Patient TM is 65 years of age and was recently given a 13C-Urea breath test due to recent gastrointestinal discomfort. What type of bacterial infection is patient TM suspected to have contracted? Give a rationale for the diagnostic test performed and comment on when this test may produce a false negative result.
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- Match the diseases/organisms to their descriptions. Streptococcus pygoenes [ Choose ] [Choose] This is the most frequent upper respiratory infection and can be caused by over 200 viral subtypes. This disease is characterized by cervical lyphadenopathy, fever, and a grayish membrane on the throat. This disease is caused by Bordetella pertussis and is characterized by violent coughing. The organisms that cause this disease can be seen as Ghon complexes in lung X-rays. This organisms is known to cause pharangitis and produces toxins that can cause scarlet fever. [ Choose ] Diptehria Whooping cough Tuberculosis [ Choose ] Common cold [ Choose ]The patient is male, 50 years old. Chronic liver disease for 15 years. Sudden vomiting 400ml blood. Physical examination: chronic disease appearance, mild yellow discoloration of the sclera. The abdomen was soft without tenderness, the liver and ribs cannot be palpable, and the shifting dullness was positive. The most likely diagnosis is ( ) Biliary bleeding Duodenal ulcer bleeding Bleeding from gastric cancer Esophageal variceal bleeding Hemorrhagic gastritis A 62-year-old male, his back has been red and swelling for 1 week. At first it was a small piece of skin induration of about 3×2cm, with multiple pus spots, then the skin swelling area expanded, infiltrating edema appeared, local pain increased, the surface skin was purple-brown with area about 6×5cm, the body temperature was 39.2℃, and he had diabetes history for 10+ years. The following treatment measures are incorrect for this patient: Remove pus and inactivated tissue The incision line should exceed the edge of the…Topic: Blood smears for Malaria
- Causative agent of meningococcemia: Meningococci bacteria (Neisseria meningitidis) that are gram-negative diplococci bacteria cause meningococcemia. Expound the sentence givenCephalexin Previous NOC6829-006-20 CEPHALEXIN FOR ORAL SUSPENSION, USP 125 mg per 5 mL Fu Only WEST WARD PC ENJ67734 68289-008-200 2 The physician ordered cephalexin for your patient. The ordered dose is 250 mg, PO, daily. Based on the label, how many mL will the nurse administer? type your answer... mL NextDiscuss, using the text, how you believe this case should be decided. Remember to reference specific ethical principles from the text: "A 13 year old girl, suffering from toxic shock syndrome, is sent directly from school to a local emergency room. Treatment is ordered, including fever-reducing medication and a strong course of intravenous antibiotics. The parents arrive just as the medication and equipment arrive in the emergency room. They announce they are Christian Scientists and wish to take their daughter home." The clinical approach to this case requires the application of the procedure by which medical indications, patient preferences, projected quality of life and contextual features be applied. How would you decide it given our readings so far?
- If you have a friend or family member working at a high risk of a silicosis exposure-related industry, what would be your advice to them? (provide at least THREE points with elaboration).This 58-year-old nuclear power plant worker saw his family physician because of increasing fatigue and weakness. He also reported pain in his lower back and arms when he walks. Physical examination revealed that the man had pale mucous membranes and hepatosplenomegaly. The physician orders a complete blood count (CBC) and urinalysis (UA). A follow-up appointment is scheduled for the following week. Laboratory Data The CBC revealed that the patient had anemia. His leukocyte count and differential count were normal, except for a rouleaux (rolled coin) appearance of the RBCs. The UA was normal. The patient was called and requested to return to the laboratory for additional tests. The physician ordered an ESR, kidney screening profile, liver blood profile, and radiographic skeletal survey, with the following results: ESR—50 mm/hr Kidney profile—normal Liver profile—normal, except for increased globular protein Skeletal survey—bone lesions in various sites What follow-up laboratory tests…Mr. Jones is a 69-year-old man who was admitted to the hospital 10 days earlier with a diagnosis of acute diverticulitis. He was given intravenous fluids and empiric antibiotic coverage with ceftriaxone and metronidazole. His antibiotics were stopped after 7 days, and he continued to do well until today, when he developed abdominal pain, fever, and diarrhea. A diagnosis of Clostridium difficile colitis was made, and antibiotic treatment was initiated. Discuss the following questions: What diagnostic test would confirm the diagnosis? What risk factors did Mr. Jones have to acquire a Clostridium difficile infection? Why is oral but not intravenous vancomycin a potential treatment option for this infection? One person from each group should respond to this discussion with a link to their group’s recording and a summary of the discussion that took place.
- M.L. is a 26-year-old homosexual man admitted to the hospital for progressive respiratory distress, fever, weakness, and chronic diarrhea. He tested HIV positive about 3 years ago, but his infection has remained asymptomatic until 2 months prior to admission. Pneumocystis jiroveci (carinii) pneumonia was suspected and confirmed by culture. Laboratory analysis demonstrates a low CD4+ count of 185 cells/ml. HAART treatment with the antiretrovirals azidothymidine (AZT), efavirenz (Sustiva), and ritonavir (Norvir) was started 2 months ago. QUESTIONS: A medical student asks you to draw a picture of the HIV virion and a CD4+ cell, and to explain the mechanism of intracellular infection and the role of reverse transcriptase. What would you show on the drawing and explain about the process?Mrs. A , age 35 was given a pap test during a routine medical check-up. The test showed marked dysplasia of cervical cells but no sign of infection. 1. Discuss the purposes and uses of diagnostic testing and how it applies in this scenario 2.Discuss how the following terms might apply to this scenario: prognosis, latent stage, remission, exacerbations, predisposing factors 3.Compare and contrast the various types of common cellular adaptions focusing on dysplasia and the testing for the condition. Question2, MRS A's baby girl, Baby C, who is 3 months old,has had severe watery diarrhea accompanied by fever for 24hours, she is apathetic and responds weakly to stimulation, the condition has been diagnosed as viral gastroenteritis question A) list the major losses resulting from diarrhea and fever. question)list other signs and data that…M.L. is a 26-year-old homosexual man admitted to the hospital for progressive respiratory distress, fever, weakness, and chronic diarrhea. He tested HIV positive about 3 years ago, but his infection has remained asymptomatic until 2 months prior to admission. Pneumocystis jiroveci (carinii) pneumonia was suspected and confirmed by culture. Laboratory analysis demonstrates a low CD4+ count of 185 cells/ml. HAART treatment with the antiretrovirals azidothymidine (AZT), efavirenz (Sustiva), and ritonavir (Norvir) was started 2 months ago. QUESTIONS: P. jiroveci pneumonia is an opportunistic infection to which immunocompetent people are immune. What other opportunistic infections are commonly seen in AIDS patients? Are there any data to suggest that M.L. may have one of these? A medical student asks you to draw a picture of the HIV virion and a CD4+ cell, and to explain the mechanism of intracellular infection and the role of reverse transcriptase. What would you show on the drawing…