Chapter 22, Problem 1CCS

(1)

Summary Introduction

To determine:

Why should pertussis be something to consider. What are the three clinical stages of pertussis? If this is pertussis, why doesn’t Marjorie have the classic “whoop”. What are the CDC recommendations for adults ages 19-64? Which family members are at the highest risk in this situation.  What test can her provider perform to confirm the suspension that Marjorie has pertussis? Is treatment recommended at this time. How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(2)

Summary Introduction

To determine:

What are the three clinical stages of pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(3)

Summary Introduction

To determine:

If this is pertussis, why doesn’t Marjorie have the classic “whoop”

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(4)

Summary Introduction

To determine:

What are the CDC recommendations for adults ages 19-64?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps to her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(5)

Summary Introduction

To determine:

Which family members are at the highest risk in this situation.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(6)

Summary Introduction

To determine:

What test can her provider perform to confirm the suspension that Marjorie has pertussis?

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(7)

Summary Introduction

To determine:

Is treatment recommended at this time.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.

(8)

Summary Introduction

To determine:

How is pertussis spread, and how could Marjorie prevent the spread of her infection to others.

Case summary:

Marjorie, 29-year-old women who had a dry cough for seven days with mild fever, sneezing, and runny nose. After some days she had frequent vomiting and coughing spells. She comes to a family practice office for health care. She is attending evening classes in a part-time college. Her younger cousins (one is 5 years old and another one is 6 years old) also come to the same office for health care because Marjorie helps her aunt with her cousins in the daytime. But those two have no symptoms since they are already vaccinated. Marjorie had the last vaccine at the age of 16. She had a paroxysmal stage of pertussis with a mild cough.