Teresa, a 38-year old mother of seven children, visited her physician complaining of a "bearing down" pain feeling in her pelvis, low backache, and urinary incontinence. Teresa also complained that recently, she also suffered from severe abdominal pain, vaginal discharge, and a low-grade fever. A vaginal examination showed that the external os of her cervix was just inside the vaginal orifice. She also had keloids in her perineum. Her history revealed that she was a member of a commune that shunned hospital births, if possible. a) Use correct and anatomical terminology to help Teresa understand her medical problems related to the "bearing down" pain. b) Explain to Teresa what caused her to have the symptoms of low backache & "bearing down" pain c) Teresa wants to know if her recent fever and vaginal discharge are related to her first set of symptoms. If so, what is the connection between the two sets of symptoms?

Mrs. Jones is a 70-year-old woman you are admitting to the skilled nursing facility after a total hip replacement. When you obtain her past medical history, she reports a problem with a chronic rash under her breasts and in her supragluteal fold. She has tried a number of topical antifungal treatments without success. She has never seen a dermatologist. While she finds the rash a nuisance and experiences an occasional increase in itchiness, it is something she can live with. Her primary care provider diagnosed the rash as Candida and encouraged her to keep the area clean and dry and to use antifungals. Recently, her 42-year-old daughter was diagnosed with psoriasis and asked about a family history of the disease. Mrs. Jones was unaware of anyone in her or her husband’s family with that diagnosis. On physical examination, you note a shiny, erythematous lesion with symmetrical distribution under both breasts. It is well demarcated without drainage and without the presence of any…

neisseria gonorrhoeae attached to the mucosal epithelium and causes infection by phagocytosis lysis endocytosis apoptosis

A young Honduran female patient presented with a huge cutaneous ulcer involving the right shoulder.  She had been involved in an agricultural clearance project in the interior of the country. a.    What parasite/s might cause such a lesion? b.    How would you diagnose this infection? c.    How is this infection usually acquired? d.    How do these parasites evade the immune response?