Question

III. A 27-year old white female presented her self at her local physician on August 15. On physical exam, the patient had a fever of 38.5C. She appeared fatigued, had tender abdomen and complained of headache, stiff neck and backache with diarrhea. The physician noted an irregular heartbeat. The patient complained of lack of ability to concentrate. The patient gave the following history: She is a graduate student in the wildlife program at the University in her town. She was in the field for three weeks in Wisconsin during the months of May and June. She tracks small mammals in the field and studies their behavior. It had been a warm, wet spring and she complained of a large number of flies in the area. She felt sick the last day there after eating some canned food, as there was no cooler there. You had no time for culturing, as you need to take action fast. 1. What type of disease she could have based on the symptoms and why? You are not required to name a specific disease but a general type of disease. Naming a disease means you have answered the question wrong. 2. What features are not critical to your diagnosis from the case & why? 3. What further steps should be taken to precisely identify the case & why? What microbes you will not consider and why [name 4). 4. What steps would you take to ensure that the patient is stable till diagnosis is confirmed; explain why would you do this?

Answer 1

Answer: Poge-1 * According to given – Aug. an area before falling - According to the given case, it has been said that the patient had been to such which contained numerous flies. In addition to it, has been said that the patient con Sumed Canned food ill. aking these details into consideration can suspect following disease cases: i) she might have developed some disease due to vector boone parasites. These vectors are ii). The canned food might have intoxicated her body giving rise to food poisoning, we flies in this case.

Evolus. 2 to concentrate and Common Auf 3 fooms of fever due to spreading Page-2 => The features that are not critical for the case are stiff neck lack of ability irregular heart beat. These are to many diseases. - In order to identify the disease and its cause more precisely, various other tests need to be Performed like blood tests, Stool tests. =) It is generally a case of parasites like protozoans that cause various by flies. =) In another case, contamination canned food 2 of bacteria can cause by food poisoning.

we Page 3 =) Besides it, she she might also also have allergy to some content of canned food. so, cannot ignore allergen test completely - There less chances of virus infection in this case. so, this be kept so, this microbe out of consideration. are very less can case. 4.45 =) As the patient is suffering from diarrhea so she should be kept in saline arrang ements. This will maintain her fluid and electrolyte balance and help her recover Sooni - Excessive fluid loss from the body leads to certain symptoms like dizziness, heart beat. cramps and irregular Please give me Positive like. Х