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- Describe the methods used in the laboratory diagnosis of the following:a. syphilisb. relapsing feverc. leptospirosisWhat clinically relevant observations support the diagnosis of meningitis associated with the infectious organism and What laboratory testing supports the diagnosis of meningitis associated with the infectious organism? CASE STUDY 15.4 A disoriented 58-year-old man with a history of poorly controlled diabetes mellitus and chronic obstructive pulmonary disease presents to the ED. The patient has been smoking cigarettes for many years. He has been taking steroid medications for his pulmonary disease. Physical examination shows that he is slightly febrile, lethargic, and respiratory failure. A diagnosis of meningitis is being considered. A lumbar puncture is done, and cerebrospinal fluid (CSF) is collected for a smear and culture. Laboratory Data A CSF specimen is collected and sent to the laboratory. A cytocentrifuged preparation of the CSF is stained, using calcofluor white for yeast by staining the yeast cell walls. The smear shows encapsulated, thick-walled budding yeasts. A…Answer 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?
- 1. Make a SYPHILIS PATHOPHYSIOLOGY FLOWCHART with EXPLANATION using the case scenario.1. Discuss what is hemicraniectomy. (please state a lot of information thank you) 2. Discuss the disease or the condition on the case presented, that includes the definition, epidemiology, signs and symptoms, treatment and management. (please include important information thank you so much)Answer by listing only the name of the disease. Some questions will require the name of the organism. A 28 year old female presents with headaches and frequent watery stools. She started feeling ill after breakfast yesterday, after eating a bowl of cereal. She's worried, but you assure her not to be because she has the most common cause of diarrhea in the United States. What is causing her food poisoning? 2.A 28 year old male presents with neuropathy and skin lesions on his arms. He tells you he just came back from visiting his brother in Texas, where he tried armadillo meat for the first time. After measuring his level of neuropathy, you notice the temperature of the areas is cooler than his main body temperature. What condition is the man suffering from?
- Write the most likely causative microorganism and disease of the following cases and explain sign, symptoms and control measures. A 25-year-old woman with itching, burning at vulva and abnormal white vaginal discharge. Yeasts was observed by microscopic examination of vaginal secretions.Match the following etiological agents with their respectivesyndromes:AdenovirusSarcoptes scabieiChlamydia trachomatisNeisseria gonorrhoeaePasteurella multocidaEnterovirusCandida albicans(a) Vaginal yeast infection(b) Acute hemorrhagicconjunctivitis(c) Scabies(d) Ophthalmia neonatorum(e) Trachoma(f) Cat or dog bites andscratches(g) EpidemickeratoconjunctivitisThe treatment of choice for syphilis isa. chloramphenicol b. antiserum c. penicillind. sulfa drugs
- A 44-year-old Nigerian man was admitted as an emergency while visiting relatives in England. His symptoms include abdominal pain, sweating, rigors and vomiting. Had been treated twice for malaria but had never taken malarial prophylaxis. Examination revealed he is ill and jaundiced, temperature of 39.2°C, blood pressure was 90/70, but no signs of visceral perforation. Differential diagnosis include– occult gastrointestinal bleeding, septicaemia, hepatitis or recurrence of malaria Emergency investigations: normal haemoglobin (140g/l), white cell count of 6.1 x 109/l, sickle-cell anaemia (excluded), thick blood film Treatment: intravenous quinine. Unfortunately the Px rapidly deteriorated over the next 30h leading to cardiac arrest. Post-mortem diagnosis: Cerebral Malaria QUESTION: 1.What is your final diagnosis here? Explain the cause of his disease. 2. What drug, dosage form, schedule, and duration of therapy are best for treating patients with this condition?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?A 66 year old man sought medical care at the hospital due to severe chest pain lasting 24 hours. The patient was aware of being hypertensive and was a smoker. Without any prior symptom, he started to have sever chest pain and sought emergency medical care about 24 hours, due to pain persistence. 1. Give the 4 aspects of the disease process and provide references.
