Cerumen is seen in the ear canal upon examination; explain how this waxy substance serves to protect the ear.

Mrs. Kirby is a volunteer at a hospice. She is confused about the disease AIDS and is afraid if she comes in contact with a patient’s urine or feces she may get the disease. Lauren, the licensed practical nurse, tries to reassure Mrs. Kirby she cannot get AIDS in this manner. The following actions may help Lauren explain the disease to Mrs. Kirby. Describe the modes of transmission.

please number the answers

Part I – SymptomsCallie was 26 years old when she opened a bakery called “Callie’s Cupcakes” in downtown San Francisco with herf ancé, Jeremy. Despite the competitive market, her business was booming; everyone loved the clever recipes and thetrendy atmosphere. Between running their fast-growing business and planning for their wedding, Callie hadn’t beenable to keep to her usual eight hours of sleep a night. Although she had always lived a very healthy lifestyle, exercisingdaily and eating healthy, she just hadn’t been feeling herself lately. She was tired all the time, had dif culty breathing,felt stressed, coughed up sputum, consistently ran a low-grade fever, and had lost weight as her appetite decreased.None of these symptoms alone had been particularly alarming so she had put of seeing her physician for a few weeks.Questions1. What are Callie’s symptoms? List all that were mentioned.2. Based on the symptoms presented, what are three possible respiratory infectious diseases Callie…

A 40-year old gentleman arrives in the emergency room with a headache, irritability, generalized muscle pain, and uncontrollable back spasms. He has become very restless and worried because he has had the back spasms all day while at work and they have become extremely painful. In his history, the man states that he runs his own business and is very busy with work. He injured himself about 10 days earlier, puncturing his left arm with a nail from an old barn he is renovating. The wound has produced moderate quantities of pus, but he has been keeping it clean. When asked, he did not remember having a tetanus shot since he was a kid. The wound was sampled for microscopic examination and cultured. It was discovered that the culture consists of rod-shaped cells that each contain an endospore. His back appears to have very tight contractions and spasms. The patient is in obvious agonizing pain. 1. What is your diagnosis here? 2. How could this have been prevented?

The patient was a 13-month old child who, on the day of admission, seemed fine according to his mother except for a runny nose and a low-grade fever (which she treated with Tylenol). Later in the day, while riding in the car with his mother, he suddenly had a grand mal seizure with shaking of the arms and legs. The seizure lasted 2 minutes. She called an ambulance. The emergency medical technicians found him limp, unresponsive, and apparently post ictal (post seizure state). In the emergency room he had a second seizure. On physical examination, he had a temperature of 39.5 ° C, and a pulse of 160 BPM. He was noted to be lethargic, but his neck was supple. Except for a runny nose, the rest of his physical examination was normal. Blood and urine cultures were obtained to rule out sepsis, and the child was begun on IV ceftriaxone (rocephin). His vaccination record is incomplete, but his mother insists that he is up to date on all vaccines. The patient's mental status did not improve…

Joanne just celebrated her 50 th birthday and knows that she should probably see her physician for a physical. She’s generally in good health, but has been experiencing some odd symptoms lately. Joanne has been experiencing mild to moderate headaches once or twice a week, usually in the morning hours. She feels that her mental acuity “isn’t what it used to be” and forgets the day of the week occasionally. Her husband often complains that she has the TV too loud, but Joanne thinks it’s a normal volume. She has noticed that her feet and toes are colder and she has to wear socks and slippers around the house to be comfortable.A few nights a week, she wakes up in the middle of the night with tingling and numbness in her right hand. Joanne works at a desk all day and she notices a sharp, and sometimes throbbing, pain in her feet bilaterally after a long workday. She was thinking that her symptoms were just part of aging, but wonders if it could be abnormal. She has no history of major…