Question

PATIENT CASE History of Present Illness K.I. is a 14-year-old white female, who presents with her mother at the hospital emergency room complaining of a "very sore throat, a rash all over, and chills." She has had the sore throat for two days, but the rash and chills have developed within the past 12 hours Past Medical History Negative for surgeries and hospitalizations Negative for serious injuries and bone fractures Measles, age 3 Chickenpox, age 6 Strep pharyngitis and severe case of rheumatic fever (arthritis, carditis, chorea), age 8 treated with ibuprofen and penicillin Has worn eyeglasses since age 12 Family History Oldest of 6 siblings (3 sisters, 2 brothers) Father co-owns and manages tile company with his brother Mother is homemaker Youngest sister also developed strep pharyngitis and rheumatic fever 6 years ago Social History "A-B" student in 9th grade Would like to attend University of Wisconsin-Madison and major in computer science Enjoys reading, music, and using the internet

Help please.. questions 1-9 please

Answer 1

1, scarlet fever, it is an infection develop for people who have strep throat.
2, Sore throat
Fever
chills
Rashes
Throat erythema
Tonsillar swelling
Cervical adenopathy
Latex agglutination for group A strep- positive
WBC -16,500/mm3
Antistreptolysin o- positive
CRP -19.5mg/dl
3, Rheumatoid fever is a complication of scarlet fever. when a child has strep bacterial infection it can trigger an autoimmune response and worsen the symptoms
4, Patient having history of rheumatoid fever at the 8 years. patient CRP level is increased it indicates inflammation. patient having strep thorat infection it resut in inflammation in the heart.
5, Regular monitoring important to avoid strep A infection to other children. It can be avoided with regular hand washing techniques, avoiding close contact with others, covering the nose and mouth while coughing and sneezing.
6, CRP level abnormal may be due to inflammation.
7, When there is infection there will be exudate material present in the pharynx and make nodes and tender in the pharynx it cause cervical adenopathy.
8, When there are infection and inflammation it increases the WBC count, predominating polymorphonuclear leukocytes and less mature cell forms cause leukocytosis
9, Drug of choice include oral administering penicillin 250mg two to three times daily for 10 days.