\documentclass[10pt,a4paper]{article}

% Packages
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\usepackage{multicol}           % Allows multicols in tables
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\usepackage{hhline}             % Border under tables
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%\usepackage[utf8x]{inputenc}    % For unicode character support
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\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{Morghay123}
\pdfinfo{
  /Title (anaerobes.pdf)
  /Creator (Cheatography)
  /Author (Morghay123)
  /Subject (Anaerobes Cheat Sheet)
}

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% This two commands together give roughly
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% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
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% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Anaerobes Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Morghay123} via \textcolor{DarkBackground}{\uline{cheatography.com/53154/cs/20242/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Morghay123 \\
  \uline{cheatography.com/morghay123} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 11th August, 2019.\\
   Updated 11th August, 2019.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{x{2.4 cm} x{5.6 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Oxygen Usage Definitions}}  \tn
% Row 0
\SetRowColor{LightBackground}
Obligate Aerobe & Needs O2 \{\{nl\}\}-{\emph{Pseudomonas, Micrococcus, Bacillus}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Facultative & Grows with or without O2\{\{nl\}\}-{\emph{Staph, Strep, Enterobacteriaceae}} \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Microaerophilic} & Only requires a small amount of O2\{\{nl\}\}-{\emph{Borrelia}} \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
Obligate Anaerobe & Can't survive in O2\{\{nl\}\}-{\emph{C. diff}} \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Anaerobic Basics}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Basic Reservoirs}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{-Abscesses\{\{nl\}\}-Body Fluid\{\{nl\}\}-Mouth\{\{nl\}\}-Deep Wound\{\{nl\}\}-Intestine\{\{nl\}\}-UTI} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Examples of Infections/Diseases caused by Anaerobes}}} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{-Dental Infection\{\{nl\}\}-C.diff\{\{nl\}\}-Deep wound\{\{nl\}\}-Gangrene\{\{nl\}\}-Necrotic Tissue\{\{nl\}\}-Botulism} \tn 
% Row Count 7 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.28 cm} x{4.72 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Aerotolerance Testing}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{1. CDC BA colony plate with growth} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{2. Sub to regular BA and another CDC BA plate} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
3. See if they are anaerobes & {\emph{If they grow on the regular BA and the CDC BA then they are not anaerobes}} \tn 
% Row Count 6 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Anaerobic Basics}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Basic Reservoirs}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{-Abscesses\{\{nl\}\}-Body Fluid\{\{nl\}\}-Mouth\{\{nl\}\}-Deep Wound\{\{nl\}\}-Intestine\{\{nl\}\}-UTI} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Examples of Infections/Diseases caused by Anaerobes}}} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{-Dental Infection\{\{nl\}\}-C.diff\{\{nl\}\}-Deep wound\{\{nl\}\}-Gangrene\{\{nl\}\}-Necrotic Tissue\{\{nl\}\}-Botulism} \tn 
% Row Count 7 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.68 cm} x{4.32 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Specimens}}  \tn
% Row 0
\SetRowColor{LightBackground}
Appropriate Specimens & Aspirates, body fluid, tissues, suprapubic asspiration, drainage, brain abscesses, sinus aspirates \tn 
% Row Count 5 (+ 5)
% Row 1
\SetRowColor{white}
Inappropriate (rejected) specimens & Swab of anything, anythying respiratory b/c of normal flora, vaginal b/c normal flora, urine, stool \tn 
% Row Count 10 (+ 5)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Anaerobic Media - All have no oxygen}}} \tn 
% Row Count 11 (+ 1)
% Row 3
\SetRowColor{white}
CDC Blood Agar & Blood Agar without O2 \tn 
% Row Count 12 (+ 1)
% Row 4
\SetRowColor{LightBackground}
CCFA & Used for C. Diff. Both selective and differential \tn 
% Row Count 15 (+ 3)
% Row 5
\SetRowColor{white}
LKV agar & Laked blood and antibiotic. Has Vanco and Kanamycin, ONLY selective \tn 
% Row Count 19 (+ 4)
% Row 6
\SetRowColor{LightBackground}
{\emph{Bacteroides}} Bile Esculin Agar & Special for {\emph{Bacteroides fragilis}}. Selective and differential (20\% bile tolerance) \tn 
% Row Count 23 (+ 4)
% Row 7
\SetRowColor{white}
Thioglycollate Broth & Broth media to grow bacteria. Can only grow medically significant organisms. Oxygen suppressed \tn 
% Row Count 28 (+ 5)
% Row 8
\SetRowColor{LightBackground}
Cooked Meat Glucose Broth & looks like has chunks of beef in it. Has glucose. Does same thing as thioglycollate broth \tn 
% Row Count 33 (+ 5)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{3.68 cm} x{4.32 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Specimens (cont)}}  \tn
% Row 9
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Incubation Environment}}} \tn 
% Row Count 1 (+ 1)
% Row 10
\SetRowColor{white}
Gas Pack Jar & 85\% N; 10\% H; 5\% CO2 \tn 
% Row Count 2 (+ 1)
% Row 11
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Anaerobic Chamber} \tn 
% Row Count 3 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.584 cm} x{2.584 cm} x{2.432 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{8.4cm}}{\bf\textcolor{white}{Gram Negative Bacilli}}  \tn
% Row 0
\SetRowColor{LightBackground}
 & {\emph{Fusobacterium necrophorum}} & {\emph{Fusobacterium nucleatum}} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Bile Tolerance (20\% & - & - \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Brick Red Fluorescence (UV) & - & - \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
Brown/black colonies on CDC & - & - \tn 
% Row Count 11 (+ 3)
% Row 4
\SetRowColor{LightBackground}
Vancomycin & R & R \tn 
% Row Count 12 (+ 1)
% Row 5
\SetRowColor{white}
Penicillin & R & R \tn 
% Row Count 13 (+ 1)
% Row 6
\SetRowColor{LightBackground}
Kanamycin & S & S \tn 
% Row Count 14 (+ 1)
% Row 7
\SetRowColor{white}
Lipase & + & - \tn 
% Row Count 15 (+ 1)
% Row 8
\SetRowColor{LightBackground}
Esculin & - & - \tn 
% Row Count 16 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.232 cm} x{1.44 cm} x{1.728 cm} x{1.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{8.4cm}}{\bf\textcolor{white}{Gram Negative Bacilli}}  \tn
% Row 0
\SetRowColor{LightBackground}
 & {\emph{Bacteroides fragilis}} & {\emph{Porphyromonas gingivalis}} & {\emph{Prevotella melaninogenica}} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Bile Tolerance (20\% Bile) & + & - & - \tn 
% Row Count 6 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Brick Red \seqsplit{Fluorescence} (UV light) & - & + & + \tn 
% Row Count 9 (+ 3)
% Row 3
\SetRowColor{white}
Brown/Black Colonies on CDC & - & + & + \tn 
% Row Count 12 (+ 3)
% Row 4
\SetRowColor{LightBackground}
Vancomycin & R & S & R \tn 
% Row Count 13 (+ 1)
% Row 5
\SetRowColor{white}
Penicillin & R & S & R \tn 
% Row Count 14 (+ 1)
% Row 6
\SetRowColor{LightBackground}
Kanamycin & R & R & R \tn 
% Row Count 15 (+ 1)
% Row 7
\SetRowColor{white}
Lipase & - & - & - \tn 
% Row Count 16 (+ 1)
% Row 8
\SetRowColor{LightBackground}
Esculin & + & - & - \tn 
% Row Count 17 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Gram Positive Bacilli}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Catalase Positive}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
{\emph{Cutibacterium}} (former {\emph{Propionibacterium}}) & - Moderate Growth Rate\{\{nl\}\}- Diphtheroid Gram Stain \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Catalase Negative}}} \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
{\emph{Actinomyces}} spp. & - Slow growth rate\{\{nl\}\}- Filamentous, branching GPB \tn 
% Row Count 8 (+ 3)
% Row 4
\SetRowColor{LightBackground}
{\emph{Lactobacillus}} & - Rapid Growth Rate\{\{nl\}- Looping, chaining GPB\{\{nl\}\}- Resistant to Vancomycin \tn 
% Row Count 12 (+ 4)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{{\emph{Clostridium}} spp.} \tn 
% Row Count 13 (+ 1)
% Row 6
\SetRowColor{LightBackground}
- {\emph{Clostridium perfringens}} & - Lecithinase Positive\{\{nl\}\}- cloudy around colony\{\{nl\}\}- Double zone beta hemolysis\{\{nl\}\}- Lipase negative\{\{nl\}\}- Boxcar shape\{\{nl\}\}- Gangrene \tn 
% Row Count 21 (+ 8)
% Row 7
\SetRowColor{white}
- {\emph{Clostridium sporogenes}} & - Common in soil\{\{nl\}\}- Comes from stool samples\{\{nl\}\}- Lipase Positive\{\{nl\}\}- Smells like bad dirt \tn 
% Row Count 26 (+ 5)
% Row 8
\SetRowColor{LightBackground}
- {\emph{Clostridium difficile}} & - Should not be grown\{\{nl\}\}- Do toxin testing and PCR\{\{nl\}\}- Test of cure\{\{nl\}\}- PCR can pick up dead DNA so it can be false positive\{\{nl\}\}- If pt has firm stool, no longer transmissable \tn 
% Row Count 36 (+ 10)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Gram Positive Bacilli (cont)}}  \tn
% Row 9
\SetRowColor{LightBackground}
- {\emph{Clostridium septicum}} & - Gangrene\{\{nl\}\}- Spreading colony formation\{\{nl\}\}- Subterminal Spores \tn 
% Row Count 4 (+ 4)
% Row 10
\SetRowColor{white}
- {\emph{Clostridium tetani}} & - Cause of tetanus\{\{nl\}\}- Club like\{\{nl\}\}- Tennis racket like \tn 
% Row Count 8 (+ 4)
% Row 11
\SetRowColor{LightBackground}
- {\emph{Clostridium tertium}} & - Aerotolerant\{\{nl\}\}- Can grow in O2 \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{5.2 cm} x{2.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Gram Positive Cocci}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\emph{Peptostreptococcus}} & Catalase Negative \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\emph{Staphylococcus saccharolyticus}} & Catalase Variable \tn 
% Row Count 4 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.48 cm} x{5.52 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Gram Negative Cocci}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\emph{Veillonella}} spp. & Sometimes in blood cultures from endocarditis \tn 
% Row Count 2 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}