Why should pertussis be something to consider. What are the three clinical stages of pertussis? If this is pertussis, why doesn’t Marjorie have the classic “whoop”. What are the CDC recommendations for adults ages 19-64? Which family members are at the highest risk in this situation. What test can her provider perform to confirm the suspension that Marjorie has pertussis? Is treatment recommended at this time. How is pertussis spread, and how could Marjorie prevent the spread of her infection to others. Case summary: Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

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Answer 1

Question

Chapter 22, Problem 1CCS

(1)

Summary Introduction

To determine:

Why should pertussis be something to consider. What are the three clinical stages of pertussis? If this is pertussis, why doesn’t Marjorie have the classic “whoop”. What are the CDC recommendations for adults ages 19-64? Which family members are at the highest risk in this situation. What test can her provider perform to confirm the suspension that Marjorie has pertussis? Is treatment recommended at this time. How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(2)

Summary Introduction

To determine:

What are the three clinical stages of pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(3)

Summary Introduction

To determine:

If this is pertussis, why doesn’t Marjorie have the classic “whoop”

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(4)

Summary Introduction

To determine:

What are the CDC recommendations for adults ages 19-64?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps to her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(5)

Summary Introduction

To determine:

Which family members are at the highest risk in this situation.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(6)

Summary Introduction

To determine:

What test can her provider perform to confirm the suspension that Marjorie has pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(7)

Summary Introduction

To determine:

Is treatment recommended at this time.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(8)

Summary Introduction

To determine:

How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

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Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED).…

Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). While waiting…

Answer 2

Question

Chapter 22, Problem 1CCS

(1)

Summary Introduction

To determine:

Why should pertussis be something to consider. What are the three clinical stages of pertussis? If this is pertussis, why doesn’t Marjorie have the classic “whoop”. What are the CDC recommendations for adults ages 19-64? Which family members are at the highest risk in this situation. What test can her provider perform to confirm the suspension that Marjorie has pertussis? Is treatment recommended at this time. How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(2)

Summary Introduction

To determine:

What are the three clinical stages of pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(3)

Summary Introduction

To determine:

If this is pertussis, why doesn’t Marjorie have the classic “whoop”

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(4)

Summary Introduction

To determine:

What are the CDC recommendations for adults ages 19-64?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps to her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(5)

Summary Introduction

To determine:

Which family members are at the highest risk in this situation.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(6)

Summary Introduction

To determine:

What test can her provider perform to confirm the suspension that Marjorie has pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(7)

Summary Introduction

To determine:

Is treatment recommended at this time.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(8)

Summary Introduction

To determine:

How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

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Answer 3

Question

Chapter 22, Problem 1CCS

(1)

Summary Introduction

To determine:

Why should pertussis be something to consider. What are the three clinical stages of pertussis? If this is pertussis, why doesn’t Marjorie have the classic “whoop”. What are the CDC recommendations for adults ages 19-64? Which family members are at the highest risk in this situation. What test can her provider perform to confirm the suspension that Marjorie has pertussis? Is treatment recommended at this time. How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(2)

Summary Introduction

To determine:

What are the three clinical stages of pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(3)

Summary Introduction

To determine:

If this is pertussis, why doesn’t Marjorie have the classic “whoop”

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(4)

Summary Introduction

To determine:

What are the CDC recommendations for adults ages 19-64?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps to her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(5)

Summary Introduction

To determine:

Which family members are at the highest risk in this situation.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(6)

Summary Introduction

To determine:

What test can her provider perform to confirm the suspension that Marjorie has pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(7)

Summary Introduction

To determine:

Is treatment recommended at this time.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(8)

Summary Introduction

To determine:

How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

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Check out a sample textbook solution

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Answer 4

Question

Chapter 22, Problem 1CCS

(1)

Summary Introduction

To determine:

Why should pertussis be something to consider. What are the three clinical stages of pertussis? If this is pertussis, why doesn’t Marjorie have the classic “whoop”. What are the CDC recommendations for adults ages 19-64? Which family members are at the highest risk in this situation. What test can her provider perform to confirm the suspension that Marjorie has pertussis? Is treatment recommended at this time. How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(2)

Summary Introduction

To determine:

What are the three clinical stages of pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(3)

Summary Introduction

To determine:

If this is pertussis, why doesn’t Marjorie have the classic “whoop”

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(4)

Summary Introduction

To determine:

What are the CDC recommendations for adults ages 19-64?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps to her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(5)

Summary Introduction

To determine:

Which family members are at the highest risk in this situation.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(6)

Summary Introduction

To determine:

What test can her provider perform to confirm the suspension that Marjorie has pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(7)

Summary Introduction

To determine:

Is treatment recommended at this time.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(8)

Summary Introduction

To determine:

How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

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Check out a sample textbook solution

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Answer 5

Chapter 22, Problem 1CCS

(1)

Summary Introduction

To determine:

Why should pertussis be something to consider. What are the three clinical stages of pertussis? If this is pertussis, why doesn’t Marjorie have the classic “whoop”. What are the CDC recommendations for adults ages 19-64? Which family members are at the highest risk in this situation. What test can her provider perform to confirm the suspension that Marjorie has pertussis? Is treatment recommended at this time. How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(2)

Summary Introduction

To determine:

What are the three clinical stages of pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(3)

Summary Introduction

To determine:

If this is pertussis, why doesn’t Marjorie have the classic “whoop”

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(4)

Summary Introduction

To determine:

What are the CDC recommendations for adults ages 19-64?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps to her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(5)

Summary Introduction

To determine:

Which family members are at the highest risk in this situation.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(6)

Summary Introduction

To determine:

What test can her provider perform to confirm the suspension that Marjorie has pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(7)

Summary Introduction

To determine:

Is treatment recommended at this time.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(8)

Summary Introduction

To determine:

How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 6

Chapter 22, Problem 1CCS

(1)

Summary Introduction

To determine:

Why should pertussis be something to consider. What are the three clinical stages of pertussis? If this is pertussis, why doesn’t Marjorie have the classic “whoop”. What are the CDC recommendations for adults ages 19-64? Which family members are at the highest risk in this situation. What test can her provider perform to confirm the suspension that Marjorie has pertussis? Is treatment recommended at this time. How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 7

Chapter 22, Problem 1CCS

(1)

Summary Introduction

To determine:

Why should pertussis be something to consider. What are the three clinical stages of pertussis? If this is pertussis, why doesn’t Marjorie have the classic “whoop”. What are the CDC recommendations for adults ages 19-64? Which family members are at the highest risk in this situation. What test can her provider perform to confirm the suspension that Marjorie has pertussis? Is treatment recommended at this time. How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 8

(2)

Summary Introduction

To determine:

What are the three clinical stages of pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 9

(2)

Summary Introduction

To determine:

What are the three clinical stages of pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 10

(3)

Summary Introduction

To determine:

If this is pertussis, why doesn’t Marjorie have the classic “whoop”

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 11

(3)

Summary Introduction

To determine:

If this is pertussis, why doesn’t Marjorie have the classic “whoop”

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 12

(4)

Summary Introduction

To determine:

What are the CDC recommendations for adults ages 19-64?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps to her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 13

(4)

Summary Introduction

To determine:

What are the CDC recommendations for adults ages 19-64?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps to her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 14

(5)

Summary Introduction

To determine:

Which family members are at the highest risk in this situation.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 15

(5)

Summary Introduction

To determine:

Which family members are at the highest risk in this situation.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 16

(6)

Summary Introduction

To determine:

What test can her provider perform to confirm the suspension that Marjorie has pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 17

(6)

Summary Introduction

To determine:

What test can her provider perform to confirm the suspension that Marjorie has pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 18

(7)

Summary Introduction

To determine:

Is treatment recommended at this time.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 19

(7)

Summary Introduction

To determine:

Is treatment recommended at this time.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 20

(8)

Summary Introduction

To determine:

How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 21

(8)

Summary Introduction

To determine:

How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

Answer 22

Expert Solution & Answer

Answer 23

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Answer 24

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Answer 25

Ch. 22 - Prob. 1TMW Ch. 22 - Why must diphtheria immunization be boosted every...Ch. 22 - Why is it inappropriate to treat a cold with...Ch. 22 - Prob. 1CCS Ch. 22 - Prob. 4TMW Ch. 22 - Prob. 1EDCS Ch. 22 - Prob. 2CCS Ch. 22 - Prob. 5TMW Ch. 22 - Prob. 2EDCS Ch. 22 - Outbreaks of blastomycosis have occurred in Latin...

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