Question

Graduation wasn't all Thad was hoping for... it was a hot day in that black polyester robe. His whole family was there, mom and aunties and grandmas all smelling of buckets of perfume and granddad, like old cigars. His generation chewed tobacco or smoked cigarettes like normal people! The party showed him he had even more cousins than he thought and all of them made him want to hide. He was so grateful to leave town the next morning. Two weeks off from work at Foot Locker and then he'd start his new job as a lab tech in August. It was all gonna be worth it Thad spent two weeks travelling from Atlanta all the way to San Diego and back. He ate every piece of trucker stop fried food he found, camped with bunches of hippies near Austin Texas. He went fishing with a group of Japanese tourists in the Grand Canyon and on the way back he wound up in some hot tub party with random actresses making their way from Phoenix to Hollywood. Last but not least, he entered (but lost) a bar-b-q eating contest in Albuquerque New Mexico. This was what life was all about! But real life back at Foot Locket was waiting for him. It was like his whole body rebelled against being back at the job he hated. He began to feel nauseous, run a fever and have headaches. Then came the cough, at first it was just dry but later gross lugies were coming up every time. It was kinda getting bad. When his fever hit 105 F his girlfriend told him she would dump him if he didn't go to the ER.. ok then! You work as a Physician's Assistant in the Gwinnett Medical Center ER. Given Thad's risk factors, possible exposures, and symptoms, what are the five most likely infectious agents (names, specific species) that could be causing his symptoms? Please explain your reasoning about why these are most likely (multiple right answers if you can support why it's likely). (10 points) 1.

Answer 1

Thad might be suffering from acute Gastroenteritis. It is irritation to stomach and intestines. the symptoms include abdominal pain and cramping, nausea, diarrhea and vomitting.

In Thads case it might be gastroenterities because nause, vomiting and fever are shown after 24-48 hours of infection.

It might be due to bacteria or viruses.

Bacterial gastroenterities can result from poor hygiene. Eating food thet is undercooked, stored too long at room temperature or not reheated well can cause bacterial gastroenterities, also called "food poisoning"

Causative organisms for Bacterial gastroenterities are

1.Yersinia found in pork

2. Staphylococcus found in meat, diary products and eggs

3.Shigella found in water (often swimming fool)

4.Salmonella found in meat, diary products and eggs

5.E.coli found in ground beef and salad.

Viral gastroenteritis: It may be caused by many number of viruses

Causative viruses are

1.Rotavirus: usually spread orally.

2.Norovirus: Usually spread through contaminated water, food, surfaces or by infected people