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3. A 12-year-old child experiences high fever and chills. He also says that his heart feels...
A 12-year-old child experiences high fever and chills. He also says that his heart feels like...
A 12-year-old child experiences high fever and chills. He also says that his heart feels like its pounding. Two weeks before these symptoms, the child fell off his bike and skinned his knee. This child also has a history of a heart murmur. What disease should be considered and what is the treatment? What congenital heart disease is associated with heart murmurs?
Case Study #4 Application to Practice Scenario History Application to Practice Scenario A 13-year-old boy presented to t...
Case Study #4 Application to Practice Scenario History Application to Practice Scenario A 13-year-old boy presented to the clinic complaining of a sore throat that persisted for 2 days. After those 2 days, he developed fever, nausea, and malaise. A throat culture revealed the presence of Group A beta hemolytic streptococci, and the child was started on antibiotic therapy. The child’s symptoms gradually improved, but approximately 2 weeks later, he returned to the clinic because the fever, nausea, and malaise...
A 65-year-old man has chills, high spiking fevers, cough, and signs of consolidation in the left lower lobe of his lung....
A 65-year-old man has chills, high spiking fevers, cough, and signs of consolidation in the left lower lobe of his lung. Blood is drawn for a CBC, sputum is collected for Gram stain and culture, and a chest X-ray film is obtained. Laboratory data are: Hemoglobin: 14.5 g/dL Hematocrit: 42% Red cell indices: All within normal limits White cell count: 24.0 ´ 109/L White cell differential: Segmented neutrophils: 33% Band neutrophils: 61% Lymphocytes: 6% Platelet estimate: Normal with normal morphology...
A The patient was a 32-year-old Haitian male referred to the hospital with a 3-week history...
A The patient was a 32-year-old Haitian male referred to the hospital with a 3-week history of fever, nausea, vomiting, and diarrhea. Four days after returning from Haiti, where he had participated at a funeral with unembalmed bodies, he developed a temperature of 39.50C, myalgias, constipation, and rectal pain. He was admitted to a hospital for an overnight stay and given LV. cefotaxime. He was discharged on oral cephalexin. His symptoms recurred 2 weeks later and his therapy was changed...
A 29-year old female comes for an office visit to her nurse practitioner because she feels...
A 29-year old female comes for an office visit to her nurse practitioner because she feels jittery, anxious, and easily sweating, especially in her palms since a while ago, probably more than 3 years ago. Her old friend that she has meet recently also said that she seems to have lost weight but her lower front neck seems bigger than normal people, which the patient dismiss it as something ridiculous. She claims she has been healthy all her life, and...
Patient 1 is a 45 year-old male. He presented in the ER (with his wife) and...
Patient 1 is a 45 year-old male. He presented in the ER (with his wife) and was suffering from a high fever (>103°F) and severe diarrhea (more than 7 unformed stools/day) that started ~3 days ago. The stools contained blood and mucus. The patient was also severely dehydrated. The attending physician felt that the diagnosis of infectious bacterial colitis is likely and sent a stool culture to the pathology laboratory for diagnosis. The patient was given saline (IV) and anti-diarrhea...
A 47-year old male presents in the clinic with a complaint of recurrent low-grade fevers, weight...
A 47-year old male presents in the clinic with a complaint of recurrent low-grade fevers, weight loss (about 20% of his body weight over a 6 month period), muscle and joint pains, episodes of profuse sweating, weakness and extreme fatigue (in spite of sleeping well at night he feels tired during the day). He eats healthy, but lately, he has no appetite. He disregarded all these symptoms and thought he was just getting old, but then a week ago he...
1. A 17-year-old girl has had a headache, chills, malaise, and fatigue for the past week....
1. A 17-year-old girl has had a headache, chills, malaise, and fatigue for the past week. She reports that her throat is very sore. Her leukocyte count is very high at 18,000/uL of blood. On physical examination, she has an enlarged liver and spleen, and she has enlarged lymph nodes in the anterior and posterior chains of her neck. The client states that three other kids at school have been sick this past week with similar symptoms. a. Why is...
Group 2 Scenario: Valvular Heart Disease/Infective Endocarditis J.F. is a 50-year-old married homemaker that has suffered...
Group 2 Scenario: Valvular Heart Disease/Infective Endocarditis J.F. is a 50-year-old married homemaker that has suffered from recurrent infective endocarditis. The most recent episodes were a Staphylococcus aureus infection of the mitral valve 16 months ago and a Streptococcus viridans infection of the aortic valve 1 month ago. During this latter hospitalization, an echocardiogram showed moderate aortic stenosis, moderate aortic insufficiency, chronic valvular vegetations, and moderate left atrial enlargement. Two years ago, J.F. received an 18-month course of parenteral nutrition...
Ch. 18-Cardiovascular Infections A 39 year-old intravenous heroin user (who was also actively usi...
Ch. 18-Cardiovascular Infections A 39 year-old intravenous heroin user (who was also actively using cocaine on the date of admission) was admitted with cellulitis on the right arm after experiencing fevers for several weeks. He had been treated with outpatient antibiotics without relief of either associated chills or dizziness. Two sets of blood were obtained upon admission. A trans-thoracic echocardiogram demonstrated a 1 cm vegetation on the ventral surface of the aortic valve. The patient left the hospital against medical...
A The patient was a 32-year-old Haitian male referred to the hospital with a 3-week history of fever, nausea, vomiting, and diarrhea. Four days after returning from Haiti, where he had participated at a funeral with unembalmed bodies, he developed a temperature of 39.50C, myalgias, constipation, and rectal pain. He was admitted to a hospital for an overnight stay and given LV. cefotaxime. He was discharged on oral cephalexin. His symptoms recurred 2 weeks later and his therapy was changed...
1. A 17-year-old girl has had a headache, chills, malaise, and fatigue for the past week. She reports that her throat is very sore. Her leukocyte count is very high at 18,000/uL of blood. On physical examination, she has an enlarged liver and spleen, and she has enlarged lymph nodes in the anterior and posterior chains of her neck. The client states that three other kids at school have been sick this past week with similar symptoms. a. Why is...
Ch. 18-Cardiovascular Infections A 39 year-old intravenous heroin user (who was also actively using cocaine on the date of admission) was admitted with cellulitis on the right arm after experiencing fevers for several weeks. He had been treated with outpatient antibiotics without relief of either associated chills or dizziness. Two sets of blood were obtained upon admission. A trans-thoracic echocardiogram demonstrated a 1 cm vegetation on the ventral surface of the aortic valve. The patient left the hospital against medical...
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