Thick, Creamy Green Discharge

Dear GEBE, thank you for the wonderful opportunity to experience a loss of power greater than an hour's time span when it's not even true hurricane season. Yes, I know that it officially started on June 1st, but truthfully, we all know that the big storms won't be hitting for a few months.

But I suppose you're good for something. I was finally persuaded to make enough food to last a few days. What with it being block week and experiencing a ridiculous lack of sleep, it's a wonder that I even had the brain space to contemplate cooking. But somehow, it all worked out.

So in the tradition of this block and comparing disease symptoms and signs to food, imagine how the thick creamy green discharge of Gonorrheae relates to a creamy pesto sauce.
Mushroom Spinach Pasta with Pesto Cream Sauce

1 lb of any pasta (penne, macaroni, linguine etc)
1 cup of pesto (homemade or store bought)
1 cup of cream
1/2 cup milk
1/2 cup parmesan
2 cups mushrooms, quartered
1 bag of baby spinach, washed
Salt/pepper to taste

Fill a pot with water to boil on the stove. Cook the pasta according to the directions until al dente.

In another pot or deep saucepan, heat a little oil and saute the mushrooms and spinach together until the mushrooms are mostly cooked and the spinach has wilted slightly. Add the milk and cream, stirring to combine. When the dairy has come to a boil, add the pesto and stir to combine, turning the heat down until you reach a slow simmer. When the pasta is done, drain it and add to the pesto mixture, tossing to combine. At this point, add the parmesan. It'll help bind things together. If the sauce seems a little thin, the cheese will help thicken it and the pasta will absorb some as it sits in the sauce for a bit before serving.
*Ready for lunch and lack of power!

Sex in the City, on the Beach... in a Lecture Hall

I'll be the first to admit that I have issues when it comes to sexually transmitted diseases (STDs). After all, how many people do you know would tell their friends that they want a 20" std? That they would love to hug HIV and sleep with syphilis?

Seeing as how block 3 of med micro involves the joy of venereal diseases and the cold brought upon us by the howling winds and rain of tropical storms, I felt it was only fair to treat you all to a few more stories of the microbes which serve as our closest companions, whether in the air, the soil, our body or our friends, both human and animal alike.

If you love food, this may not be the best of posts to read. But if you find giant microbes as soft and cuddly as I do, continue on. =D

~*~*~

Staphylococcus saprophyticus

Staph is positive for everything. Gram + cocci, catalase + but coagulase –

If you’re positive you’re going to marry the man of your dreams on a cloudy day with the smell of the sea nearby, make it a tender moment on your honeymoon with few guests

If you're positive (gram + cocci)you're going to marry the man of your dreams on a cloudy (cloudy urine) day with the smell (malodorous urine) of the sea (sea --> water --> dysuria, increase frequency/urgency) nearby, make it a tender (tenderness of supra-pubic area) moment on your honeymoon (honeymoon syndrome - acute urethral syndrome) with few (fewer bacteria needed for infection compared to cystitis) guests.

Uropathogenic Escherichia coli

MacConkey loves drinking bad milk when he’s short of breath but needs to pee a lot insistently.

Mac Conkey (MacConkey agar) loves drinking bad (gram - rod) milk (lactose fermentor) when he's short of breath (oxidase negative) but needs to pee (Pee --> P fimbrae --> pyelonephritis --> kidneyspee) a lot in-cyst-antly (insistently --> incystently --> cystitis)

Proteus spp

Proteus is prone to negative influences from his swarms of lactose-intolerant friends. Hunting for stags in stony places could put him in a coffin with no oxygen.

Proteus is prone to negative (gram - rod) influences from his swarms (swarmer) of lactose-intolerant (lactose non-fermentor) friends. Hunting for stags (staghorn calculus) in stony (struvite stones - kidney stones - magnesium ammonium phosphate) places could put him in a coffin (coffin lid crystals) with no oxygen (oxidase negative).

Pseudomonas aeruginosa

Bad lactose-intolerant devils need to breath and PPEE in the soil when their kidneys are infected.

Bad (gram neg rods) lactose-intolerant (lactose non-ferm) devils need to breath (oxidase pos) and PPEE (pee --> PPEE --> PP - Pyocyanin/Pyochelin --> pro-inflam/ disrupt endothelial cell fxn; E - exotoxin A - inhib. protein synth via ADP ribosylation of EF2; E - exoensymes - phospholipase C, Rhamnolipid, leukocidins, proteases)) in the soil(soil/water reservoir) when their kidneys are infected (cystitis, pyelonephritis).

Enterococcus faecalis

DEF (Lancefield group D; E-Enterococcus; F - faecalis)

Good fae need a lot of salt in their diet to catalyze the production of bile and live.

Good (gram pos cocci) fae (Enterococcus faecalis) need a lot of salt (can survive in elevated salt) in their diet (diet --> GI tract) to catalyze (catalase neg) the production of bile (culture on ENT - bile esculin agar - hydrolysis of esculin/bile resistant) and live.

BK Virus

A lot of people who eat Burger King burgers naked with another person feel bloated; the feeling stays with them and gets worse when they’re stressed.

A lot of people (80% adults worldwide seropostivie) who eat Burger King (Burger King --> BK) burgers naked (non-enveloped) with another person (two ppl --> dsDNA) feel bloated (Ureteral stenosis --> water retention, reduced urine flow); the feeling stays (remains latent in lymphocytes, UGT, brain) with them and gets worse (reactivate --> BKAN --> BK assoc. nephropathy - renal disease) when they're stressed (decreased immune sys when stressed --> immunocompromised).

Neisseria gonorrhoeae

If you ever get hopped up on sugar, don’t get LOSt in New York City because you might meet Mr. Martin and his friend Neisseria who wants you inside of her more than she can breathe. She tells you “fix me” when she gets hurt badly, discharging CUPS of thick creamy green pus.

If you ever get hopped up on sugar (glucose user/fermentor), don't get LOSt (LOS - lipooligosaccharide) in New York City (NYC medium) because you might meet Mr. Martin (Thayer Martin Medium) and his friend Neisseria (Neisseria gonorrhoeae) who wants you inside (want inside --> facultative intracellular) of her more than she can breathe (oxidaise positive). She tells you "fix me" (cefixime - drug of choice for treatment - single dose/oral) when she gets hurt badly (gram negative cocci), discharging CUPS (C - cervicitis, U - urethritis, P - Pelvic inflammatory disease, S - salphingitis) of thick creamy green pus (i think it's a bit self explanatory if you see this with cutaneous lesions - run the other way).

Chlamydia trachomatis

Martin and Neisseria have a good friend, Mr. McCoy and his tiny daughter Chlamydia who needs you inside of her, no PUN intended, before her patience wears thin and her nerves fry.

Martin and Neisseria have a good friend, Mr. McCoy (McCoy cells/HeLa cells for culturing) and his tiny (very tiny bacteria) daughter Chlamydia (Chlamydia trachomatis), who needs you inside (obligate intracellular) (need you inside --> sex) of her, no PUN (P - PID; U - urethral syndrome/cervicitis in females; N - non-gonococcal urethritis in males) intended, before her patience wears thin (thin mucopurulent exudate) and her nerves fry (tissue becomes friable).

Ureaplasma/Mycoplasma spp.

HUGging small naked people magnanimously normally doesn’t turn you golden brown.

HUGging (H - Mycoplasma hominis - complications of pregnancy; U. urealyticum - 50% of NGU/NCU in males; G - M. genitalium - urethritis in males) small (small colony producing mycoplasma) naked (cell wall less) people magnanimously (manganous sulfate + urease rxn) normally (culture on A8 agar but oft seen in normal individuals) doesn't turn you golden brown (golden brown pigment from manganous sulface + urease).

Herpes Simplex Virus

Take your CUE from a straight laced friend and keep your clothes on when having sex with another person and stop the cycle.

Take your CUE (C - cervivitis; U - urethritis; E - external lesions) from a straight (linear) laced friend and keep your clothes on (enveloped) when having sex (sexually transmitted/contact with active lesions) with another person (dsDNA) and stop (shorten outbreak with treatment) the cycle (Acyclovir).

Trichomonas vaginalis

Keep things basic, don’t make it tricky because pros don’t insist that the metro is a good place to buy green strawberries from moving nomads frothing at the mouth.

Keep things basic (multiplies when vaginal conditions more basic than usual), don't make it tricky (trichomonas vaginalis) because pros (PROtozoan - fragellate) don't insist (insist --> cyst --> dont --> no cyst form) that the metro (metronidazole to treat) is a good place to buy green (greenish yellow discharge) strawberries (strawberry cervix) from moving (motile trichomonads) nomads (nomads --> monads) frothing (frothy greenish yellow discharge) at the mouth.

Candida albicans

Yeasty bread with cottage cheese naturally tastes good but if you’re sick, you’ll be itchy and red.

Yeasty (yeasty with pseudohyphae) bread with cottage cheese (cottage cheese discharge with vulvovaginitis) naturally (natural/normal flora in skin/mucous membranes) tastes good but if you're sick(immunocompromised at risk), you'll be itchy (itchy --> scratching of labia majora --> excoriations) and red(erythema on cervical mucosa surrounded by cottage cheese patches).

Gardnerella vaginalis

When Nugent goes fishing at high altitudes, he basically stays of the same mind but normally brings different clueless friends.

When Nugent (nugent score - score of 7/10 = bacterial vaginosis - assesses presence of large gram + lactobacili, small gram variable gardnerella, and curved gram variable mobiluncus) goes fishing (fishy odor with discharge) at high altitudes (high altitudes --> more CO2 --> aerobe whose growth is promoted by CO2), he basically (ph>4.5, so more basic) stays of the same (same --> homogenous discharge) mind (mind-->mine--> amine test postive) but normally (normal flora) brings different(gram variable and pleomorphic rod) clueless(clue cells present) friends.

Pelvic Inflammatory Disease

Don’t CAVE, U CAN beat Fitz-Hugh-Curtis at playing the violin.

Don't CAVE (Chronic form caused by A - anaerobes; V - vaginal flora; E - E. coli), U CAN (Acute forms caused by U - uroplasma/mycoplasma; C-Chlamydia trachomatis D-K; N-Neisseria gonorrhoeae) beat Fitz-Hugh-Curtis (Fitz-Huge-Curtis syndrome - extension of PID) at playing the violin (violin string adhesions between liver and parietal peritoneum)

Haemophilus ducreyi

LOSing a school of fish is bad especially when you get ragged on in a soft voice but it hurts more when a chain of events causes you to cry.

LOSing (LOS cell wall) a school of fish (school of fish pattern in gram stain) is bad (gram neg) especially when you get ragged (ragged ulcers on genitalia) on in a soft (soft chancres) voice but it hurts (painful ulcers/painful inguinal adenopathy) more when a chain (chain of coccobacilli --> school of fish) of events causes you to cry (to cry --> do cry --> ducreyi).

Chlamydia trachomatis (L1-L3)

Elle once knew that when she was small, she needed to stay inside so she wouldn’t get hurt. But as she grew, Elle too wanted to get involved.

Elle once (L1 - Chlamydia) knew that when she was small (very tiny bacteria), she needed to stay inside (obligate intracellulae - need to stay inside) so she wouldn't get hurt (not hurt --> painless ulceration - primary stage). But as she grew (grew --> elephantiasis of genitalia in late stage), Elle too (L2 - because Lymphogranuloma venereum is caused by L1-L3) wanted to get involved (anal sex --> perirectal/pelvic lymph node involvement).

Klebsiella granulomatis

Donovan liked eating rare steaks inside with his clothes on but his bad bipolar kleptomanic aunt ragged on him for doing it in the tropics.

Donovan (Donovan bodies - oval rod shaped org that appear inside infected tissue cells) liked eating rare steaks (velvety, beefy red appearance) inside (intracellulae) with his clothes on (encapsulated) but his bad (gram neg) bipolar (bipolar staining) kleptomanic (Klepto --> Klebsiella) aunt ragged (ragged ulcer) on him for doing it (sexual transmission) in the tropics (tropical/subtropical countries in setting of poverty/poor hygiene).

Treponema pallidum

Intrepid as usual, Syphilis stealthily spiraled into our hearts, going through several stages. First, painlessly invading when the chance rose and leaving spontaneously after 2 months. Secondly, from inside out, elegantly causing us to fall sick. Lastly, appearing to leave us gummed up and only thinking of it.

Intrepid (trepid --> treponema) as usual, Syphilis stealthily (stealth microbe) spiralled (spirochete) into our hearts (can cause cardiovascular syphilis), going through several stages (primary, second, tertiary, CV, neuro). First (Primary syphilis), painlessly (painless hard ulcer) invading (dissemination in lymph/blood) when the chance (chancre at site of invasion) arose and leaving spontaneously (spon. heal w/in 2 months) after 2 months. Secondly (secondary), from inside out (rash start on trunk to extremities), elegantly (elegant syphilis) causing us to fall sick (flu-like symptoms). Lastly (tertiary), appearing to leave us (goes latent) gummed (gummas - destructive granulomatous lesions) up and only thinking of it (in the CSF - not infectious unless have lesions).

Human Papilloma Virus

Coiling up with another person when you’re not wearing clothes guards against rubbing your soft skin.

Coiling (koilocytic cells; circular DNA) up with another person (dsDNA) when you're not wearing clothes(non-enveloped) guards (Guardasil) against rubbing (warts predom. at sites of friction) your soft (soft warts; not scaly) skin (cutaneous) in the cold(cryotherapy).

Genital warts - HPV 6/11

Cervical cancer - HPV 16/18

6+11 = 17 = (16+18)/2

common warts = HPV 2/7/27/9 [2, 7 --> 27 --> 2+7 = 9]

Men and Microbes

Nothing better than a good trashy romance to relax and empty my brain while releasing the stress of sitting in class for an extra hour on a lovely warm Friday afternoon in the middle of the Caribbean. After all, a little laughter is good for you, especially when every medical disease known to man is lovingly compared to food.

Blueberry babies. Cottage cheese candidiasis. Fishy odors. Strawberry tongue. Rice water stool. Nutmeg liver. Thick creamy discharge.

It's a wonder that any student remains a faithful foodie after such eloquent educational terms. Which reminds me of the elegant hand authors have in describing the human body. After all, what woman wouldn't swoon and fall head over heels for a man possessing a "throbbing wand of manhood" or "quivering engorged man mast?" Okay, okay, so perhaps it was a little over the top, but after covering STDs in med micro, "her moist, wet folds, quivering like the open petals of a flower, ready to be pollinated, flushed pink...." (Ahem... I think we all get the point.) means something completely different

Let's just say that there are a few things in life that should be left alone. No descriptions necessary, thank you very much.

I'm Contagious

A little late for Block 2 for those who are currently in their 3rd semester at AUC and taking Med Micro, but life always needs a few happy stories about infectious microbes and the lovely diseases they can cause. ^_^

Med Micro Stories Part 2 (Yes, I realize that Part 1 doesn't really exist... well... it does.. in my head. ;)

A pair of blue pigeon twins living in a crypt lined with silver and black chronically breathed spores.

A pair (paired sera) of blue (Calcofluor Alcian blue) pigeon (from pigeon droppings, nature) twins (twins are the same, monomorphic) living in a crypt (cryptococcus neoformons) lined with silver (silver stain) and black - (ink is black - india ink) chronically (chronic meningitis) breathed (respiratory disease first sign of infection) spores. (transmitted by aerosolized spores)

After Naegler swam in some foul water, he ran a high fever, hallucinating that the taste of warm water gave him a headache.

After naegler (naegleria) swam in some foul (fowleri) water (contaminated water/lakes), he ran a high fever, hallucinating (olfactory hallucinations) that the taste (taste alterations) of warm water (hot tubs) gave him a headache (intense prefrontal headache)

When walking in CA, it’s a bad idea to cross small animals or they’ll bite your buns.

When walking in CA (California encephalitis), it's a bad (bad - negative ss RNA) idea to cross (la Crosse encephalitis) small animals (small animals - chipmunks/squirrels) or they'll bite your buns (bunyavirus)

It’s a good idea for sick children to wear togas when riding horses on the eat and west side of Venezuela.

It's a good (ss pos sense RNA) idea for sick (immunocompromised) children (children > adult for symptoms/severity) to wear togas (Togaviridae) when riding horses (horses - equine encephalitis ) on the east (EEE) and west (WEE) side of Venezula (VEE)

Flavaflav is getting old and black and has high BP from battling birds in St. Louis.

Carissa's st. louis/west nile/jpn encephalitis - flavaflav (flaviridae) is getting old (elderly most severely affected) and black (african Amer - increased risk) and has high BP (hypertension - increased risk) from battling birds (reservoir) in St. Louis

As Jesus Christ hung naked and weak with a white sheet on the cross, his visions, speech and personality changed before he died.

As jesus christ (JC Virus) hung naked (naked dsDNA) and weak (progressive weakness) with a white (loss of white matter - myelin) sheet on the cross (cross BBB), his vision, speech and personality changed (visual, speech, personality changes) before he died (lifethreatening disability --> death over weeks/months)

Paralyzed and naked, sabin protected salk.

Paralysed (asymmetric flaccid paralysis) and naked (naked ss pos RNA), sabin (live vaccine - shed virus to protect others - herd immunity) protected salk (inactivated)

Playing tennis without oxygen positively leads to smirks, sweats and spasms.

Playing tennis (tennis racket appearance - bacillus - form spores) without oxygen (strict anaerobe) positively (gram pos) leads to smirks (trismus - lockjaw; risus sardonicus - sardonic smile), sweats (sweating, drooling, irritability) and spasms (back spasms)

Doing acid with armadillos in the cold can lead to two things.

[Doing acid (acid fast cell wall) with armadillos (armadillo - similar disease to humans) in the cold (like lower temp such as skin/nasophaarynx) can lead to two things (2 forms - tuberculoid and lepromatous)

Tubers with dark rings around their pale eyes don’t feel anything when small things positively inflame their immune system.

Tubers (tuberculoid) with dark rings (erythematous - red border) around their pale (pigment loss in center of rash - well definied asymmetrical cutaneous macular rash) eyes don't feel anything (sensory loss) when small (small numbers of bacteria in macrophages) things positively (lepromin skin test positive) infllame (inflammatory response strong) their immune system (T cell - DTH response)

Lepers can’t breath when bees bring bacteria to infect them.

Lepers (lepromatous) can't breath (obstructed breathing - invovle nasal mucosa) when bees (bees --> b cell response) bring bacteria (large numbers of bacteria) to infect (infectious) them

Home, home on the range, where the cows and the antelope sleep, the winter will fall and chancers will form, as flies move in Africa all day…

Home, home on the range, where the cows and the antelope (cattle/antelope - Tb rhodesiense; human for the other one) sleep (sleeping sickness), the winter(winterbottom's sign - enlarged posterior cervival glands) will fall and chancres (chancres - primary lesions) will form, as flies (tstese fly is vector) move (motile trypanosomes in smears) in africa (africa is endemic area) all day (please sing this according to the song home on the range)

Gamblers are slow. Roads help cattle move faster.

Gamblers (Trypanosoma brucei gambiense) are slow (slow to enter CNS – illness lasts from mo-years). Roads (Trypanosoma brucei rhodesiense) help cattle (cattle/antelope) move faster (early invasion of CNS – fatal if not treated; illness < 9 mo).

In the sunlight, pigs produce proglottids from their stomach into their stool.

In the sunlight (sun = sol in latin; taenia solium), pigs (swine primary host - pork tapeworm) produce proglottids (in stool, or larvae or eggs) from their stomach (convert from eggs to oncospheres in stomach) into their stool (fecal oral infection)

Heartless demons smell of sulfur and kill with acid, causing oozing lesions covered in wax.

Heartless (no heart - nocardia brasiliensis) demons smell of sulfur (sulfur granules) and kill with acid (weakly acid fast - trehalose dimycolate), causing oozing lesions (pustules; suppurative granulomas over time) covered in wax (waxy colonies that turn chalky)

Crawling on your hands and knees with bad two-faced rats on a hill will put you in bed with relapsing fever.

Crawling on your hands and knees (nonpruritic rash (maculopapular, pustular etc) on palms, soles, extremities - asymmetrical polyarthritis- knees most often affected) with bad (gram neg) two-faced (many faces - many forms – pleomorphic – at odds with name which is Strep. moniliformis) rats (rat bite fever) on a hill(haverhill fever) will put you in bed with relapsing fever(relapsing fever - febrile and nonfebrile periods)

Try to stay straight and don’t move without breathing when someone punches you and breaks your bones. I’m going to kill Nella. Corrodens.

try to stay straight( gram neg, neg sign is straight - rod is straight - needles are straight (please don't lick them)) and don't move (stiffness - limitation of movement), without breathing (anaerobic) when someone punches you (clenched fist injury) and breaks your bones (can spread to bones - osteomyelitis). "i'm going to kill nella" - Eikenella. corrodens - appear to corrode/erode agar - gas pockets (anaerobe) and bleach smell (hypochlorite)

The best Israeli dentists will perform surgery on your molars without causing sinus problems that make it hard to breathe when you summon sulfur smelling chupacabras in the woods.

The best (best - postive -gram pos) israeli (actinomyces israelii) dentists will perform surgery (risk - trauma, dental work, surgery) on your molars (molar tooth shaped colonies) without causing sinus (sinus tracts) problems that make it hard to breathe (anaerobe - no breathing air) when you summon sulfur (sulfur granules) smelling chupacabras (goat suckers) (suck out blood - hematogenous spread - spread thr. blood) in the woods (woody abscess)

Two bad white lumpy cats like to signal each other with mice in soft pastures.

2 (bipolar staining) bad (gram neg rods) white (white mucoid colonies) lumpy (regional lymphadenopathy) cats (zoonotic transmission) like to signal each other (Tox A - affect signal transduction pathway via act. of G prot) with mice (mousy odor) in soft (soft abscesses) pastures ( pasteurella multocida)

Abscesses are SAPpy in the Israeli sun.

abscesses are SAPpy in the Israeli(A. israelii) sun(aura - sun) - abscesses - S(staph. aureus) A (actinomyces israeli) P (Pasteurella multocida)

CVS pharmacy

CVS pharmacy - C (clostridium perfringens) V (vibrio vulnificus) S (strep pyogenes)

Subcutaneous virulence

Claustrophobic diabeties that like eggs get positively gassy when making lecithin crackers.

Claustrophopic (clostridium perfringens - sort of sounds similar) diabetics (diabeties and those with decreased peripheral circulation are at risk) that like eggs (egg yolk agar --> precipitation) get positively (gram + rod) gassy (anaerobe; gas from fermentation - gas gangrene) when making lecithin (lecithinase - alpha toxin) crackers (crepitus - crackling sound)

1-2 days after swimming in the sea, don’t move bad oysters. Sick people get Sepsis and Skin lesions.

1-2 days (progressives fast - 24-48 hours skin lesions after infection) after swimming (water sports) in the sea (salty water), don't move (motile rod) bad (gram -) oysters (contaminated oysters). Sick people(immunocompromised - higher risk of invasion) get Sepsis(decreased BP, septic shock) and Skin lesions (blistering skin lesions - blood filled bullae).

Fat people without muscle can’t put out fires with water.

Fat (destruction of fat) people without muscle (destruction of muscle - deep tissue infection) can't put out fires (Strep pyogenes - pyo --> pyro --> fire) with water (fluid filled bullae)

Dragons spiral in San Francisco making ulcerous rings.

Dragons (dracunculus medinesis) spiral (spirillum minus) in San francisco (francisella tularensis) making ulcerous (ulcers) rings

Drinking with crabby dragons in Africa will give you worms that slowly leave your skin but not before making you slow and sick.

Drinking (consume water) with crabby(infected crustaceans) dragons (dracunculus medinesis) in Africa (tropical africa) will give you worms (guinea/medinia worm - nematode) that slowly (protrude after a year -about 2-3 months to erupt completely) leave (erupt thr. ulcers) your skin (cutaenous ulcer) but not before making you slow (interfere with locomotion) and sick (urticaria, nausea, vomit, diarrhea - flu-like symptoms).

Eating a little bit of chocolate covered wild animals laced with cysteine in San Francisco is bad for your health.

Eating (oropharyngeal/GI tularemia - eating contaminated meat) a little bit (low infectious dose - only 10-50 org req. for infection) of chocolate (chocolate agar) covered wild animals (zoonotic transmission - rabbit/deer/rodents) laced with cysteine (cysteine req) in San Francisco (francisella tularensis) is bad (gram neg) for your health (Cell mediated immune response - hypersens)

Bad rats visited Asia for 2 weeks and went back to the dark 3-9 days later for 2 days FUL of red spiral rashes.

Bad (gram neg) rats (rate bite/spirillar fever/sodoku) visited asia (highest incidence for those visitng/live in asia) for 2 weeks (disease after 14-18 days after exposure) and went back (relapsing fever - recurring symptoms in untreated patients) to the dark (dark field prep) 3-9 days later (symptoms reppears 3-9 days later for untreated) for 2 days (rash for 48 hours) F(fever)U(ulcers)L(lymphadenopathy) of red spiral (spiral - spirillum minus) rashes (red brown macular rash)

Spores like MOTTS applesauce the least.

Spores (sporothrix schenckii) like MOTTS (sorta self explanatory) applesauce the least (leishmania)

Playing with flies in the sand scarred my skin the least. But a mass of goats destroyed my mucosal tissues.

Playing with flies in the sand (sand flies) scarred (spontanously heal but leave scars) my skin (cutaneous leishmaniasis) the least (leishmania spp). But a mass of goats (amastigote - intracellular) destroyed my mucosal tissues (mucocutaneous - infect at mucosal-dermal jct; nasal septum; buccal cavity).

Jensen enjoys the many flavors of MOTTS applesauce with tea outside on rought hard days that rain acid.

Jensen (lowenstein jensen media) enjoys the many flavors (pleomorphic rod - many forms) of MOTTS (duh) applesauce with tea (T cell mediated chronic inflammation) outside (environmental sources) on rough (verrucal - roiugh, wart like lesions) hard (granulomas - nodular lymphangitis - nodes are hard) days that rain acid (acid fast wall - trehalose dimycolate)

When picking mushrooms in rose bushes with clogged sinuses, don’t breathe in spores while touching cold mold before using warm yeast in cigars.

When picking mushrooms (thermally dimorphic fungi) in rose bushes (rose thorms - environ source - vegetation with thorns) with clogged (thickened lymphatics - nodular - abscesses) sinuses (sinus tracts draining to epidermis), don't breathe in spores (Sporothrix schenckii) while touching cold (mold at 25 deg - cold) mold (1 form) before using warm (yeast at 35-37 deg) yeast (2nd form) in cigars (cigar shaped yeast in tissue)

Bop that eschar on the head.

Bop that eschar on the head - B (bacillus anthracis) O (orf virus) P (pseudomonas aeruginosa) – Eschars

Henderson likes smooth mollusks with two shells. When he was a child, he picked them up with his hands and feet and put them on his face; as an adult, he covers his privates.

Henderson (henderson-patterson bodies - eosinic cytoplasmic inclusion bodies) likes smooth (smooth, shiny surface with central induration) molluscs (Molluscum Contagiosum) with two shells (double envelope; dsDNA) - when he was a child, he picked them up with his hands and feet and put them on his face (kids get warts on face, trunk, extremities); as an adult, he covers his privates (adults gets warts on abdomen, pubis, genitalia, inner thigh).

Rule of 3’s. 3 letters, 3 lesions, 3 ganglia

Rule of 3's - HSV (3 letters); lesions in groups of 3; 3 ganglia - Trigem (cold sores; hsv-1); Sacral (genital; hsv-2); Brachial (herpetic whitlow - fingers)

The Japanese are very healthy.

the japanese are very healthy - only jpn encephalitis has a vaccine - others may have animal vaccines