03 Gm Negative Cocci
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pink handcuff: Gram negative diplococci
blue ring: Oxidase positive
ferments glucose. Meningiditis also ferments maltose
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Vice City Private Investigator: Growth on VPN agar
Thayer Martin: Alternate name for VPN agar
Chocolate bar: Growth on chocolate agar
The commonly used antibiotics are vancomycin to inhibit gram-positive bacteria, colistin (i.e., polymyxin) to inhibit gram-negative bacteria (commensal Neisseria species but not N. meningitidis or N. gonorrhoeae), nystatin to inhibit yeast, and trimethoprim to inhibit the Proteus species.
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Mac: Patients with C5-C9 deficiency are unable to form MAC complex, leading to increased infections
5-9PM: C5-C9 deficiency
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chains: Pili demonstrate antigenic variation. Fimbriae
card: IgA protease - cleaves IgA at hinge region
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Dorm room: Easily spread in close quarters like college dorms
Communist flag: Sickle cell and asplenic patients at higher risk of infection
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Malt liquor: Ferments maltose in addition to glucose. Compare with neisseria gonorrhea
plastic bags on floor: Polysaccharide capsule inhibits phagocytosis
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Q tip: Colonizes nasopharynx first. Transmitted by respiratory secretions.
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Syringe, A, C, D: Vaccine contains polysaccharide capsule
No syringe: Type B capsule not included in vaccine
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Envelope burning: LOS envelope proteins cause inflammatory response
Water leaking: Inflammation leads to leaky capillaries
Electric circuit: Capillary leakage can lead to hypovolemia and shock
Underwear with red dots: Characteristic petechial rash indicates thrombocytopenia
Wet floor spots: Petechial rash from thrombocytopenia. Risk of DIC
Petechial rash from thrombocytopenia. Risk of DIC
Water house: Waterhouse-Friderichsen syndrome, characterized by hemorrhage of adrenals (adrenal insufficiency, low bp, shock, DIC)
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Ceftriaxone treatment
Rifampin prophylaxis in close contacts
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Red pillows in white chairs: Gram negative diplococci, facultative intracellular in PMNs
Broken glass: not encapsulated
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chandelier: Causes Pelvic Inflammatory Disease in females
white on table: Characteristic white purulent discharge
Band name: Fitz Hugh Curtis Syndrome: spread of PID into peritoneum
violin: Violin string adhesions form to capsule of liver
covering baby's eyes: Early onset conjunctivitis in newborns
cracked knee: Asymmetric arthritis, commonly in knee
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Ceftriaxone treatment
clam: Chlamydia coinfection, doxycyclinen and macrolide
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woman at bar: Sexually Transmitted Infection (the sexual tension is palpable)
