Question

Nester et al. MICROBIOLOGY: A Human Perspective Case 1 A 22-year old female automotive technician presents herself at the doctor's office. She complains of fever and of pain in her left hand. On physical examination, the patient had a deep wound on her left palm that was oozing pus. She had purplish, red streaks running up her left arm. She had enlarged lymph nodes at the elbow and under her arm. The patient's skin was warm and dry. In her history, the patient had punctured her left palm with sharp metal from the undercarriage of a "real cherry" 1977 Malibu about a week earlier. She said the wound had bled for a few minutes and she thought that she had washed it "real good" with soap and water. She had covered the wound with a large "Band-Aid" and gone back to work. She developed a fever about three days later. For the past couple of days, she "did not feel so good" and had vomiting and diarrhea. Questions: 1. What is the diagnosis? I How did you determine or concluded that diagnosis? 2. 3. Possible Treatments?

Answer 1

CASE 1:-

1Q) What is the diagnosis?

A) Based on the case scenario by seeing the symptoms of the patient like oozing pus,enlarged lymph nodes,skin was warm and dry and taking into note of how the wound was happened .by taking this into consideration the diagnosis is WOUND SEPSIS.

2Q) How did you determine or conclude the diagnosis?

A) when the wound is infected we can see the symptoms like -expanding redness around the wound,yellowish or cloudy wound drainage,red streaking from the wound,fever and chills, nausea, vomiting diarrhea, swelling and pain around the wound.

based on the scenario we have seen most of the syptoms which are listed above based on that we conclude as wound sepsis is the diagnosis.

3Q) Possible treatments?

A) The possible treatment is -as the pus is oozing drain out the pus from the wound.

-dressing should be done to the wound

-apply bandage to cover the wound and advice the patient to keep the wound dry.

-change the dressing daily with new sterile gloves and bandage

-high prophylactic antibiotic are prescribed to the patrient.