Case Study #7: A 58-year old lawyer presents in the emergency room with headache, irritability, generalized muscle pain and uncontrollable back spasms. He has become very restless and worried because he has had the back spasms all through his court case that afternoon and they became extremely painful. In his history, the lawyer states that he has a very busy practice. He is on medication for high blood pressure (beta blocker) and has mild asthma. He injured himself about 10 days earlier, puncturing his left arm with a nail from an old barn he is tearing down. The wound has produced moderate quantities of pus, but he has been keeping it clean. When asked, he did not remember having a tetanus shot since he was a kid. The wound was sampled for microscopic examination and culture. The back appears to have very tight contractions and spasms. The patient is in obvious agonizing pain. 1. What is your presumptive diagnosis? 2. What bacterium is most likely causing the problem? 3. Which factors were key in leading you to your diagnosis? 4. What is the proper treatment for this condition?
Case Study #7: A 58-year old lawyer presents in the emergency room with headache, irritability, generalized muscle pain and uncontrollable back spasms. He has become very restless and worried because he has had the back spasms all through his court case that afternoon and they became extremely painful. In his history, the lawyer states that he has a very busy practice. He is on medication for high blood pressure (beta blocker) and has mild asthma. He injured himself about 10 days earlier, puncturing his left arm with a nail from an old barn he is tearing down. The wound has produced moderate quantities of pus, but he has been keeping it clean. When asked, he did not remember having a tetanus shot since he was a kid. The wound was sampled for microscopic examination and culture. The back appears to have very tight contractions and spasms. The patient is in obvious agonizing pain. 1. What is your presumptive diagnosis? 2. What bacterium is most likely causing the problem? 3. Which factors were key in leading you to your diagnosis? 4. What is the proper treatment for this condition?
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
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Transcribed Image Text:Case Study #7: A 58-year old lawyer presents in the emergency room with headache,
irritability, generalized muscle pain and uncontrollable back spasms. He has become
very restless and worried because he has had the back spasms all through his court
case that afternoon and they became extremely painful. In his history, the lawyer states
that he has a very busy practice. He is on medication for high blood pressure (beta
blocker) and has mild asthma. He injured himself about 10 days earlier, puncturing his
left arm with a nail from an old barn he is tearing down. The wound has produced
moderate quantities of pus, but he has been keeping it clean. When asked, he did not
remember having a tetanus shot since he was a kid. The wound was sampled for
microscopic examination and culture. The back appears to have very tight contractions
and spasms. The patient is in obvious agonizing pain.
1. What is your presumptive diagnosis?
2. What bacterium is most likely causing the problem?
3. Which factors were key in leading you to your diagnosis?
4. What is the proper treatment for this condition?
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