Case Study #10: A 4-year old girl presents at the emergency room with bloody diarrhea, fever and vomiting. The child's mother reports that the child has had these symptoms for about 24 hours and she has not passed any urine for about 12 hours. The child is enrolled in a day care center and the group had recently made a field trip to a fast food place to learn about different jobs. The children had a lunch of ground beef, fries, and cola after meeting with different workers. This field trip was 4 days earlier on Friday. The child had a temperature of 39C and showed physical signs of dehydration. Blood samples drawn showed evidence of greatly reduced kidney function and lysed red biood cells. 1. What is your presumptive diagnosis for this patient? 2. What is the name of the most likely bacterium responsible? 3. What were the key critical features leading to your diagnosis? 4. Lab test(s) to confirm diagnosis? Expected results? 5. What virulence factor of this organism caused the severity of this problem?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
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Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Case Study #10: A 4-year old girl presents at the emergency room with bloody
diarrhea, fever and vomiting. The child's mother reports that the child has had these
symptoms for about 24 hours and she has not passed any urine for about 12 hours. The
child is enrolled in a day care center and the group had recently made a field trip to a
fast food place to learn about different jobs. The children had a lunch of ground beef,
fries, and cola after meeting with different workers. This field trip was 4 days earlier on
Friday. The child had a temperature of 39C and showed physical signs of dehydration.
Blood samples drawn showed evidence of greatly reduced kidney function and lysed
red blood cells.
1. What is your presumptive diagnosis for this patient?
2. What is the name of the most likely bacterium responsible?
3. What were the key critical features leading to your diagnosis?
4. Lab test(s) to confirm diagnosis? Expected results?
5. What virulence factor of this organism caused the severity of this problem?
Transcribed Image Text:Case Study #10: A 4-year old girl presents at the emergency room with bloody diarrhea, fever and vomiting. The child's mother reports that the child has had these symptoms for about 24 hours and she has not passed any urine for about 12 hours. The child is enrolled in a day care center and the group had recently made a field trip to a fast food place to learn about different jobs. The children had a lunch of ground beef, fries, and cola after meeting with different workers. This field trip was 4 days earlier on Friday. The child had a temperature of 39C and showed physical signs of dehydration. Blood samples drawn showed evidence of greatly reduced kidney function and lysed red blood cells. 1. What is your presumptive diagnosis for this patient? 2. What is the name of the most likely bacterium responsible? 3. What were the key critical features leading to your diagnosis? 4. Lab test(s) to confirm diagnosis? Expected results? 5. What virulence factor of this organism caused the severity of this problem?
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