(1)
To determine:
What type of hypersensitivity is Steven undergoing, and counter acting medication to relieve from itching and mechanism causing the sign and symptoms due to bee sting, how to avoid future health risk and also from bee sting, and the methods to recognize a severe reaction and precautions taken by the family to avoid this reactions.
Case summary:
In the given scenario, an eight-year old boy Steven is stung by bee and has a half a dollar-sized puffy and itching abrasion on his left upper arm. The boy had no history of allergies or bee stung and does not take regular medication. On examination, his lungs are clear, and he had normal temperature.
(1)
Explanation of Solution
Based on the itchiness and puffy redness, Steven had been diagnosed with type IV hypersensitivity.
(2)
To determine:
The counter medication to relieve from itching.
Case summary:
In the given scenario, an eight-year old boy Steven is stung by bee and has a half a dollar-sized puffy and itching abrasion on his left upper arm. The boy had no history of allergies or bee stung and does not take regular medication. On examination, his lungs are clear, and he had normal temperature.
(2)
Explanation of Solution
Since it is a type IV hypersensitive reaction, the T cells are involved in eliminating the bee venom. The killing of the immune T cell will eradicate the itching; the drugs like gluococortics and lymphocyte-depleting drugs are helpful in T-cell elimination.
(3)
To determine:
The mechanisms of action that causes signs and symptoms.
Case summary:
In the given scenario, an eight-year old boy Steven is stung by bee and has a half a dollar-sized puffy and itching abrasion on his left upper arm. The boy had no history of allergies or bee stung and does not take regular medication. On examination, his lungs are clear, and he had normal temperature.
(3)
Explanation of Solution
Since it is a type IV hypersensitive reaction, the T cells are involved in eliminating the bee venom. This action involves in the release of mast cell, which acts as a counter action against the bee venom. This results in vasodilatation of the blood vessels, and the action of the vasodilatation involves in swelling in the affected area.
(4)
To determine:
The future awareness by father to avoid the hypersensitivity.
Case summary:
In the given scenario, an eight-year old boy Steven is stung by bee and has a half a dollar-sized puffy and itching abrasion on his left upper arm. The boy had no history of allergies or bee stung and does not take regular medication. On examination, his lungs are clear, and he had normal temperature.
(4)
Explanation of Solution
It is best to keep the boy away from the area of bees and also to carry the gluococortics and lymphocyte-depleting drugs.
(5)
To determine:
The future risk to avoid bee stung.
Case summary:
In the given scenario, an eight-year old boy Steven is stung by bee and has a half a dollar-sized puffy and itching abrasion on his left upper arm. The boy had no history of allergies or bee stung and does not take regular medication. On examination, his lungs are clear, and he had normal temperature.
(5)
Explanation of Solution
The boy must know the risk of bee stung and should stay away from the bees. Moreover, protective clothing, such as full hand sleeves, and carrying gluococortics and lymphocyte-depleting drugs will reduce health risks in the future.
(6)
To determine:
How to recognize the severe allergic reaction.
Case summary:
In the given scenario, an eight-year old boy Steven is stung by bee and has a half a dollar-sized puffy and itching abrasion on his left upper arm. The boy had no history of allergies or bee stung and does not take regular medication. On examination, his lungs are clear, and he had normal temperature.
(6)
Explanation of Solution
The severe allergic reaction will result in shortness of breath and swelling of infected area, for example face. The infected area will become more itchy, painful, and swollen.
(7)
To determine:
The precautions taken by the boy’s family to avoid the risk of future allergies.
Case summary:
In the given scenario, an eight-year old boy Steven is stung by bee and has a half a dollar-sized puffy and itching abrasion on his left upper arm. The boy had no history of allergies or bee stung and does not take regular medication. On examination, his lungs are clear, and he had normal temperature.
(7)
Explanation of Solution
It is best to keep the boy away from the area of bees. The boy must know the risk of bee stung and should stay away from them. Moreover, protective clothing like full hand sleeves and also to carrying gluococortics and lymphocyte-depleting drugs will protect him from health risks in the future.
Want to see more full solutions like this?
Chapter 18 Solutions
Microbiology with Diseases by Body System & Modified MasteringMicrobiology with Pearson eText -- ValuePack Access Card -- for Microbiology with Diseases by Body System Package
- What is the name of the suspect disease affecting this young male? How will you treat this child? Be thorough with the steps.arrow_forwarda 23-year-old male presented to the er with a 5-day history of fever, headache, sore throat, muscle pain, nausea, and diarrhea. he described his headache as a 10/10 on a pain scale, and was worsened by bright lights, movement, or noise. He had migraines in the past but stated this felt different. He said there was not a prior history of head injury, chest pain, or ear pain. He does not have abdominal pain, dysuria, or a skin rash. No recent alcohol or illicit drug use, travel, or exposure to ticks. Upon physical exam, he had right-sided tonsillar exudates and swelling. Even though neck pain was described with his headache, the neck was supple. Following lumbar puncture, 4 nucleated cells and 87% lymphocytes were shown. CSF protein and glucose were within normal limits. He had a normal white blood cell count but a low blood lymphocyte count of 720 cells/uL (normal is 1500 - 5000/uL). Chest radiograph came back normal. CSF was sent for herpes simplex virus (HSV) PCR and for bacterial…arrow_forwardBruno, a 48-year-old businessman, presents at the emergency room with a 12-day history of headache, myalgia, nausea, and vomiting. Patient history reveals that Bruno is a consulting engineer for the Panama Canal. Prior to his latest trip, he failed to fill a prescription for prophylactic medication. However, according to his general physician's records, all his immunizations (e.g., hepatitis, flu) are up to date. His fever was 103° F (39° C) at the time of initial examination, but alternated with periods of extreme cold and cyanosis. A complete blood count was ordered, along with parasite examination, and urinalysis. The thin Giemsa film yielded the morphologic forms in the image below. What parasite (genus and species) do you suspect? What is the life stage for the parasite recovered from this blood sample? How did Bruno acquire this infection How should the physician order the blood collection for parasite examination in this case?arrow_forward
- A 35 year old half Filipino- half Pakistan presented to the outpatient department of dermatology at CVMC, with chief complaints of numerous hyperpigmented lesions on the proximal arms and on the upper back of approximately 5 months’ duration. The lesions become so itchy with the change of weather or when the affected parts got sweating. There was no other cutaneous or systemic complaints. His past health was unremarkable. The physical examination revealed numerous sharply demarcated brownish macules and patches on the arms and back. The size of the lesions ranged 3- 6 mm in diameter. Under the wood lamp examination, some of the lesions fluoresced into yellowish gold. Questions: Based on the clinical appearance of the lesions, what diagnosis can you infer? This is caused by what organism? If the scrapings from lesions will be tested for 10% KOH, what pattern or appearance can be seen under the microscope? What causes the hyperpigmentation of the lesions? What can be done to treat and…arrow_forwardA lethargic 22-month old black female was presented by her mother to the emergency room at 2:15am on a Sunday. The child had a history of a runny nose, hoarse cough and low-grade fever (-99F) for the past 48 hours. The mother was concerned about the forced and noisy breathing of the child. The pediatrician examined the child and found cloudy eyes and mild inflammation of the ears, but no overt signs of bacterial infection (no significant changes in the eardrums). The throat of the child was red and coated with mucus. The larynx was swollen and raw. The physician performed a rapid Strep test and found it was negative. Throat swabs were taken for culture. The physician placed the child in a room with a warm vaporizer for about 30 minutes. This dramatically improved the breathing of the child. 1. What is the infectious agent that caused this case? 2. Do you believe that this is a bacterial or viral disease? Why? 3. What further treatment is indicated for this case?arrow_forwardA 35 year-old half Filipino-half Pakistan presented to the outpatient department of dermatology at the hospital, with chief complaints of numerous hyperpigmented lesions on the proximal arms and on the upper back of approximately 5 months’ duration. The lesions become so itchy with the change of weather or when the affected parts got sweating. There was no other cutaneous or systemic complaints. His past health was unremarkable. The physical examination revealed numerous sharply demarcated brownish macules and patches on the arms and back. The size of the lesions ranged 3- 6 mm in diameter. Under the wood lamp examination, some of the lesions fluoresced into yellowish gold. What causes the hyperpigmentation of the lesions? If the scrapings from lesions will be tested for 10% KOH, what pattern or appearance can be seen under the microscope?arrow_forward
- A 35 year-old half Filipino-half Pakistan presented to the outpatient department of dermatology at the hospital, with chief complaints of numerous hyperpigmented lesions on the proximal arms and on the upper back of approximately 5 months’ duration. The lesions become so itchy with the change of weather or when the affected parts got sweating. There was no other cutaneous or systemic complaints. His past health was unremarkable. The physical examination revealed numerous sharply demarcated brownish macules and patches on the arms and back. The size of the lesions ranged 3- 6 mm in diameter. Under the wood lamp examination, some of the lesions fluoresced into yellowish gold. What can be done to treat and avoid the recurrence of the disease? Based on the clinical appearance of the lesions, what diagnosis can you infer? This is caused by what organism?arrow_forwardWhy would it be advisable for a patient with Graves’ disease to wear a medic alert tag or bracelet?arrow_forwardPlease Helparrow_forward
- Please Helparrow_forwardThe nurse is teaching a patient about self-administration of enoxaparin (Lovenox). Which statement should be included in this teaching session? a) “We -ill need to teach a family member ho- to give this drug in your arm.”b )“This drug is given in the folds of your abdomen, but at least 2 inches a-ay from your navel.”c) “This drug needs to be taken at the same time every day -ith a full glass of -ater.”d )“Be sure to massage the injection site thoroughly after giving the drug.”arrow_forwardA nurse is caring for a client with HIV. The client reports having thick white clumps along her tongue and throat. The nurse knows that this condition puts the client at risk ? Explanationarrow_forward
- Health Safety And Nutrition F/Young ChildHealth & NutritionISBN:9781305144767Author:MAROTZPublisher:Cengage
- Lifetime Physical Fitness & WellnessHealth & NutritionISBN:9781337677509Author:HOEGERPublisher:CengageHuman Biology (MindTap Course List)BiologyISBN:9781305112100Author:Cecie Starr, Beverly McMillanPublisher:Cengage Learning