Microbiology with Diseases by Body System (4th Edition)
Microbiology with Diseases by Body System (4th Edition)
4th Edition
ISBN: 9780321918550
Author: Robert W. Bauman Ph.D.
Publisher: PEARSON
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Chapter 22, Problem 3CCS

(1)

Summary Introduction

To determine:

What is the presumptive diagnosis? How can the doctor confirm the diagnosis. Describe the possible treatment for the child. Were the parents irresponsible for not immunizing their child? Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(2)

Summary Introduction

To determine:

How can the doctor confirm the diagnosis?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(3)

Summary Introduction

To determine:

Describe the possible treatment for the child.

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(4)

Summary Introduction

To determine:

Were the parents irresponsible for not immunizing their child?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

(5)

Summary Introduction

To determine:

Is it likely that the infant caught the disease from his older brother? If so, why did the older child not display signs of respiratory distress?

Case summary:

A ten-month-old child has cyanosis and he is taken to the hospital emergency room by women in January. Mother told that he had a fever, runny nose, slight cough, and increasing breathing trouble. He does not have the bronchial diseases. Baby’s mother told that his brother (5 years) is recovering from cold-like symptoms.

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A lethargic 22-month old black female was presented by her mother to the emergency room at 2:15am on a Sunday. The child had a history of a runny nose, hoarse cough and low-grade fever (-99F) for the past 48 hours. The mother was concerned about the forced and noisy breathing of the child. The pediatrician examined the child and found cloudy eyes and mild inflammation of the ears, but no overt signs of bacterial infection (no significant changes in the eardrums). The throat of the child was red and coated with mucus. The larynx was swollen and raw. The physician performed a rapid Strep test and found it was negative. Throat swabs were taken for culture. The physician placed the child in a room with a warm vaporizer for about 30 minutes. This dramatically improved the breathing of the child. 1. What is the infectious agent that caused this case? 2. Do you believe that this is a bacterial or viral disease? Why? 3. What further treatment is indicated for this case?
Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following:   RBC    2.24 X1012 /l   Hb           71 g/l PCV       24% Plt        8.0 X109/l WBC     1.2 X109/l Differential Segmented Neutrophils      2% Lymphocytes                      94% Monocytes                            4% Reticulocyte count                0.7%   She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and…
Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following:   RBC    2.24 X1012 /l   Hb           71 g/l PCV       24% Plt        8.0 X109/l WBC     1.2 X109/l Differential Segmented Neutrophils      2% Lymphocytes                      94% Monocytes                            4% Reticulocyte count                0.7%   She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and…

Chapter 22 Solutions

Microbiology with Diseases by Body System (4th Edition)

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