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Chapter 20, Problem 2CCS

(1)

Summary Introduction

To determine:

In what way the healthcare workers confirm to the patient that she is infected with leprosy; what kind of leprosy the patient is infected with (more likely to have); what is the suitable treatment for her illness; who are at risk of contracting the disease (family members or emergency branch personnel).

Case summary:

A woman with burns (third-degree) on the second and third fingers of her left hand, reached the hospital (emergency department). She tells the nurse that she had been sitting in her room, watching the news, holding a cigarette, when she observed the burning odor.  When she rose to inspect, she saw that her second and third fingers were smouldering and blackened, where the cigarette had burned down. She throws away the cigarette with a jerk. She wondered why the burning caused her no pain.

(2)

Summary Introduction

To determine:

What kind of leprosy the patient is infected with (more likely to have).

Case summary:

A woman with burns (third-degree) on the second and third fingers of her left hand, reached the hospital (emergency department). She tells the nurse that she had been sitting in her room, watching the news, holding a cigarette, when she observed the burning odor.  When she rose to inspect, she saw that her second and third fingers were smouldering and blackened, where the cigarette had burned down. She throws away the cigarette with a jerk. She wondered why the burning caused her no pain.

(3)

Summary Introduction

To determine:

What is the suitable treatment for her illness.

Case summary:

A woman with burns (third-degree) on the second and third fingers of her left hand, reached the hospital (emergency department). She tells the nurse that she had been sitting in her room, watching the news, holding a cigarette, when she observed the burning odor.  When she rose to inspect, she saw that her second and third fingers were smouldering and blackened, where the cigarette had burned down. She throws away the cigarette with a jerk. She wondered why the burning caused her no pain.

(4)

Summary Introduction

To determine:

Who are at risk of contracting the disease (family members or emergency branch personnel).

Case summary:

A woman with burns (third-degree) on the second and third fingers of her left hand, reached the hospital (emergency department). She tells the nurse that she had been sitting in her room, watching the news, holding a cigarette, when she observed the burning odor.  When she rose to inspect, she saw that her second and third fingers were smouldering and blackened, where the cigarette had burned down. She throws away the cigarette with a jerk. She wondered why the burning caused her no pain.

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NS is a 32-year-old female who had been sick with a cold virus for 10 days. She states that she had flu symptoms of cough, sore throat, and fatigue. It has been 3 weeks since the cold, and she continues to be fatigued and finds it hard to get enough energy to do things. NS says she has noted that she has been bruising easily. She hit her arm accidentally on the edge of a counter, and now she has a large bruise. She has also noted little purple spots all over her hands and chest. On examination it is noted that she does have a large bruise on her right arm and petechiae and purpura over her chest and hands. Lab work comes back with a platelet count of 40,000mm3.   If both TTP and ITP can present purpura anad petechiae as well as decreased platelet count, choose and EXPLAIN which diagnosis does NS have and why the others can be eliminated.  A. TTP B.  ITP C. DIC
A call to the doctor’s office from an anxious mom reports that her 8-year-old son, Billy, arrives home from school with multiple small bruises (petechiae) and a few larger bruises (ecchymosis) on his arms, legs, and trunk. These bruises were not there when he left for school, and Billy denies being hit or falling. Mom states that he has no significant medical history, and that he is not on any medications. Billy is taken immediately to the emergency room. The mother becomes increasingly anxious as she notices new bruises appearing “in front of her eyes.” Billy also appears tense as he senses some urgency and notices some concern from medical personnel beginning the assessment.   Why does unexplained multiple bruising in a child or adult require prompt medical attention?   How might you understand the natural concern by medical personnel as to the source of the bruises on Billy’s body?   Early assessment of Billy’s vital signs and the child’s welfare indicate that Billy’s condition…

Chapter 20 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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