Question: Medical history (hx) the patient is a female, age 19. she was
admitted to the hospital for … Qu…


medical history (hx) the patient is a female, age 19. she was
admitted to the hospital for … Question: MEDICAL HISTORY (Hx) The
patient is a female, age 19. She was admitted to the hospital for
prolon… MEDICAL HISTORY (Hx) The patient is a female, age 19. She
was admitted to the hospital for prolonged diarrhea. The patient is
an anthropology major attending school in Madison, WI. She is in a
monogamous relationship and is sexually active. She is allergic to
wasp and bee venom. She has a family history of Alzheimer’s
disease. She lives with one roommate in student housing. She does
not own any pets herself; however, she often cares for her
roommate’s turtle (a red-eared slider). Over her most recent spring
break, she took several short trips. First, she and her boyfriend
went camping in the woods for a night. A few days later, she and
her roommate spent six days in Cancun, Mexico, with several other
friends. During the last few days of her trip, she began to feel
unusually tired and occasionally nauseous, with abdominal cramping
and increased flatulence. Following her return to the US, the
frequency of her bowel movements increased from roughly once every
day, to an average of four times a day. In addition, her bowel
movements have become loose, off-colored (pale), and occasionally
watery. She has lost roughly 5 lbs since returning from her trip.
Neither her roommate nor boyfriend has shown any signs of illness.
Click here to access Diseases in Focus Tables 25.2, 25.3 and 25.4,
and 25.5. Part B Refine your hypothesis Now that you have narrowed
down your selections a bit, you need some more information about
what your patient could’ve come into contact with. The fact that
she has recently traveled to Mexico could’ve exposed her to a
number of pathogens; however, you also know of some potential
sources of disease she could’ve encountered at her home. Reviewing
her chart, you see that your patient first began feeling ill toward
the end of her time in Mexico. You decide to ask her some more
questions about the trip. She replies that she and her roommate
went to Cancun 22 days ago. They stayed at a beachside resort;
however, they did venture out of the city to hike and swim in a
cenote (a groundwater pool). She noted that she had tried to be
careful about what she ate and drank during the trip, but admitted
that on occasion she had eaten salads and consumed beverages
containing ice. Part C Which of the following diseases are not very
likely candidates for your patient’s condition, based upon when
your patient first started feeling sick? Remember, you want to
consider as many logical possibilities as you can; if you do not
have documentation about the time course of the disease, you should
not assume that it can be eliminated. Select all choices that are
NOT likely based upon the time course of symptoms. View Available
Hint(s) Hint 1. The time course of disease opened hint In simplest
terms, we can think of the length of time for which a disease is
symptomatic as either acute or chronic. An acute disease rapidly
becomes symptomatic, and/or does not last very long. Many diseases
with an acute onset tend to be “self-limiting” in that they will
run their course within a matter of days to a couple weeks. Chronic
diseases have much more long-lasting effects. Generally, a chronic
disease is one that persists for three months or more. Many
diseases fall somewhere in-between these two generalized categories
(a given disease may not be chronic, but it has prolonged effects
beyond the time course of a self-limiting disease). Hint 2. The
time couse of eventsopened hint Your patient went on vacation to
Mexico 22 days ago. She was there for 6 days. You do not know when
she contracted the disease; however, you do know that she started
to feel ill toward the end of her trip. This means that even if she
started to develop symptoms on the last day she was in Mexico, the
minimum amount of time that she has been symptomatic is 17 days.
What does that tell you about the time course of disease your
patient has? Select all choices that are NOT likely based upon the
time course of symptoms. salmonellosis typhoid fever a form of
bacterial gastroenteritis or bacterial-associated diarrhea a form
of hepatitis viral gastroenteritis giardiasis Cyclospora diarrheal
infection tapeworms

(Visited 1 times, 1 visits today)
Translate »