Case #2Clinical History: This 29-year-old male's illness began 10 weeks prior to death, with anepisode of "flu". Two weeks later his urine became "smoky". He was found to havehematuria, albuminuria and elevated BUN (180 mg/dl). He died from a pulmonaryembolus.The throat culture obtained exhibited gram positive cocci in chains. It also showed beta-hemolysis on sheep blood agar (SBA) and was catalase negative.1. What was the most likely organism?A. Streptococcus pyogenesB. Streptococcus viridansC. Staphylococcus aureusD. Streptococcus pneumonia2. What is the BEST diagnosis at the time of death?3. What are the other possible sequela of this infection?

Harmful bacteria are commonly responsible for oral infections. They might develop in the mouth,…

Answered: Case #2 Clinical History: This…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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What condition do you suspect with this patient? Young man who uses a wheelchair and has trouble breathing. Furhter assessments reveals coarse rhonci in all fields with a pulse ox at 84%, Pale and greasy stool. A) Lung cancer B) Poliomyelitis C) Cystic Fibrosis D) Nyasthenia gravis
On the second day after the Mantoux reaction (the subcutaneous introduction of tuberculin - a protein-lipopolysaccharide component of mycobacterium tuberculosis), a child had an area of compaction and hyperemia in the injection zone with a diameter of 2.5 cm, that was surrounded by a swollen roller. A day later, a zone of necrosis was formed at the site of tuberculin administration. Questions: 4. What other reasons can lead to the development of this TPP? 5. Describe the mechanism of development of this TPP in the patient.
Interpret the following casesCase a. A patient came to the hospital with a runny nose, and flu-like symptoms. After checkup the doctor ordered Differential WBC test and the results were 65% N., 15% E. and, 19% L. what does the patient have and why?Case b. A patient came to the clinic with fever, loss of appetite and abdominal pain. The lab results came out to be 72% Neutrophil, 4% M, 24% L. what does the patient have and why? Talk generally
A solution containing 500,000 units of polymyxin B sulfate in 10 mL of sterile water for injection is added to 250 mL of D5W to make a total volume of 260 mL. The infusion is to be administered over 2 hours. If the administration set delivers 10 drops/mL, at what rate, in drops per minute, should the infusion be given to ensure the patient receives the dose within the designated time interval?
A 47-year-old female patient with a history of mitral stenosis was admitted due to decreased in sensorium accompanied by fever, cough and worsening dyspnea. Manifestations started 3 days prior to consult (PTC) because of worsening dyspnea on small exertions accompanied by productive cough with purulent sputum but afebrile. She took her usual prescriptions given by her attending physician, Amiodarone, Furosemide, Losartan, Diltiazem and Carbocysteine which afforded temporary relief. A day PTC, she felt that dyspnea was worsening hence she booked an appointment with her physician. At the OPD, while waiting for her turn to be examined, the patient was asymptomatic. The nursing attendant took her BP and was recorded at 110/80 mmHg and a heart rate of 89 bpm, RR was 23 bpm with no signs of dyspnea. After 2 hours, the secretary was calling her name but she was not replying. She was seen sitting on one side of the bench, stuporous with cold clammy extremities and was diaphoretic. She was…
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A 4 yr old child presents with fever, anemia, elevated renal parameters after an episode of desentry few days early . COMMONEST ORGANISM RESPONSIBLE ? Entamoeba histolytica B Staphylococcus E.coli Shigella and salmonella 1:48 PM /
Case Study #6: A 20 year old male college student develops a fever after gall bladder surgery and has a pus exudate around the incision. You receive a cotton swab of the exudate which you streak on a blood agar plate. Bacterial colonies on the plate show B hemolysis, and microscopic examination reveals Gram + cocci occurring singly, in pairs, and in short chains. Further testing reveals that the isolate is catalase negative and phenol red fermentation broth with mannitol turns yellow. 1. What is the name of the most likely bacterium causing this infection? 2. What is the most likely place that this bacterium originated to cause this infection?
Write the most likely causative microorganism and disease of the following cases and explain sign, symptoms and control measures. Your patient is a 20-year-old woman with the sudden onset of fever to 40 0C and a severe headache. Physical examination reveals nuchal rigidity. You suspect meningitis and do a spinal tap. Gram stain of the spinal fluid reveals many neutrophils and many gram-negative diplococci. A 25-year-old woman with itching, burning at vulva and abnormal white vaginal discharge. Yeasts was observed by microscopic examination of vaginal secretions. Meningitidis developed in the newborn baby within 5 days after birth. While the mother of baby was pregnant, she was consuming unpasteurized milk products . A male patient has a wound infection with blue-greenish colored pus and special smell. This bacteria is gram negative, rod shaped and non- fermentative. A 70-year-old woman presented after 3 days of enduring painful blisters only on the right side of her…
Describe the hematocrit of a patient with polycythemia vera. Explain how will you prepare a good smear our of the patient's blood sample.
A 60-year-old man with a long history of cigarette smoking and chronic obstructive pulmonarydisease is hospitalized with increasing shortness of breath, increasing sputum production, andlow-grade fever over a three-day period. His blood pressure is 100/ 80mmHg, pulse is 110 perminute, respiratory rate is 28 per minute, temperature is 38. 2℃. The patient is mildly cyanotic. The following arterial blood gases were obtained on room air: CaO2max =20ml/dL, CaO2 =15ml/dL, PaO2，= 50mmHg, C(a-v)O2 = 4ml/dL. Questions :1.What is the most appropriate type of hypoxia for this patient?2. What are the common causes of this type hypoxia?3. What are the characteristic alterations of blood O2 in this type hypoxia?4. What is the colour of skin and mucous membranes in this type

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