Question

A guy accidently pours boiling water over his legs.
After about 15 minutes large burn blisters have developed on his leg.
He went to the GP which wrapped his leg in bandage and prophylactic applied antibiotics.
The next morning our guy wakes up with 38.5ºC fever and very moist wounds.
3 days later, the situation deteriorated. He suffers pain, 39.1ºC fever, his burn wounds are dirty, gray and the edges are swollen.

What is the diagnose?

Answer 1

feb that is fever already implies INFECTION

the wound moist can be diagnosed "thrombocytopenia" that is no blood clottting

the AGE of your guy
his wounds are not healing after treatment meaning problem with clotting factors
ALWAYS THE KEY FEVER IMPLIES INFECTION


PLEASE CAN YOU COME ONLINE LETS DISCUSS THIS IN DEPTH
I LOVE QS LIKE THIS

Answer 2

He's 19 years old

Answer 3

i just dont know what infection would casue wound non healing and pain

also it could be auto-immune but we ll have to be sure

Answer 4

It's for a microbiology assignment, all these assignments are about bacterial infections

Answer 5

my guess would be something like Staphylococcus aureus or Pseudomonas aeruginosa since those can be part of the skin flora

Answer 6

which one do you think it is streptococcus or staphylococcus

Answer 7

strep is usually fever asymptomatic

Answer 8

so it cant be strep

Answer 9

now we are left with pseudomonas and SA

Answer 10

which one is antibiotic resistant

Answer 11

the fever is probably caused by endotoxins from gram negative cell walls

Answer 12

And it causes thrombocytopenia

Answer 13

so probably pseudomonas i think, they're notorious for causing burn infections i just read

Answer 14

yeah gram negative bacteria like pseudomonas is the likelyhood

is SAureus gram negative too pls refresh my memory

i need to recall all my bacteria classes

Answer 15

SA is positive

Answer 16

i hope you re enjoying this as much as i do

can we rule out SA

Answer 17

which is most prevalent

Answer 18

yes i'm allmost sure it's P. aeruginosa. A lot of articles about it infecting burns and cause thrombocytopenia

Answer 19

fine there you have your answer

Answer 20

thanks a lot :)

Answer 21

can i have a lot of your Qs more often so i practice on diagnosis

Answer 22

I have more of these cases which are assigned to other ppl in my medschool class just a sec ill translate one

Answer 23

A skin disease is diagnosed in a patient who has been working in Southeast Asia. The symptoms are raspberry-like sores all over the body and a strong callosity of the footsoles. The tests TP-PA quantitative, VDRL and FTA.abs give a positive result. what is the diagnose?

Answer 24

What is the diagnose and in what stage is the disease

Answer 25

ok i am on it

Answer 26

the disease is a most likely veneral and as a result could be syphillis or yaws

Answer 27

the person on this case diagnosed it a Treponema pallidum infection which can cause syphilis, pinta, bejel and yaws

Answer 28

but its most likely syphilis

Answer 29

yeah should be syphillis

Answer 30

a next one for the night so i can sleep on it

Answer 31

allright

Answer 32

damn this one is a pain to translate xD

Answer 33

A 22 year old female comes to the GP with symptoms strangury, polyuria and macroscopic haematuria. In the sediment you find a lot of white and red blood cells and some bacteria. after cultivation shows less than 10^4 E.coli. You do a research for chlamydia but the test is negative and you decide to wait. 3 days later the woman calls with high fever and excruciating pain in the kidney area. the GP sends he right to the hospital. What is the diagnose?

Answer 34

the first thing i ll say is the persons immune system is super weak

Answer 35

well i'm gonna sleep

Answer 36

if you want to know the diagnose it's behind this link http://bit.ly/4nvBcT

Answer 37

should be staphilococcus saprophyticus because most of the symptoms fit

Answer 38

where are you getting these questios from

Answer 39

Theyre just some cases from medical microbiology assignments

Answer 40

Btw s.saprophyticus is the one indeed

Answer 41

hehehehe ...... thomaster, trying 2 get answers? BUT CHU CANT MUAHAHAHAHAHA!!!!

Answer 42

This was actually my very first question on OpenStudy :P

Answer 43

i can c dat ;p