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Thesis on food poisoning
Food poisoning case study
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The patient has experienced fever, chills on body, headaches and anorexia as well as sweating especially during the night. The patient has also been feeling fatigued, muscle aches and nausea as well as vomiting especially after eating (WHO, 2010, p. 117). These symptoms started forty eight hours ago, and the patient has not taken any medication except for some aspirin.
The patient has also been suffering from frequent fevers in the past two months. He has also suffered from frequent headaches but has always taken painkillers (Bloland & Williams, 2003, p. 58). On fevers, the patient has frequently visited a local health clinic that has never done any diagnosis but has given medication, which reduces the fever.
The patient has high temperature, and extreme sweating as well as visible chills on body.
Microscopy will be performed on the patient to establish the type of malaria parasite and the number of these parasites in his/her blood sample. The blood sample can be extracted through a finger stab and then made into thick and thin films, and examined severally using a 100x oil immersion objective after staining them with Romanovsky stain (Warrell, Cox, & Firth, 2005, p. 734). By observation, the species of plasmodium can be seen and the number of them established
as well.
Depending on the number of parasites and the type of parasites, the type of malaria can now be determined. Antimalarials with specific infectivity suppressive action such as derivatives of artemisinin and primaquine can be prescribed to reduce malaria transmission at all intensities. For falciparum malaria, which is very lethal, the patient should be referred to a larger facility for aggressive therapy as well as parenteral antimalarials or quinine derivative malaria drugs and supportive care (Bloland & Williams, 2003, p. 57).
1. What are the general symptoms and signs of malaria?
2. Why is it not possible nowadays to diagnose malaria with a set of signs and symptoms?The patient has been coughing for the last two weeks, lost 5 kilograms in weight, and whenever he coughs, very thick sputum in produced. Furthermore, the patient has been having chest pains, fever, sweating especially at night and loss of appetite (Harries, Maher, & Graham, 2004, p. 50). The sputum that is produced on coughing is not thick and is yellow in color (Warrell, Cox, & Firth, 2005, p. 560).
The patient has been experiencing fever for the past 3 months but takes medication, which reduces the fever.
The patient has high temperature-sign of fever, a very fast pulse rate (tachycardia), and chest wheezing when listened to using a stethoscope (Harries, Maher, & Graham, 2004, p.
Examination revealed an oxygen saturation of 98% and blood pressure of 145/90. Oropharyngeal inspection revealed significant crowding (Mallampati class 3) with macroglossia. Chest auscultation was clear and two heart sounds were audible with nil else.
The EB’s case study said the female patient is 50 years old with symptoms of fever, chills, congestion, three weeks of coughing, shortness of breath when walking. The study implies that the patient is now seeking medical advice due to vital signs recording and the noting of decreased breath sounds and wheezing. She denies smoking and not taking any chronic medication.
The patient is a 16-year-old high school student who is referred to "through not any gastrointestinal problems. Vomiting occurs as a result of the nausea. This has been going for about 3 1/2 years."
On admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings. J.P. was positive for dyspnea and a productive cough. She also was positive for dysuria and hematuria, but negative for flank pain. After close examination of her integumentary and musculoskeletal system, the examiner discovered a shiny firm shin on the right lower extremity with +2 edema complemented by severe pain. A set of baseline vitals were also performed revealing a blood pressure of 124/80, pulse of 87 beats per minute, oxygen saturation of 99%, temperature of 97.3 degrees Fahrenheit, and respiration of 12 breaths per minute. The blood and metabolic panel exposed several abnormal labs. A red blood cell count of 3.99, white blood cell count of 22.5, hemoglobin of 10.9, hematocrit of 33.7%, sodium level of 13, potassium level of 3.1, carbon dioxide level of 10, creatinine level of 3.24, glucose level of 200, and a BUN level of 33 were the abnormal labs.
The physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. When the amount of oxygen available for the heart is low, it puts pressure on the heart and causes the heart rates to increase. To compensate for the low amount of oxygen the respiratory rate also increases to enable the intake of more oxygen that is be available for the body.
Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x 3 and cheerful. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a pleural suction drainage tube inserted in his chest . Pt is extremely thin with poor skin turgor with a diagnosis of cachexia ( wasting) secondary to malnutrition and infection. Patient is no known allergies to drugs but is allergic to aerosol sprays disinfectants and dust.. Advanced directives on chart. Code status DNR. Primary physician Dr. R, Thoracic surgeon Dr. L. Psychology Dr.W. There is PT, OT Dietary and Infectious Disease consults when necessary. He lives with his wife who he has been married to for 56 years. His son and his daughter come to visit him. He does not smoke. He wears dentures but did not bring them. He dose not use a hearing aid but he does have a hearing deficit.
Witter, R. Z., Martyny, J. W., Mueller, K., Gottschall, B. & Newman, L.S. (2007). Symptoms
Two days later, when we met up with Dr. Smith again, he was a different man. He was not the cheery man that we had met two days ago; instead he was in a frantic situation. He told us that his patients were not responding to the typical drugs used to fight malaria, and to make things worse they had developed "nausea, vomiting, chest pain[s], a sore throat, [and] abdominal pain." (CDC Marburg Fact Sheet) In addition some of the patients had developed a rash on their torso.
The patient denies any chest pain, shortness of breath, any new neurologic complaints. No nausea, no vomiting, no dysuria, no
tiredness, aching muscles, headaches, nausea, a general sentiment of being unwell, a fever of 100.4°F.
A 41-year-old manwith a history of DM was brought to emergency department (ED)due to difficulty in breathing. It was associated with fever, severe sore throat and muffled voice for 2 days duration. He visited a...
Cardiovascular System: He does not experience any chest pain or palpitation. He does not have dyspnea or leg swelling.
Malaria (also called biduoterian fever, blackwater fever, falciparum malaria, plasmodium, Quartan malaria, and tertian malaria) is one of the most infectious and most common diseases in the world. This serious, sometimes-fatal disease is caused by a parasite that is carried by a certain species of mosquito called the Anopheles. It claims more lives every year than any other transmissible disease except tuberculosis. Every year, five hundred million adults and children (around nine percent of the world’s population) contract the disease and of these, one hundred million people die. Children are more susceptible to the disease than adults, and in Africa, where ninety percent of the world’s cases occur and where eighty percent of the cases are treated at home, one in twenty children die of the disease before they reach the age of five. Pregnant women are also more vulnerable to disease and in certain parts of Africa, they are four times as likely to contract the disease and only half as likely to survive it.
Food borne illnesses are caused by consuming contaminated foods or beverages. There are many different disease-causing microbes, or pathogens. In addition, poisonous chemicals, or other harmful substances can cause food borne illnesses if they are present in food. More than two hundred and fifty different food borne illnesses have been described; almost all of these illnesses are infections. They are caused by a variety of bacteria, viruses, and parasites that can be food borne. (Center 1)
Malaria is a vector-borne disease that is spread by the bite of a mosquito. According to National Institute of Allergy and Infectious Diseases (2014) “In 2013, 97 countries had ongoing malaria transmission, placing 3.4 billion people at risk for the disease. And in a globally connected world, even people living in the United States can be at risk. In 2011, nearly 2,000 people in this country were diagnosed with malaria—the highest number since 1971” (para. 2). Malaria is a disease that affects humans as well as animals. The mosquito transferring a parasite through a bite to the host; human or animal spreads this disease. M...