Cavities Gone Wild
Five-year-old Daniel appears to be shy. He always looks at the floor, has no friends, never plays with the other children, and will rarely speak to adults. When he does speak, it is difficult to understand his broken enunciation. His skinny frame and the dark circles under his eyes make him appear malnourished. Daniel cries frequently and misses many days of school.
A speech specialist at school finds that only two of Daniel’s teeth are healthy; all the others have rotted away to the gum line. The little guy is in constant pain, and it hurts to chew. A doctor later determines that bacteria from the cavities in his mouth have entered his bloodstream and infected his heart, causing an irregular heartbeat and poor blood circulation.
- 1. How does knowledge of biofilms help explain the bulk of Daniel’s problems?
- 2. What can Daniel, his parents, and health care professionals do to cure his diseases?
- 3. What is the scientific name of the nutrient that Daniel’s parents should eliminate from his diet to help prevent a repeat of this condition?
- 4. A recent study has shown that brushing does more than clean plaque from the teeth; it also disrupts associations between oral bacteria. How does this simple act help prevent the formation of biofilms?
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Chapter 6 Solutions
EP MICROBIOLOGY:W/DISEASES BY..-MOD.ACC
- Kate Bradley, age 22, is an avid swimmer. She swims year-round at least 2 days per week. Kate has an extensive history as a young child of repeated ear infections. She even had surgical placement of polyethylene tubes (PE) twice in her younger years to help decrease her frequent ear infections. Lately, Kate has developed left ear pain. She does not have an increased body temperature but notices an increase in left ear pain upon movement of the pinna. She thinks the outer ear looks a bit swollen but doesn’t notice any drainage coming from the ear. Kate also has noted a couple of instances where her balance has been impaired. She calls her practitioner and makes an appointment to have her ear checked. Cerumen is seen in the ear canal upon examination; explain how this waxy substance serves to protect the ear.arrow_forwardKate Bradley, age 22, is an avid swimmer. She swims year-round at least 2 days per week. Kate has an extensive history as a young child of repeated ear infections. She even had surgical placement of polyethylene tubes (PE) twice in her younger years to help decrease her frequent ear infections. Lately, Kate has developed left ear pain. She does not have an increased body temperature but notices an increase in left ear pain upon movement of the pinna. She thinks the outer ear looks a bit swollen but doesn’t notice any drainage coming from the ear. Kate also has noted a couple of instances where her balance has been impaired. She calls her practitioner and makes an appointment to have her ear checked. Explain why Kate’s middle ear infections have decreased as she has advanced in age.arrow_forwardPatty Turner age 7 has symptoms that include a skin rash, fever, slowed growth, fatigue, and swelling in the joints. She was diagnosed as having juvenile __________ arthritis.arrow_forward
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- Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. Which of the following anatomical structures is weakened, causing Jim’s heartburn? Pyloric sphincter Lower esophageal sphincter Fundus of the stomach Muscularis layer of the stomacharrow_forwardJim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. What is the medical name for heartburn?arrow_forwardJim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. List and describe 3 risk factors that Jim has for GERD.arrow_forward
- Ella is an attorney who has worked in private practice for 25 years. She estimates she works 70 hours/week between the office and the courtroom. She has attributed her persistent fatigue to her schedule, poor diet (“I usually eat on the run, whatever is available”) and alcohol consumption (“I drink a bottle of wine a couple nights a week, and maybe more at the weekend especially if there are lots of dinners with clients”). Her fatigue has recently worsened and she has been feeling nauseous and light-headed consistently over the last several days. Parameter Result Normal Glucose 87 70-99 mg/dL BUN 12 7-22 mg/dL Creatinine 0.71 0.5-1.2 mg/dL Na 141 135-145 mmol/L K 4.9 3.5-5.3 mmol/L Cl 103 98-109 mmol/L CO2 24 22-26 mmol/L Calcium 9.2 8.6-10.2 mg/dL Phosphorus 2.7 2.6-4.9 mg/dL Albumin 3.0 3.2-4.6 g/dL Bilirubin 2.2 0.2-1.2 mg/dL Lactate dehydrogenase (LDH) 190 99-191 IU/L…arrow_forwardElla is an attorney who has worked in private practice for 25 years. She estimates she works 70 hours/week between the office and the courtroom. She has attributed her persistent fatigue to her schedule, poor diet (“I usually eat on the run, whatever is available”) and alcohol consumption (“I drink a bottle of wine a couple nights a week, and maybe more at the weekend especially if there are lots of dinners with clients”). Her fatigue has recently worsened and she has been feeling nauseous and light-headed consistently over the last several days. How do you interpret the increases in ALT, AST and LDH and what is the most likely cause of this? Lactate dehydrogenase (LDH) 190 99-191 IU/L Aspartate amino-transferase (AST) 260 12-45 IU/L Alanine aminotransferase (ALT) 76 <34 IU/Larrow_forwardA 61-year-old gentleman was well-know to his neighbors as a friendly man who liked to drink too much. Over the course of 4-6 weeks, the neighbors noticed a change in the man's personality. He was less friendly, seemed not to remember their names, when he did talk he complained of headaches (of which he had not complained before), and they even talked among themselves as to the unsteady gait and dragging foot they saw when he would leave his apartment. Speculation ranged from drinking yet more, to his excessive alcohol consumption just catching up with him, to a simple function of premature aging. When the neighbors didn't see the man for several days, they called the police. Unable to get any response, officers made entry, finding the man in bed, lying on his side, with his face hanging down toward the floor. He was dead. An open wound was noted just above the eyebrow, approximately 2 inches long, with undermining of its superior edge; tissue bridges were seen, as were areas of…arrow_forward
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