Saturday, January 6, 2007

can u identify these?



E.Coli. ur coliform that will make water undrinkable at >4/microliter. causes lotsa stuffs including meningitis in neonates, food poisoning (ETEC), hemolytic uremic syndrome (0157: H7 strain) hemorrhagic enterocolitis (EHEC) etc. i cant remember the rest. just throw ceftriaxone or any broad spectrum Abs and kill this bug



the mug my brain always refuses to register. gram +ve rod which grows with grey diptheriae like rods on colony. very motile. causes meningitis and sepsis in immunocompromised patients (esp those who had kidney transplant) and neonates (esp those whose unfortunate mothers contracted at time of birth) as well as outbreaks for febrile GIenteritis when u eat stuff like unpasteurized cheese or milk or just damn suay when touching an infected animal. no treatment for that bad ab pain and flu-like syndrome though. u can take ampicillin with or without aminoglycoside depending on the severity of sepsis and meningitis or oral trimethroprim sulfamethazole which can be also used for prophylaxis for those butchers and milkmaids.



an extremely TIGHTLY coiled spirochete. another one of those my brain refuses to register. can cure with doxycycline (also used for prophylaxis) or amoxicillin if mild, whack with penicillin G or ceftriaxone if its serious. the one that refuses to get into my brain, and thats bad cause triatheletes, swimmers etc extremely prone to these bugs excreted by rodents, cats, dogs and the you name its into environmental water sources. 2 phases in the illness firstly it makes me feel like a total sucker with prodrome and conjunctival suffusion followed by your body which wrecks the havoc in the immune phase where your body system just crashes with jaundice, aseptic meningitis, pleural effusions, and ur kidney function just goes boom. oh no i'm starting to speak like tan you jiang. i.e. my nerd function is on.

I don't sound like myself and thats, i dunno good or bad. But i so wanna sushi, donut and movie.ohh man i feel like a small boy all over again. =p eat sleep cycle run! ironman in slightly over a month! 240207 3.8k swim, 180k bike, 42.195 run. hahahaha. i cant remember that quote that JJ LOVES to say:

This is the ironman. If you can challenge yourself to do an ironman, you can do anything.

Limits? What limits? There is no can't in ironman. To the great, it takes 8 hours. Others go the full 17. And they are all in the same arena, the big black lava island of hawaii. First and only goal of the day is to get to the finish line.

Theres no a better sense of accomplishment in life, than finishing an ironman.

A 2.4 mile swim, 112 miles on the bike, than a marathon. The man who started this said, you can quit but they don't care, but you will always know.

This is the ironman.

those mad navy seals. haha. but i'm becoming just as mad!



Happy Birthday IVY NG! i just realised i'm the youngest of all the pple who got into med from my jc class. hahaha..all u lao da jies! =p

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