EBK MICROBIOLOGY:W/DISEASES BY BODY...-
EBK MICROBIOLOGY:W/DISEASES BY BODY...-
5th Edition
ISBN: 9780134608242
Author: BAUMAN
Publisher: PEARSON
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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
Randi Marchant, a 42-year-old waitress, was vacuuming the family room when she felt that painful squeezing in her chest again. This was the third time today, but this one really hurt. She sat down to catch her breath and stubbed out the cigarette she had left smoldering in the half-filled ashtray by the couch. Randi’s husband, Jimmy, and stepdaughter Melonie had pestered her until she finally had taken time off work to see her doctor. Dr. Harris found that her blood pressure was 158/88—probably owing to the noon rush stress at work, she rationalized. At least her cholesterol test was only 30 points above average this time. It had been slowly coming down, even though she cheated on her diet. Another wave of pain tightened its icy fingers around her heart, and the pain moved up into both sides of her jaw. Randi thought, “Probably just a little heartburn. Since the pain doesn’t radiate down my left arm, it couldn’t be my heart, could it?” “Don’t think about the pain,” she told herself.…

Chapter 20 Solutions

EBK MICROBIOLOGY:W/DISEASES BY BODY...-

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