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Patient Name: Cheryl Rodriguez
Date of Birth: 11/3/2001
Clinical Notes: Patient presents with three erythematous rings of vesicles on the posterior torso. (One of the lesions is pictured here.) The patient has no history of relevant trauma. Patient reports that the lesions are itchy, and she occasionally feels a burning sensation.
Question #1: The physician suspects a fungal infection. If this is a fungal infection, what is her specific diagnosis?
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Question #2: How is this type of fungal infection spread (transmitted)?
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Question #3: What type of treatment will be necessary?
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Question #4: How can Ms. Rodriguez prevent future fungal infections?
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Question #5: Who is most at risk for this type of fungal infection?
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Patient Name: Rosie Deveraux
Date of Birth: 2/3/2015
Clinical Notes: Patient presents to the clinic with an itchy scalp. She has been scratching her head for several days and has several red, irritated spots throughout her scalp. Her mother suspects that she may have been in contact with another child who had a lice infection while at school.
Upon examination, the presence of lice eggs (nits) is confirmed.
Question #1: What is the scientific name of the louse found in this case?
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Question #2: The term excoriation can be used to describe the irritation found on her scalp. What does “excoriation” mean?
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Question #3: Explain how this infection is different from scabies.
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Question #4: What type of treatment will be necessary?
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Question #5: This type of infection is considered a parasitic infection. What does “parasitic” mean?
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Patient Name: Marcus Daniels
Date of Birth: 4/7/1998
Clinical Notes: Patient presents with a limp and moderate right hip pain. He reports that the pain began after a minor fall his staircase at home. He had a small bruise from the incident that resolved within a week, but the pain remained and continues to get worse. He reports that the pain feels “deep,” as if it is “inside the joint.” He has been using ibuprofen for several days, but does not notice a difference in pain levels. In the last two days, has notice increased fatigue and a mild fever.
Blood tests showed an increase in WBC (white blood cell count) and ESR (erythrocyte sedimentation rate). An x-ray showed an abnormality in the bone tissue in the proximal femur, ischium, and ilium.
The physician suspects osteomyelitis and refers Mr. Daniels for further testing.
Question #1: What is the cause of osteomyelitis?
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Question #2: Which diagnostic tools might the physician consider to confirm the diagnosis of osteomyelitis?
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Question #3: How is osteomyelitis treated?
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Question #4: Why was Mr. Daniels’ WBC count elevated?
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Question #5: List and describe two possible complications of osteomyelitis.
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