Patient 2: Bloody diarrhea, "raspberry jam-like" (1st photo) with painful abdomen; stained fecal smear with pathogen (2nd photo) Patient 3: Swollen eye (1st photo). Stained peripheral blood smear (2nd photo) 5 micrometers
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- Clinical History:58-year-old African American female had been hemiplegic on the right side for 3 months prior to death. She developed malaise, fever and chills after visiting with her grandchildren. Her infection progressed. She developed dyspnea and expired. Sputum sample, gram stain. Photo includes sputum sample and gram stain. Does the visit with the grandchildren contribute to condition or no? What could have been a likely cause of the infection? What biosafety level is the causative agent? What type of cleaning agent would be effective against the causative agent? If this patient entered the hospital, what precautions would the staff take? no references, just homework Please include referenceslunch meal that you can recommend to patient has ulcerative colitis with drinksWhat clinical sign indicates an endotracheal tube has been dislodged?
- Male with a history of blistering lesions on the scalp since the neonatal period andrecurrent pyoderma. After a year and a half of life, he was admitted to a specialty clinic due togeneralized pyoderma associated with febrile illness with lymphadenopathies and abscesses on the thighs. To thephysical examination revealed coarse facies, broad forehead, infraorbital fold, presence of dark circles,low nasal bridge and hypertelorism. In addition to confluent maculopapular lesions in the neckand trunk, occipital eczema, genital gluteal hyperchromic plaque, purulent external otitis. it was triedwith antibiotics with good response, but with persistence of purulent otorrhea. The study of serum immunoglobulins IgM, IgG, IgA, complement, chemotaxis and burstRespiratory was within normal ranges. Serum IgE stood out at 56,400 IU/ml (rangenormal for age 0-90 IU/ml) and eosinophilia. At the age of 2 years 11 months he was hospitalized for genital phlegmon with a good response tocloxacillin plus…Answer by listing only the name of the disease. Some questions will require the name of the organism. A patient presents with a high fever and pain in his feet when walking. You're about to start a full body check up when you are distracted by a foul odor emanating from the patient's right foot. Upon closer inspection you notice his toes are a dark brown, almost black color, surrounded with a discolored pus. When you ask the patient about his feet, he tells you they've been like that for a while, but he only noticed it when a snapping and popping sound came from his toes. What does the patient have? 2.A 33 year old female presents with fever, chills, and clammy skin. A sputum test shows a bright red colored sputum and the presence of a Gram negative, nitrogen fixing rod. Given this information, what is the organism causing the woman's pneumonia?Topic: Blood smears for Malaria
- Clinical history: A suspicious envelope arrived for sorting at rural post office. The envelope was opened and found to contain white powder. Approximately two days later, the postal worker who handled the letter developed cutaneous boils, which were 1 to 5 cm in diameter with central necrosis and eschars. He and his wife also developed a mild nonproductive cough with fatigue, myalgia for 72 hours, followed by severe dyspnea, diaphoresis, and cyanosis. Temperature of 39.5°C, pulse 105/min, respiration 25/min, and blood pressure 85/45mm Hg. Crackles were heard at the lung bases. A chest xray shows a widened mediastinum and small pleural effusions. WBC count of 13,130/mm3, hemoglobin 13.7g/dL, hematocrit 41.2%, MCV 91 um3, and platelet count 244,000/mm3. Both died despite antibiotic therapy. Several cattle, horses, and sheep on the postal worker's farm also died. Photos include extremity photo and gram stain. What specimen was most likely collected for the grain stain? Does fact that…A 22 year old black woman present with complaints of burning and frequency of urination for the past 2 to 3 days. It is getting worse. She feels she has to void, rushes to the bathroom and then is only able to void a small amount. it is painful. There is no sign of blood in the urine. She denies fever, chills, diarrhea, nausea, vomiting or vaginal discharge. " I have to rush to the bathroom, and it hurts when I urinate". Physical Ex: Essentially unremarkable. Negative suprapubic tenderness: negative costovertebral angle tenderness. Negative abdominal pain and benign abdominal exam. Negative back pain. Afebrile. Vital signs normal. No complaints of vaginal discharge. Uranalysis shows+ WBCs, trace RBCs. What additional data are important to factor into this picture? Do you do vaginal ex and why? Should you do urine culture and sensitivity? What are things in the medical history that may provide clues to the possible cause of dysuria? What are the possible differential diagnoses for…Answer by listing only the name of the disease. Some questions will require the name of the organism. A 6 year old child comes in with crusted pustules localized around her mouth. When the doctor finds out the causative agent is Staphylococcus aureus , he prescribes pencillin and rest. The doctor assures the patient's mother to not worry, as this condition is one of the most common child infections. What does the child have?
- L.H. is a 55 year old male patient that has come into your clinic. L.H. has worked in construction for 15 years and is complaining of a red, itchy, dry rash that has formed on his arms and hands. Lately, his job is working to lay cement which means he is outside most of the time. The rash is often itchy and painful, which prevents him from performing his duties to his best ability and he is worried about continuing to work. Additionally, it has impacted his ability to play golf, a hobby that he enjoys in his spare time.LH has tried wearing work gloves, but due to the nature of the job he is unable to wear them the entire time. He’s also tried different creams, but that had little effect. Come up with 5 follow up questions you could ask L.H. to further determine the appropriate skin condition? Comprehension. Discuss the current treatment options for the disease or disorder chosen in question 1.54-year-old man comes to the physician because of a 2-day history of fever, abdominal pain, and bloody diarrhea. His temperature is 40°C (104°F). Physical examination shows left-sided tenderness on palpation of the abdomen. A CT scan is shown. Inflammation of which of the following structures, as indicated by the arrows, is the most likely cause of these findings? A) Appendix B) Colon C) Duodenum D) lleumE) JejunumClinical History:A 25-year-old woman had pelvic pain, fever, and vaginal discharge for 3 weeks. On physical examination, she has lower abdominal adnexal tenderness and a painful, swollen left knee. Laboratory studies show WBC count of 11,875/mm3 with 68% segmented neutrophils, 8% bands, 18% lymphocytes, and 6% monocytes. Gram negative rods were found. Photo includes gram stain. When reviewing the patient’s paperwork, what type of information would you look for, or perhaps ask patient if not listed on the paperwork? What type of specimen would you collect? What tests would you run to ID the causative agent? Typical treatment? Advice for patient? no references, just homework please include references