
Microbiology Fundamentals 2nd Edition by Jennifer Bunn,Marjorie Kelly Cowan
Edition 2ISBN: 978-1259572760
Microbiology Fundamentals 2nd Edition by Jennifer Bunn,Marjorie Kelly Cowan
Edition 2ISBN: 978-1259572760 Exercise 1
C A S E F I L E
It's All in the Walk
One of the most disturbing and gut-wrenching cases I was ever involved in concerned a 10-yearold girl who was brought to the emergency room by her mother, who was afraid her daughter had appendicitis. What her daughter turned out to have was far more troubling.
The patient had developed a high fever (39.4°C [103°F]) and was complaining of severe lower abdominal pain. Upon questioning, the patient also admitted to painful urination. As I led her into an examining room, I noticed that she walked taking very small steps. She did not lift her feet off the floor and seemed reluctant or unable to straighten up fully. Her odd gait raised a red flag in my mind.
After performing a quick abdominal examination and obtaining vital signs, I found the physician on call and told her about the patient's symptoms. I also described how the patient moved with an odd shuffling gait. Although I could not recall what I had learned about the symptom, I knew that it was a diagnostic feature. The physician asked me how old the patient was and asked if I had had the opportunity to ask the patient whether she was sexually active. I had not done so due to the patient's age. To my surprise, the physician asked me to prepare for an internal (vaginal) exam in another room while she examined the patient and spoke to her mother.
• What condition did the physician suspect?
• Is the condition reportable? If so, to whom would you report it?
It's All in the Walk
One of the most disturbing and gut-wrenching cases I was ever involved in concerned a 10-yearold girl who was brought to the emergency room by her mother, who was afraid her daughter had appendicitis. What her daughter turned out to have was far more troubling.
The patient had developed a high fever (39.4°C [103°F]) and was complaining of severe lower abdominal pain. Upon questioning, the patient also admitted to painful urination. As I led her into an examining room, I noticed that she walked taking very small steps. She did not lift her feet off the floor and seemed reluctant or unable to straighten up fully. Her odd gait raised a red flag in my mind.
After performing a quick abdominal examination and obtaining vital signs, I found the physician on call and told her about the patient's symptoms. I also described how the patient moved with an odd shuffling gait. Although I could not recall what I had learned about the symptom, I knew that it was a diagnostic feature. The physician asked me how old the patient was and asked if I had had the opportunity to ask the patient whether she was sexually active. I had not done so due to the patient's age. To my surprise, the physician asked me to prepare for an internal (vaginal) exam in another room while she examined the patient and spoke to her mother.
• What condition did the physician suspect?
• Is the condition reportable? If so, to whom would you report it?
Explanation
The young patient presented high fever, ...
Microbiology Fundamentals 2nd Edition by Jennifer Bunn,Marjorie Kelly Cowan
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