Case 10: Immediately after you finished the physician’s assistant program you took a job at a free clinic in the heart of the city. During your first week, you met Dwight, a 53 year-old overweight white male with several health problems. Dwight’s feet are cracked and blistered and he has three infected toenails. He tells you he has been homeless for the last 10 years. There are some seeping sores in the folds of his wrists and under his arms. His gums are bleeding. Dwight is here because he has been greatly confused over the past eight months and it seems to be getting worse. He has episodes of ranting and raving. He reports ‘feeling crazy’ and being very scared. You ask him about his health history and he reveals very little but talks a lot about his past sexual exploits. You are fairly sure Dwight has a sexually transmitted disease. Which one? Caused by which organism? 2. Should he be treated by antibiotics? Why or why not?
Case 10: Immediately after you finished the physician’s assistant program you took a job at a free clinic in the heart of the city. During your first week, you met Dwight, a 53 year-old overweight white male with several health problems. Dwight’s feet are cracked and blistered and he has three infected toenails. He tells you he has been homeless for the last 10 years. There are some seeping sores in the folds of his wrists and under his arms. His gums are bleeding. Dwight is here because he has been greatly confused over the past eight months and it seems to be getting worse. He has episodes of ranting and raving. He reports ‘feeling crazy’ and being very scared. You ask him about his health history and he reveals very little but talks a lot about his past sexual exploits.
- You are fairly sure Dwight has a sexually transmitted disease. Which one? Caused by which organism?
2. Should he be treated by antibiotics? Why or why not?
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