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Chapter 19, Problem 1CCS

A Painful Rash

Chapter 19, Problem 1CCS, A Painful Rash A mother brings her three-year-old daughter to her pediatric office, stating that the

A mother brings her three-year-old daughter to her pediatric office, stating that the girl has had fever and chills for three days. The girl also has a large, intensely red patch with a distinct margin on her leg and a nearby swollen lymph node. When the health care provider touches the area, it is firm and warm, and the girl screams in pain. Based on these observations, the provider makes a presumptive diagnosis and begins treatment.

  1. 1. Is it necessary for the provider to confirm the diagnosis with a lab test? Why or why not?
  2. 2. What was the diagnosis? The treatment?
  3. 3. How is this different from impetigo?
  4. 4. What is the causative agent associated with the girl’s condition?
  5. 5. How might the girl have contracted the condition?
  6. 6. What component(s) of the causative agent stimulated the fever and the lesion?
  7. 7. Why is it important for the provider to begin immediate treatment?
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L.H. is a 55 year old male patient that has come into your clinic. L.H. has worked in construction for 15 years and is complaining of a red, itchy, dry rash that has formed on his arms and hands. Lately, his job is working to lay cement which means he is outside most of the time. The rash is often itchy and painful, which prevents him from performing his duties to his best ability and he is worried about continuing to work. Additionally, it has impacted his ability to play golf, a hobby that he enjoys in his spare time.LH has tried wearing work gloves, but due to the nature of the job he is unable to wear them the entire time. He’s also tried different creams, but that had little effect. Come up with 5 follow up questions you could ask L.H.  to further determine the appropriate skin condition?   Comprehension. Discuss the current treatment options for the disease or disorder chosen in question 1.
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Chapter 19 Solutions

Microbiology with Diseases by Body System & Modified MasteringMicrobiology with Pearson eText -- ValuePack Access Card -- for Microbiology with Diseases by Body System Package

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