An Outbreak at the Michigan State University is my next medical investigation. I was called to the campus to investigate the outbreak and all of its victims. There are 9 patients they are suspected to be victims of the outbreak. Sue, Jill, Marco, Maria, Maggie, Alvin, Arnie, Anthony, and Wanda. The patients came into the campus infirmary worried about their symptoms.
This is a 25 year old African American male who is here because he is experiencing burning secsation with urination, and irritation at the penus. Patient is also requesting stuture removed form his right hand. difficulty with Patient denies chest pain, SOB, N/V/D, or fever. Patient denies depressive moods, thoughts of suicide or homicide. current pain
Patient states that plays football an in Nov. 14 the patient states he was blocking a player when the player ran into his right hand with his face mask on. After her his injury the patient states he has had three x-rays in which all were negative. However, the patient states he continues to have swelling, pain that radiates to his thumb, pinky finger and wrist. Also the patient statesthat he has a lump in the middle of his hand. The patient states that he had a MRI schedule at his college by he had cancel it due to traveling.
But the staff understood and Dr. Westwood got an ambulance and reached to ED. He presented with diaphoresis, motor dysfunction, paresthesia, nausea, and ascending paralysis from his leg to the upper body, arms, face and head. He became cyanotic and hyperventilating and it turned to be bradycardiac with a BP 90/50mmHg. After five hour long clinical treatment procedures were followed for tetrodotoxin poisoning, his vital signs were
1. Describe the problem as told by a health care professional For this interview project, I chose to interview Dr. Shawn Fagan, MD. He is a burn surgeon and intensivist for the Joseph M. Still Burn Center at Doctors Hospital in Augusta. Dr. Fagan has is board certified in both surgery and surgical critical care by the American Board of Surgery. He has participated in numerous studies in the area of exfoliative and necrotizing diseases of the skin.
Section 1: Identification of the unknown pathogen Patient is Terrance V. Haller, a 13-year-old male who enjoys outdoor activities such as skateboarding. No previous medical history and there are no known allergies. Terrance had a skateboarding accident where there were multiple lacerations and contusions. The wound on his forearm extending to his elbow was slow healing and therefore became pus producing. The patient has since returned to his primary care physician to find out what is going on.
Patients with SJS initially experience flulike symptoms, itching, coughing, headache, myalgia, burning of the eyes, and fever lasting 1 to 14 days. The characteristic rash usually appears 1 to 3 weeks after exposure to the offending trigger. At first, the rash appears red and purple Next, target lesions develop: small vesicles (blisters) on an erythematous or dusky purple base. Often, SJS involves bullae (fluid-filled lesions more than 5 mm in diameter) and more atypical target lesions: erythematous or dusky purple but variable in size, confluent (tending to move together), and including vesicles (raised lesions filled with clear fluid and less than 5 mm in diameter),-" ' The lesions tend to be painful and itchy. They can occur anywhere but arc most commonly found on the face, trunk, hands, soles, and fronts of the arms and legs.
He was a known heroin user and was in and out of treatment. You were able to see the track marks in both of his arms. His skin was cyanotic, pale and clammy, along with pinpoint pupils. The ALS provider struggled to get an IV due to the long term drug abuse, so his veins were not adequate. Also, there wasn 't a clear report on when the patient was last seen at his baseline and responsive.
Followup in one year to make sure he is not having any worsening of the strength or sensation of his extremities. I have advised him to contact me soon than this, though, should he have worsening of the strength or sensation of his extremities, especially of his distal lower extremities or other neurological difficulties before then. Thank you for allowing me to participate in this patient 's care, Craig Johnson,