta- lactams, vancomycin)
Red bacilli bricks: activity against aerobic gram negative bacilli
Bellows: transported into bacteria via an oxygen dependent process (aerobic bacteria)
Secret colon tunnel: neomycin remains active in GI tract, given prophylatically before surgery
Double purple taiko drums: activity against enterococcus when coupled with a cell wall active agent (e.g. penicillin, vancomycin)
Rabbit ears: streptomycin treats tularemia caused by Francisella tularensis
Squirrels with fleas: streptomycin treats the plague caused by Yersinia pestis
Judo master: gentamicin treats resistant gram negative infections (e.g. Enterobacter, Serratia, Klebsiella)
Red Shogun: systemic gram negative infections (e.g septicemia, nosocomial RTI, complicated UTI, intra-abdominal infection)
Mona Lisa: activity against Pseudomonas (gentamicin, tobramycin, amikacin)
Inactivating ninja stars: inactivated by an acetylation enzyme (e.g. E. faecium againsttobramycin)
Aminoglycoside (eg, gentamicin) resistance develops through bacterial production of aminoglycoside-modifying enzymes that transfer different chemical groups (eg, acetyl groups, adenyl groups, phosphate groups) to the aminoglycoside antibiotic molecule outside of the bacterium, thereby decreasing the ability of the antibiotic to bind to ribosomes and exert its antimicrobial effects. This resistance is not chromosomally mediated; it is an acquired resistance mediated by plasmids or transposons.
Cracked gong: ototoxicity (vestibular or cochlear damage)
vertigo, lightheadnness, NV, ataxia, hearing loss
Sai in flank armor: nephrotoxicity
Rusty downspout draining muddy water: acute tubular necrosis (ATN)
muddy cast on urinalysis.,
Grave with postsynaptic outlet: myasthenia gravis is an absolute contraindication
Tarantula on gong: teratogenic - deafness in newborn.,