A 26 year old woman presents with a fever, malaise, and a sore throat. She tells you she has bouts of vomiting that subside, but have traces of blood in it. She also tells you she just came back from working with Doctors without Borders in Central Africa. You tell her she's lucky to have come in when she did before the dysentery. What has she contracted
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- An otherwise healthy 24-year-old woman goes to her doctor complaining of a sudden onset of high fever, chills, uneasiness, and a severe headache. She also shows the doctor a painful sweling she is experiencing in her groin area. The doctor asks her about recent travel. She reports that she returned two days prior from a week-long camping and hiking trip in Texas. 1. How did the woman most likely contract the disease? 2. What are the potential problems associated with diagnosing this disease, and how crucial is prompt diagnosis of this disease? 3. The doctor asks you, as a nursing student rotating through his clinic, your opinion on the disease diagnosis and causative agent. What is your response? 4. How should the patient be treated? 5. Who should be notifed once the diagnosis is confimed? Why?A 12-year-old girl is taken to a walk-in clinic in her neighborhood drug store for a sore throat and fever. The mother states that the child has been just lying around and is having her period. The girl reports that she has had two periods in the past month and has to change her sanitary pad every couple of hours. The clinician notes several bruises, and the girl does not remember how she got them. After speaking with a colleague, the clinician advises the mother to take the girl to a local children's hospita to be evaluated. Later that day, the girl is diagnosed with ALL and begins chemotherapy. All leukemias have certain pathophysiologic features in common. These include: 1. Increased function of granulocytic-monocytic cells 2. Increased function of bone marrow to fight the leukemic cells 3. Overcrowding of the bone marrow 4. Decreased response to biologic response modifiersA 6-year-old male is brought to his pediatrician's office with chickenpox. He has had symptoms for one week, and his mother is concerned about the patient's 8-year-old sister because she had a long, painful chickenpox infection 2 years prior. Of note, the patient was not vaccinated against chickenpox because his parents did not think it was a serious enough virus to warrant the pain of the injection. 5) Which of the following explanations correctly represents how this patient could have been protected from chickenpox infection? A) He would not have been infected if he were breastfed as a baby because he would have passive natural immunity. B) He would not have been infected if his mother had gamma globulin administered during pregnancy because he would have passive artificial immunity. C) He could have been protected from infection if he received active artificial immunity through the form of a vaccine. D) He may have a primary immunodeficiency disease because healthy humans are not…
- a patient is experiencing edema just in the left leg. she reveals she was bitten by mosquitos on a recent trip to South America. what disease does she most likely haveJustine is a 14-year-old who is a star player on her high school's soccer team. The team is currently 17-2 this year and has a chance at going to the state championship. Over the past few days, Justine began feeling ill with noticeable signs of a high fever. Her parents decided to take her to the emergency room to get looked at. The attending physician admitted her to the hospital with an ongoing bacterial infection. It has been several days and the doctors are perplexed that her body is unable to fight off the infection. The doctors take a blood sample and have it sent to the lab for analysis. The lab results indicate that the vacuoles in her white blood cells are successfully trapping the bacteria. However, one specific organelle is malfunctioning; specifically, this organelle is not binding to the vacuoles and therefore cannot release the enzymes necessary to break down the bacterial cell walls. Identify the malfunctioning organelle so doctors can begin providing the proper…A 20-year old woman was admitted to the emergency room with sudden onset of fever, chills, vomiting, diarrhea, muscle aches and a rash. Her blood pressure is low. She reported during the history/physical that she had just finished her period and admitted that she had left a highly absorbent tampon in her vagina four days before remembering it was there. The doctor suspects this disease: Ebola Toxic shock syndrome Measles appendicitis < Previous MacBook Pro Next ▸ *
- A 42 year old man comes to the physician because of a discoloration on his right leg for six months. It first look like a bruise, but they didn’t gradually increase in size and did not change color. He works as an adventure tourism guide and has led numerous trips to central Africa, south east, Asia, and South America. Physical examination shows 4.2 cm purple macule with irregular borders on the right calf. Which of the following is the most likely causal virus? M A) cytomegalovirus B) Epstein bar virus C) herpes simplex virus one D) human herpes virus eight E) human papilloma virus type 16 F) parvovirus B19 G) varicella zoster virusA nurse is volunteering with a medical team in Southeast Asia. A 35-year-old female presents to the clinic reporting that the village doctors have diagnosed her with malaria. The nurse notes that the woman is febrile, tachypneic, and her eyes have a yellow tint. She reports generalized body aches and weakness. Through a translator, the nurse collects the woman's medical history. She reports feeling ill for about ten days, experiencing several cycles of fever, sweating, and chills that are temporarily relieved before occurring again. The village doctors treated her with a combination of a mosquito paste and an indigenous root, but her symptoms have not improved. The medical team performs serological testing at the clinic and confirms a diagnosis of malaria. 6) What is the cause of the cyclical nature of the woman's symptoms? A) She is being reinfected by a vector as she begins to recover. B) The village doctor's treatments are working intermittently. C) Her symptoms reflect the…A nurse is volunteering with a medical team in Southeast Asia. A 35-year-old female presents to the clinic reporting that the village doctors have diagnosed her with malaria. The nurse notes that the woman is febrile, tachypneic, and her eyes have a yellow tint. She reports generalized body aches and weakness. Through a translator, the nurse collects the woman's medical history. She reports feeling ill for about ten days, experiencing several cycles of fever, sweating, and chills that are temporarily relieved before occurring again. The village doctors treated her with a combination of a mosquito paste and an indigenous root, but her symptoms have not improved. The medical team performs serological testing at the clinic and confirms a diagnosis of malaria. 6) What is the cause of the cyclical nature of the woman's symptoms? A) She is being reinfected by a vector as she begins to recover. B) The village doctor's treatments are working intermittently. C) Her symptoms reflect the…
- 5 year old African American male presents with his mother to the ER where you are the physician assistant helping the ER attending in a very busy rural hospital. He is complaining of abdominal pain for one day and nausea with vomiting. His mother reports a fever and malaise. He has no significant medical history but his mother is concerned that he may have the "kissing disease" as he has a boy friend who had mononucleosis six months ago and she does not approve of him anyway. He describes the abdominal pain as sharp and points to his umbilical region. He ranks it 10/10 on a 1-10 scale at its worse and he says it gets worse with sudden movements or if he sits up too quick or laughs. He is not on any medications and his vital signs are normal except for a temperature of 101 degrees Fahrenheit. On examination he looks sick and his skin is clammy to the touch. Heart and lung examination is unremarkable. Abdominal examination shows good bowel sounds and umbilical tenderness and…A man was diagnosed as having tertiary syphilis. He had been a responsible business man, a caring husband and a loving father until 3 years previously. At that time, his personality changed drastically. He became angry, abusive and dangerous. This culminated in him savagely killing a man and his son. The only physical symptom that he complained about was severe headaches. 1. What tests for syphilis would have been performed on serum?2. What would the results have been?3. What test would have been performed on his CSF in order to define his condition as tertiary syphilis? The new boyfriend of a woman has assured her that he has never had syphilis. Just to be sure, she asks him to have syphilis testing. His RPR was non-reactive and his FTA-ABS was reactive. 4. Should she believe him? 5. Why or why not?The parents of a 3-day-old male neonate are concerned by their child's condition. The child is irritable, has fever and blisters over most of his body, and peeling skin as seen in the attached image. Which of the following virulence factors produced by the most likely causal agent is responsible for this condition? Answers A - E A Alpha-Toxin B Beta hemolysin C Exfoliative toxin D Pyrogenic exotoxin E Toxic shock syndrome toxin O Question #6 attachment O .0