What underlying medical condition is this patient suffering from? What is the most likely causative agent?

An otherwise healthy 24-year-old woman goes to her doctor complaining of a sudden onset of high fever, chills, uneasiness, and a severe headache. She also shows the doctor a painful sweling she is experiencing in her groin area. The doctor asks her about recent travel. She reports that she returned two days prior from a week-long camping and hiking trip in Texas. 1. How did the woman most likely contract the disease? 2. What are the potential problems associated with diagnosing this disease, and how crucial is prompt diagnosis of this disease? 3. The doctor asks you, as a nursing student rotating through his clinic, your opinion on the disease diagnosis and causative agent. What is your response? 4. How should the patient be treated? 5. Who should be notifed once the diagnosis is confimed? Why?

A 19-year old female presented at the ER with fever, vomiting, intense headache and stiff neck. a )List three bacterial pathogens that would most likely be the cause of these signs and symptoms. Briefly describe each pathogen.  b) What treatment would you immediately start?

This 19-year-old college student went to the Student Health Services because she had a slowly developing rash on both earlobes, hands and wrist, and around her neck. Her medical history revealed that she had eczema in childhood. During her early teens, she had facial acne, for which she was given tetracycline. Physical examination revealed a rash of erythema and small blisters, with marked excoriation because of the itching. Her hands were red, scaly, and dry. The rash on her hands was different from the eruptions on her neck and ears. A contact hypersensitivity was suspected. Follow-up patch tests included a standard battery of agents—rubber, cosmetics, plant extracts, perfumes, nickel, and makeup. Strongly positive reactions for rubber and nickel were observed. The student was advised to eliminate contact with rubber (e.g., rubber gloves) used at home or on the job. Her jewelry probably contained nickel and was believed to be the source of the irritation to her earlobes, neck, and…

Jonathan Miller, aged 6 years, was brought to emergency room by his parents; he was presenting with fever, severe headache, a petechial rash, stiff neck and vomiting. Jonathan had a history of recurrent sinusitis and otitis media, all caused by pyogenic bacteria and treated successfully with antibiotics. Suspecting bacterial meningitis, the attending physician began an immediate course of intravenous antibiotics and requested a lumbar puncture. Neisseria meningitidis was grown from the cerebrospinal fluid. The physician was concerned about the recurrence of infections caused by pyogenic bacteria, and he suspected an immunodeficiency. He ordered blood tests and found the serum complement profiles to have low C3, factor B, and factor H, and undetectable factor I. Which of the following explains why a factor I deficiency is associated with infections caused by pyogenic bacteria? a. Elevated levels of C3 convertase C3bBb interfere with the activation of the classical pathway of…

A 12-year-old girl is taken to a walk-in clinic in her neighborhood drug store for a sore throat and fever. The mother states that the child has been just lying around and is having her period. The girl reports that she has had two periods in the past month and has to change her sanitary pad every couple of hours. The clinician notes several bruises, and the girl does not remember how she got them. After speaking with a colleague, the clinician advises the mother to take the girl to a local children's hospita to be evaluated. Later that day, the girl is diagnosed with ALL and begins chemotherapy. All leukemias have certain pathophysiologic features in common. These include: 1. Increased function of granulocytic-monocytic cells 2. Increased function of bone marrow to fight the leukemic cells 3. Overcrowding of the bone marrow 4. Decreased response to biologic response modifiers

Several persons working in an exercise gym acquired an acute diseasecharacterized by fever, cough, pneumonia, and headache. Treatmentwith erythromycin cleared it up. The source was never found, but anenvironmental focus was suspected.a. What do you think might have caused the disease?b. People in a different gym got skin lesions after sitting in aredwood hot tub. Which pathogen could have caused that?

Justine is a 14-year-old who is a star player on her high school's soccer team. The team is currently 17-2 this year and has a chance at going to the state championship. Over the past few days, Justine began feeling ill with noticeable signs of a high fever.  Her parents decided to take her to the emergency room to get looked at.  The attending physician admitted her to the hospital with an ongoing bacterial infection. It has been several days and the doctors are perplexed that her body is unable to fight off the infection. The doctors take a blood sample and have it sent to the lab for analysis. The lab results indicate that the vacuoles in her white blood cells are successfully trapping the bacteria.  However, one specific organelle is malfunctioning; specifically, this organelle is not binding to the vacuoles and therefore cannot release the enzymes necessary to break down the bacterial cell walls. Identify the malfunctioning organelle so doctors can begin providing the proper…

A 42 year old man comes to the physician because of a discoloration on his right leg for six months. It first look like a bruise, but they didn’t gradually increase in size and did not change color. He works as an adventure tourism guide and has led numerous trips to central Africa, south east, Asia, and South America. Physical examination shows 4.2 cm purple macule with irregular borders on the right calf. Which of the following is the most likely causal virus? M A) cytomegalovirus B) Epstein bar virus C) herpes simplex virus one D) human herpes virus eight E) human papilloma virus type 16 F) parvovirus B19 G) varicella zoster virus