Clinical history: Over the course of 1 week, a 6-year-old boy develops 0.5- to 1.0-cm pustules on his face. During the next 2 days, some of the pustules break, forming shallow erosions covered by a honey-colored crust. New lesions then form around the crust. The boy's 40-year-­old uncle develops similar lesions after visiting for 1 week during the child's illness. Photos include facial photo, sheep’s blood agar and swab culture stain. What is the proper procedure for a swab culture specimen procurement? Aside from the blood agar and stain, what other tests should be run before diagnosis and treatment? What is the mostly likely diagnosis for this child? What treatment would be common? Knowing this is contagious, what precautions should the patient’s guardians take?

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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  1. Clinical history: Over the course of 1 week, a 6-year-old boy develops 0.5- to 1.0-cm pustules on his face. During the next 2 days, some of the pustules break, forming shallow erosions covered by a honey-colored crust. New lesions then form around the crust. The boy's 40-year-­old uncle develops similar lesions after visiting for 1 week during the child's illness. Photos include facial photo, sheep’s blood agar and swab culture stain.
    1. What is the proper procedure for a swab culture specimen procurement?
    2. Aside from the blood agar and stain, what other tests should be run before diagnosis and treatment?
    3. What is the mostly likely diagnosis for this child?
    4. What treatment would be common?
    5. Knowing this is contagious, what precautions should the patient’s guardians take?

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