. A lumbar puncture is performed, and a Gram stain of the CSF obtained shows many short, gram-positive rods. Physical examination for specific signs which are highly suggestive of Meningitis. Does the fact that the patient was a dairy farmer give anything of value to the diagnosis? What is the most likely diagnosis and treatment?
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Clinical history: A 33-year-old female dairy farmer develops a severe headache and neck stiffness. On physical examination, her temperature is 38.2°C. She has no papilledema. A lumbar puncture is performed, and a
Physical examination for specific signs which are highly suggestive of Meningitis.
- Does the fact that the patient was a dairy farmer give anything of value to the diagnosis?
- What is the most likely diagnosis and treatment?
no references, just homework
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- Clinical history: A 33-year-old female dairy farmer develops a severe headache and neck stiffness. On physical examination, her temperature is 38.2°C. She has no papilledema. A lumbar puncture is performed, and a Gram stain of the CSF obtained shows many short, gram-positive rods. Photo includes CSF stain with short gram-positive rods. Why was the CSF obtained? What are the dangers with collecting this type of specimen? What tests would you run? Does the fact that the patient was a dairy farmer give anything of value to the diagnosis? What is the most likely diagnosis and treatment? No references, just homework Please include referencesAnswer by listing only the name of the disease. 1.A 21 year old woman presents with a swollen eyelid with no discharge. You notice a hardening of the inner surface of the eyelid, but still moveable. After finding out the causative agent is Chlamydia trachomatis, you prescribe azithromycin and tell the patient to check back with you after 1 week. You tell her to be careful, as this condition is is the leading cause of non traumatic blindness in the world. Which eye condition does this patient have? 2.A 2 year old girl presents with a fever and dizziness. She has developed a characteristic rash on her torso that she seems to be itching profusely. The father tells you he's been reading online that aciclovir is the best treatment option for his daughter, but you tell him that that is unnecessary since she has a competent immune system. What disease does the girl have?Pin-point hemorrhage refers to which of the following? Ecchymosis Petechia Hematoma Puncture wound
- SubjectiveChief Complaint: “I have pain in all of my joints, a swollen left knee, and stiffness every morning.” HPI: Janet Hobbs is a 58-year-old woman who presents to her rheumatologist with generalized arthralgias, a swollen left knee, and morning stiffness. These symptoms have been occurring with increasing severity for the past several weeks. She presented with similar symptoms 3 months ago, at which time her drug regimen was changed from methotrexate and NSAID therapy to her current regimen below. PMH: RA × 6 years S/P, hysterectomy 4 years ago, HTN × 10 years FH: Father died from complications after a traumatic fall at age 65. Mother died of a hip fracture and pneumonia at age 78. No siblings. SH: Housewife; married for 32 years; has two grown children with no known medical problems. Denies alcohol or tobacco use. Volunteers in the community extensively, but has been doing less in the past 2 months. Meds: Hydrochlorothiazide 25 mg PO Q AM, Norvasc 10 mg PO once daily, Nabumetone…Pallor may follow which disease process: Hypoxia Hypercapnia Mucosal edema Pleural effusionperform physical examination to gather more symptoms for bluetongue disease
- GI Case Study A 45-year-old store manager complained of a burning, gnawing pain, moderately severe, almost always in the epigastric region. The pain is absent when he awakens, appears in midmorning, and is relieved by food but recurs two to three hours after a meal. The pain often awakens him at 1 or 2 a.m. An endoscopic examination and x-ray studies with barium showed normal stomach function but the presence of duodenal ulcers. Fasting serum gastrin levels were normal. H. pylori testing was negative. Treatments for this individual might include the following: Antacids: 15-30 mL of liquid or two to four tablets one to three hours after each meal and at bedtime for six weeks. Histamine (H2) receptor antagonists: cimetidine (300 mg) or ranitidine (150 mg) with each meal and at bedtime for four to eight weeks. Omeprazole (proton pump inhibitor): 20 mg two times a day. Top of Form What is the diagnosis of this individual? What is the significance of doing a fasting serum gastrin level?…GI Case Study A 45-year-old store manager complained of a burning, gnawing pain, moderately severe, almost always in the epigastric region. The pain is absent when he awakens, appears in midmorning, and is relieved by food but recurs two to three hours after a meal. The pain often awakens him at 1 or 2 a.m. An endoscopic examination and x-ray studies with barium showed normal stomach function but the presence of duodenal ulcers. Fasting serum gastrin levels were normal. H. pylori testing was negative. Treatments for this individual might include the following: Antacids: 15-30 mL of liquid or two to four tablets one to three hours after each meal and at bedtime for six weeks. Histamine (H2) receptor antagonists: cimetidine (300 mg) or ranitidine (150 mg) with each meal and at bedtime for four to eight weeks. Omeprazole (proton pump inhibitor): 20 mg two times a day. Top of Form How does omeprazole act in treating this disorder? What is H. pylori? Most person who are H. pylori…What diagnosis would a physician try to confirm by ordering PSA test?
- 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…Intervention of redness beyond 0.5 cm of episiotomy and 4th degree laceration, edema in perineal and vulvar, greater than 2 cm from episiotomy, ecchymosis greater than 1 cm bilaterally, bloody discharge and purulent discharge, approximation in skin, subcutaneous fat and fascial layer separationAnswer by listing only the name of the disease. Some questions will require the name of the organism. A patient presents to the emergency room with extremely hot and localized pain in her lower limb. Upon visual observation, the doctor calls for immediate debridement of the necrotic area. The doctor tells the patient they are lucky to have come in before amputation was necessary to prevent systemic shock. What is the patient suffering from? A 34 year old woman presents with a headache, nausea, and muscle pain throughout her body. She tells you she has night sweats, but is constantly shivering throughout the day. During your evaluation, she seems to have small body-wide convulsions as you're talking to her. You take her blood expecting to see rings within her red blood cells, as well as signs of anemia. What does she have?