Intervention of redness beyond 0.5 cm of episiotomy and 4th degree laceration, edema in perineal and vulvar, greater than 2 cm from episiotomy, ecchymosis greater than 1 cm bilaterally, bloody discharge and purulent discharge, approximation in skin, subcutaneous fat and fascial layer separation
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Intervention of redness beyond 0.5 cm of episiotomy and 4th degree laceration, edema in perineal and vulvar, greater than 2 cm from episiotomy, ecchymosis greater than 1 cm bilaterally, bloody discharge and purulent discharge, approximation in skin, subcutaneous fat and fascial layer separation
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- Male with a history of blistering lesions on the scalp since the neonatal period andrecurrent pyoderma. After a year and a half of life, he was admitted to a specialty clinic due togeneralized pyoderma associated with febrile illness with lymphadenopathies and abscesses on the thighs. To thephysical examination revealed coarse facies, broad forehead, infraorbital fold, presence of dark circles,low nasal bridge and hypertelorism. In addition to confluent maculopapular lesions in the neckand trunk, occipital eczema, genital gluteal hyperchromic plaque, purulent external otitis. it was triedwith antibiotics with good response, but with persistence of purulent otorrhea. The study of serum immunoglobulins IgM, IgG, IgA, complement, chemotaxis and burstRespiratory was within normal ranges. Serum IgE stood out at 56,400 IU/ml (rangenormal for age 0-90 IU/ml) and eosinophilia. At the age of 2 years 11 months he was hospitalized for genital phlegmon with a good response tocloxacillin plus…Clinical history: Over the course of 1 week, a 6-year-old boy develops 0.5- to 1.0-cm pustules on his face. During the next 2 days, some of the pustules break, forming shallow erosions covered by a honey-colored crust. New lesions then form around the crust. The boy's 40-year-old uncle develops similar lesions after visiting for 1 week during the child's illness. Photos include facial photo, sheep’s blood agar and swab culture stain. What is the proper procedure for a swab culture specimen procurement? Aside from the blood agar and stain, what other tests should be run before diagnosis and treatment? What is the mostly likely diagnosis for this child? What treatment would be common? Knowing this is contagious, what precautions should the patient’s guardians take? No references, just homework Please include referencesClinical History:This 29-year-old male's illness began 10 weeks prior to death, with an episode of "flu". Two weeks later his urine became "smoky". He was found to have hematuria, albuminuria and elevated BUN (180 mg/dl). He died from a pulmonary embolus. Photos include throat photo, blood agar, and grain stain. What specimens should be taken, aside from blood? What tests should be run? Include both a rapid test option and a lower cost test option. What signs and symptoms should have alerted the patient to come in for testing during or after his viral flu episode? What was the most likely cause to the embolus? No references, just homework please include references
- 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 referencesA 31-year-old man presented with slowly spreading hyperpigmented and crusted lesions with the largest measuring 3 cm x 4 cm. The lesion started from the right sole of the foot and spread diffusely through the left ankle. He did not have similar lesions in the past, and there is no significant history of any chronic illness in the past. Upon examining his skin biopsy samples, the histopathological examination results showed: a. Pseudoepitheliomatous epidermal hyperplasia with the presence of pigmented spores arranged singly and in chains with peripheral neutrophil infiltration.b. Ziehl- Neelson staning negativec. PAS positived. Pus and granules negativee. Presence of granulomas along with golden- brown, thick- walled, spherical bodies about 5 to 8 μm in size. Questions: What disease can you infer from the results that are shown? Why have you said so? The case presented can be mistaken for what skin cancer? Why? What treatment is best to be given? What protective measures can be done to…Clinical history: A suspicious envelope arrived for sorting at rural post office. The envelope was opened and found to contain white powder. Approximately two days later, the postal worker who handled the letter developed cutaneous boils, which were 1 to 5 cm in diameter with central necrosis and eschars. He and his wife also developed a mild nonproductive cough with fatigue, myalgia for 72 hours, followed by severe dyspnea, diaphoresis, and cyanosis. Temperature of 39.5°C, pulse 105/min, respiration 25/min, and blood pressure 85/45mm Hg. Crackles were heard at the lung bases. A chest xray shows a widened mediastinum and small pleural effusions. WBC count of 13,130/mm3, hemoglobin 13.7g/dL, hematocrit 41.2%, MCV 91 um3, and platelet count 244,000/mm3. Both died despite antibiotic therapy. Several cattle, horses, and sheep on the postal worker's farm also died. Photos include extremity photo and gram stain. What specimen was most likely collected for the grain stain? Does fact that…
- A 25-year-old man presents with complaints of scaling skin lesions over the elbow, as shown in the image attached, that are waxing and waning over the past year. On physical examination, similar lesions are present on the buttock region, trunk, and knees along with yellow discoloration and pitting of the nails. Which of the following microscopic findings is most likely seen in the skin lesions? Answers A-E A Hypergranulosis and interface dermatitis B Hyperkeratosis and keratin horn cysts C D Parakeratosis and Munro microabscess Subepidermal separation of the basal cells E Suprabasal acantholysis and fluid accumulation O O Question # 38 attachmentA 35 year old half Filipino- half Pakistan presented to the outpatient department of dermatology at CVMC, with chief complaints of numerous hyperpigmented lesions on the proximal arms and on the upper back of approximately 5 months’ duration. The lesions become so itchy with the change of weather or when the affected parts got sweating. There was no other cutaneous or systemic complaints. His past health was unremarkable. The physical examination revealed numerous sharply demarcated brownish macules and patches on the arms and back. The size of the lesions ranged 3- 6 mm in diameter. Under the wood lamp examination, some of the lesions fluoresced into yellowish gold. Questions: Based on the clinical appearance of the lesions, what diagnosis can you infer? This is caused by what organism? If the scrapings from lesions will be tested for 10% KOH, what pattern or appearance can be seen under the microscope? What causes the hyperpigmentation of the lesions? What can be done to treat and…Case Study Diagnostic Analysis
- Explain why cellular components of all resected skinlesions should be evaluated by a pathologist.Pallor may follow which disease process: Hypoxia Hypercapnia Mucosal edema Pleural effusionClinical History:A 67-year-old male had rheumatic heart disease for thirty years. Three months prior to death he began to have episodes of fever and chills accompanied by signs of worsening congestive heart failure. Splinter hemorrhages and purpuric skin rashes were noted three weeks before death. Photos include splinter hemorrhage, blood plate, and gram stain. What specimens should have been obtained from the patient? What is the proper protocol for specimen collection, ID, and storage? What diagnostic tests would be performed? This could be a case of endocarditis. What bacteria could have contributed and how could it have been treated?