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Chapter 20, Problem 5CCS

A Very Sick Sophomore

Chapter 20, Problem 5CCS, A Very Sick Sophomore In December, a 19-year-old college student experiences a severe headache,

In December, a 19-year-old college student experiences a severe headache, nausea, vomiting, and fever. The student suspects a case of flu and goes to the health center for a diagnosis. By the time he arrives, he is feeling worse, with neck stiffness and disorientation. The doctor immediately prepares to perform a spinal tap.

  1. 1. What disease does the doctor suspect?
  2. 2. What are possible causes of this disease?
  3. 3. The spinal tap reveals the presence of Gram-negative cocci in the CSF. What else was present in the CSF of the patient?
  4. 4. Given the information in question 3, what is the diagnosis?
  5. 5. What might the student's residential assistant in the dorm be concerned about?
  6. 6. How might this disease have been prevented?
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1. Yimeng was diagnosed viral encephalitis, why did the patient have an epilepsy attack during the treatment? 2. As a doctor, how can we clear up the patient’s doubts? How could we react when the patient expressed the need to find your superior attending for further questions?
Please give an explanation: A 32-year-old woman visits her physician with complaints of feeling tired and stiff for the past 2 weeks. She reports that she recently returned from a 2-month-long solo hiking trip and thought the signs and symptoms resulted from her trip. However, within the past few days, she has developed pain in her joints, tendons, bones, and muscles 1.  The patient is unsure of when she was exposed to the infected tick. The physician decides to order the enzyme immunoassay (EIA), hoping the window is adequate for antibody production. The EIA results are positive. What is the physician’s next step? A. Make the Lyme disease diagnosis. B. Order a Western blot for confirmation.
Late in the spring, a young man from rural Idaho developed fever,loss of memory, difficulty in speech, convulsions, and tremor andlapsed into a coma. He tested negative for bacterial meningitis andhad no known contact with wild animals. He survived but had longtermneurological disabilities. What are the possible diseases hemight have had, and how would he have contracted them?

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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