Double "A" Notes By Dr Atif Afzal

 Chronic infection and blindness


 Urethritis/PID
 Ectopic pregnancy,
 Neonatal pneumonia (staccato cough) with eosinophilia
 Neonatal conjunctivitis (1–2 weeks after birth)


 Lymphogranuloma venereum


Lymphogranuloma -- Klebsiella
Lymphogranuloma -- Chalaymydia

– All initiating chemical
carcinogens are highly reactive
electrophiles (have electron-deficient
atoms) that can react with nucleophilic(electron-rich) sites in the cell. Theirtargets are DNA, RNA, and Protein.They cause damage and
are rapid and has

– They don‘t have direct
effect on DNA and cause
of already initiated cells.They are .

Double A 2nd edition Official errata

Neuro imp points