Mrs. P clinical case continued You would like to verify your diagnosis by taking a biopsy of Mrs. P's tonsil After the biopsy, the surgical assistant wants to autoclave (using standard conditions) the surgic instruments to destroy the pathogen. What is your advice? O yes, this pathogen is easily destroyed by normal autoclaving O no, the pathogen is resistant to normal autoclaving, therefore place contaminated instruments in the incinerator

Essentials of Pharmacology for Health Professions
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Chapter22: Anticonvulsants, Antiparkinsonian Drugs, And Agents For Alzheimer’s Disease
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Clinical case: Mrs. P, patient with neurological signs suggesting meningitis
Your 45 year old patient (who has recently moved from Great Britain where sey were born and
raised) presents with severe headaches, stiffness in the neck, confusion and drowsiness.
. You suspect meningitis, a life threatening infection of the tissue surrounding the brain and spinal
cord.
• You take a cerebrospinal fluid (CSF) sample from the patient and send it to the micro lab for
examination and culturing.
• Later that day the micro lab reports that no bacteria nor fungi were observed on a direct smear
of the CSF. In 3 days, the lab reports that no bacteria nor fungi grew in cultures.
• The lab also ran PCR for the most common viruses causing meningitis and all were negative.
ELISA's checking for helminth and protozoal infections were also negative.
Blood work suggests there is no immune response to the pathogen causing the patients clinical
signs and symptoms.
Transcribed Image Text:Clinical case: Mrs. P, patient with neurological signs suggesting meningitis Your 45 year old patient (who has recently moved from Great Britain where sey were born and raised) presents with severe headaches, stiffness in the neck, confusion and drowsiness. . You suspect meningitis, a life threatening infection of the tissue surrounding the brain and spinal cord. • You take a cerebrospinal fluid (CSF) sample from the patient and send it to the micro lab for examination and culturing. • Later that day the micro lab reports that no bacteria nor fungi were observed on a direct smear of the CSF. In 3 days, the lab reports that no bacteria nor fungi grew in cultures. • The lab also ran PCR for the most common viruses causing meningitis and all were negative. ELISA's checking for helminth and protozoal infections were also negative. Blood work suggests there is no immune response to the pathogen causing the patients clinical signs and symptoms.
Question 5
Mrs. P clinical case continued
You would like to verify your diagnosis by taking a biopsy of Mrs. P's tonsi
After the biopsy, the surgical assistant wants to autoclave (using standard conditions) the surgica
instruments to destroy the pathogen.
What is your advi
yes, this pathogen is easily destroyed by normal autoclaving
no, the pathogen is resistant to normal autoclaving, therefore place contaminated instruments in the
incinerator
Question 6
Transcribed Image Text:Question 5 Mrs. P clinical case continued You would like to verify your diagnosis by taking a biopsy of Mrs. P's tonsi After the biopsy, the surgical assistant wants to autoclave (using standard conditions) the surgica instruments to destroy the pathogen. What is your advi yes, this pathogen is easily destroyed by normal autoclaving no, the pathogen is resistant to normal autoclaving, therefore place contaminated instruments in the incinerator Question 6
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