08 Spirochetes
- green color shirt: lyme disease
- North east sign: Primarily Northeastern United States
- tick on sign: Transmitted by bite of tick living in wooded areas
- Robin of Ixodes: Ixodes Scapularis species of tick
- Tick is the vector
- small mouse: White-footed mouse main reservoir (host of tick larvae)
- large deer: White-tailed deer obligatory host (host of adult tick)
- Doesn't gram stain: walls too thin
- sir wright: Visualized by Wright's stain (lime green for lyme disease)
- sir giemsa: Visualized by Giemsa stain
stage 1:
- "Bull's eye" rash
- splitting arrow: Spirochete
- sweating sir wright: Flu-like symptoms
stage 2:
- heart shield: Heart block caused by Myocarditis
- bells on both side: Bilateral Bell's palsy
stage 3:
- arrow in head, confused giemsa: Encephalopathy (memory difficulty, cognitive slowing, meningitis)
- arrow in knee, swinging strawman: Migratory polyarthritis, large joints and may move from joint to joint
- bike wheel: Doxycycline treatment if caught in early stage
- axes: Ceftriaxone treatment if more severe or later presentation
Leptospirosis
- scene: endemic in tropical regions
- yellow tide: Leptospira found in water contaminated with animal urine
- spiral shape surface leash and question mark: Described as spiral shaped or question mark shaped
- surfer dripping wet: Fever
- rose colored sunglasses, rubbing eye: Conjunctival suffusion. Redness of eye but no exudate/pus
- floating reds look like RBC all over place: Leptospira affects multiple different organs by hematogenous spread
- rubber red shaped like kidney: Leptospira can cause kidney dysfunction
- yellow surfer: Weil's disease can cause liver dysfunction and jaundice
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