A 44-year-old Nigerian man was admitted as an emergency while visiting relatives in England. His symptoms include abdominal pain, sweating, rigors and vomiting. Had been treated twice for malaria but had never taken malarial prophylaxis. Examination revealed he is ill and jaundiced, temperature of 39.2°C, blood pressure was 90/70, but no signs of visceral perforation. Differential diagnosis include– occult gastrointestinal bleeding, septicaemia, hepatitis or recurrence of malaria Emergency investigations: normal haemoglobin (140g/l), white cell count of 6.1 x 109/l, sickle-cell anaemia (excluded), thick blood film Treatment: intravenous quinine. Unfortunately the Px rapidly deteriorated over the next 30h leading to cardiac arrest. Post-mortem diagnosis: Cerebral Malaria QUESTION: 1.What is your final diagnosis here? Explain the cause of his disease. 2. What drug, dosage form, schedule, and duration of therapy are best for treating patients with this condition?

A 44-year-old Nigerian man was admitted as an emergency while visiting relatives in England. His symptoms include abdominal pain, sweating, rigors and vomiting. Had been treated twice for malaria but had never taken malarial prophylaxis. Examination revealed he is ill and jaundiced, temperature of 39.2°C, blood pressure was 90/70, but no signs of visceral perforation. Differential diagnosis include– occult gastrointestinal bleeding, septicaemia, hepatitis or recurrence of malaria Emergency investigations: normal haemoglobin (140g/l), white cell count of 6.1 x 109/l, sickle-cell anaemia (excluded), thick blood film Treatment: intravenous quinine. Unfortunately the Px rapidly deteriorated over the next 30h leading to cardiac arrest. Post-mortem diagnosis: Cerebral Malaria QUESTION: 1.What is your final diagnosis here? Explain the cause of his disease. 2. What drug, dosage form, schedule, and duration of therapy are best for treating patients with this condition?

Health Safety And Nutrition F/Young Child

9th Edition

ISBN:9781305144767

Author:MAROTZ

Publisher:MAROTZ

Chapter6: Childhood Illnesses

Section: Chapter Questions

Problem A2CR

See similar textbooks

Similar questions

A fever is considered to be a ____________________________. prognosis sign symptom syndrome
The Alaska Department of Public Health was notified that foodborne illness had occurred in fishermen aboard a fishing boat off the Alaska peninsula. The fishermen had eaten steamed clams and mussels, boiled rice, boiled potatoes, and green salad. No alcohol was consumed. Symptoms experienced by the fishermen included numbness of the lips, tingling of the extremities, uncoordinated movements, incoherent speech, and nausea. Identify the etiologic (causative) agent of this outbreak of food poisoning. How did the food get contaminated, and what item was contaminated? What is the treatment, if any? How could this illness have been prevented?
What is the correct diagnosis of the disease and the causative agent(s). A 28 year old male presented to the emergency deaprtment with a 1 day history of sore throat and fever. Upon physical examination, there was tonsillar swelling noted without the prescence of pus. A throat swab was conducted and a rapid antigen detection test for Group A Streptococcus (GAS) was performed in the ED. Results were negative. A throat swab for the culture was also collected. The patient was sent home with a diagnosis of presumed viral pharyngitis. The next day, the patient returned to the ED with worsening sore throat and difficulty swallowing. Pus was seen on the tonsils and the uvula was deviated towars one sight of his throat. Viral Agents. Bacteria Rhinovirus Group A streptococcus Adenovirus Group C Streptococcus Coronavirus G SStreptococcus…
Please give an explanation: A 32-year-old woman visits her physician with complaints of feeling tired and stiff for the past 2 weeks. She reports that she recently returned from a 2-month-long solo hiking trip and thought the signs and symptoms resulted from her trip. However, within the past few days, she has developed pain in her joints, tendons, bones, and muscles 1. The patient is unsure of when she was exposed to the infected tick. The physician decides to order the enzyme immunoassay (EIA), hoping the window is adequate for antibody production. The EIA results are positive. What is the physician’s next step? A. Make the Lyme disease diagnosis. B. Order a Western blot for confirmation.
A 63-year-old woman presented with increasing darkening of the skin, dizziness, and easy fatigability, nausea with occasional vomiting and progressive weight loss over eight months prior to presentation. There were no headaches, blurred vision, and neither loss of consciousness nor change in her bowel habit. The medical history and systemic review revealed no abnormality and were not significant as to the likely cause of her disease state. Physical examination revealed an elderly lady, pale, asthenic with generalized hyperpigmentation especially on the face, oral mucosa, palmar creases and knuckles. No features of malnutrition or hypovitaminosis. There was no significant peripheral lymphadenopathy. Main findings in the systemic examination were a pulse of 106 bpm, regular and small; blood pressure 100/60 mmHg supine and 70/40mmHg sitting. She could not stand on account of severe postural dizziness. The apex beat was normal. Fundoscopy revealed a normal fundus. All other systems were…
Clinical History:58-year-old African American female had been hemiplegic on the right side for 3 months prior to death. She developed malaise, fever and chills after visiting with her grandchildren. Her infection progressed. She developed dyspnea and expired. Sputum sample, gram stain. Photo includes sputum sample and gram stain. Does the visit with the grandchildren contribute to condition or no? What could have been a likely cause of the infection? What biosafety level is the causative agent? What type of cleaning agent would be effective against the causative agent? If this patient entered the hospital, what precautions would the staff take? no references, just homework Please include references
22-year-old woman has had recurrent episodes of diarrhea, crampy abdominal pain, and slight fever over the last 2 years. At first the episodes, which usually last 1 or 2 weeks, were several months apart, but recently they have occurred more frequently. Other symptoms have included mild joint pain and sometimes red skin lesions. On at least one occasion, her stool has been guaiac-positive, indicating the presence of occult blood. Colonoscopy reveals several sharply delineated areas with thickening of the bowel wall and mucosal ulceration. Areas adjacent to these lesions appear normal. Biopsies of the affected areas show full-thickness inflammation of the bowel wall and several noncaseating granulomas. 1. What is the most likely diagnosis? 2. What are the common complications of this disease?
Create a Pathophysiology for a 9 year old patient with a diagnosis of dengue hemorrhagic fever.
A 63-year old presented to a local doctor with a history of alternating constipation and diarrhoea for six months, associated with a feeling of incomplete evacuation following defaecation and several episodes of bright blood coating her bowel motion. A diagnosis was made and a portion of the left colon and rectum was removed surgically. Discuss the aetiology and pathogenesis of the disease and what you consider the most likely cause of the presenting signs and symptoms. Also explain what complications might have ensued if the lesion had not been excised.
Discuss the sequelae in streptococcal infection. please make it comprehensive in detail. give the exact thoughts and detail to support the statement
a 23-year-old male presented to the er with a 5-day history of fever, headache, sore throat, muscle pain, nausea, and diarrhea. he described his headache as a 10/10 on a pain scale, and was worsened by bright lights, movement, or noise. He had migraines in the past but stated this felt different. He said there was not a prior history of head injury, chest pain, or ear pain. He does not have abdominal pain, dysuria, or a skin rash. No recent alcohol or illicit drug use, travel, or exposure to ticks. Upon physical exam, he had right-sided tonsillar exudates and swelling. Even though neck pain was described with his headache, the neck was supple. Following lumbar puncture, 4 nucleated cells and 87% lymphocytes were shown. CSF protein and glucose were within normal limits. He had a normal white blood cell count but a low blood lymphocyte count of 720 cells/uL (normal is 1500 - 5000/uL). Chest radiograph came back normal. CSF was sent for herpes simplex virus (HSV) PCR and for bacterial…
A 50-year-old patient was hospitalized in the infectious department of the district hospital on the 4th day of illness with suspected typhoid-paratyphoid disease. The disease began with a gradual rise in temperature, which reached a maximum level of 39 degrees C on the 3rd day. Complaints of headache, loss of appetite, general weakness, constipation, bloating and flatulence. From the anamnesis: a family member of the patient 2 months ago fell ill with typhoid fever. Objectively: remitting fever, pale skin, moderately bloated abdomen, slight enlargement of the liver and spleen, mental retardation. There is no rash. 1-What serological tests should be used to establish the etiology of typhoid? 2-What are the features of serological diagnosis in the early stages of the disease? What measures should be taken to avoid false-negative serological results in the early stages? 3-What serological reactions are used for serological diagnosis of typhoid fever and paratyphoid fever? Compare and…