Temporal and infratemporal regions; temporomandibular joint

Optional reading Clinically Oriented Anatomy, 7th ed., Temporomandibular joint section through Arthritis of TMJ. Temporal region Figure 1. Attachments of temporal fascia. GRAY’S ANATOMY FOR STUDENTS, FIGURE 8.138. Figure 2. GRAY’S ANATOMY FOR STUDENTS, FIGURE 8.139. The temporal fossa is the sunken area located on the lateral skull above the zygomatic arch. Boundaries Its floor […]

Sexually transmitted infections (STIs)

source: Novan’s notes, by George Novan, MD, and Joanna Breems, MD Last update: September 2023 The terms STIs (sexually transmitted infections) and STDs (sexually transmitted diseases) are nterchangeable. However, more authors now favor using STI because not all “infections” are manifest as “disease”—that is, they are not clinically evident or symptomatic. A note on terminology. […]

Microbiome, normal flora, and antimicrobial stewardship

High-yield summary Microbiome basics Microbiome = all microbes + their genomes + the environment they occupy. Humans have ~38 trillion microbial cells (more than human cells). Major phyla: Firmicutes (Gram+ anaerobes) Bacteroidetes (Gram– anaerobes) Proteobacteria (Gram– facultative rods) Actinobacteria (Gram+ bacilli)   Normal flora by site Carrier state: colonization with potential pathogen (e.g., S. aureus). […]

Key zoonoses

Naturally transmitted from animals to humans. Arthropod-borne bacteria and parasites Fleas Endemic typhus/murine typhus/Rickettsia typhi, epidemic typhus/Rickettsia prowazekii, Tunga penetrans Flies Sand Fly/Phlebotomus-cutaneous and visceral leishmaniasis, Tsetse Fly-African Sleeping Sickness/ T. brucei), Black Fly/Simulium-Onchocerciasis, Mango Fly/Chrysops-Loa Loa, Bot flies-Myiasis Mites/Chiggers Scrub typhus/Orientia tsutsugamushi, Scabies, Hair follicle mite/Demodex Mosquitos Malaria/Plasmodium, lymphatic filariasis/e.g. Wuchereria (many ARBO viruses […]

Notable bacterial toxins and mechanisms

These are exemplars of the most notable toxins and their mechanisms. Organisms such as Clostridia perfringens, Staphyloccoccus aureus, and Pseudomonas have a variety of toxins, some of which use similar mechanisms. Anthrax A/B toxin with three-protein components. Cell binding component is called protective antigen. There are two enzyme components: Edema factor Acts as adenylate cyclase […]