Clinical History:A 67-year-old male had rheumatic heart disease for thirty years. Three months prior to death he began to have episodes of fever and chills accompanied by signs of worsening congestive heart failure. Splinter hemorrhages and purpuric skin rashes were noted three weeks before death. Photos include splinter hemorrhage, blood plate, and gram stain.What specimens should have been obtained from the patient?What is the proper protocol for specimen collection, ID, and storage?What diagnostic tests would be performed?This could be a case of endocarditis. What bacteria could have contributed and how could it have been treated?

Rheumatic fever, an autoimmune inflammatory response to infection with streptococcal bacteria, can…

Answered: Clinical History:A 67-year-old male had…

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Chapter12: Surgical Case Management

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Problem 12.1CS

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Clinical History:A 67-year-old male had rheumatic heart disease for thirty years. Three months prior to death he began to have episodes of fever and chills accompanied by signs of worsening congestive heart failure. Splinter hemorrhages and purpuric skin rashes were noted three weeks before death. Photos include splinter hemorrhage, blood plate, and gram stain.
1. What specimens should have been obtained from the patient?
2. What is the proper protocol for specimen collection, ID, and storage?
3. What diagnostic tests would be performed?
4. This could be a case of endocarditis. What bacteria could have contributed and how could it have been treated?

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