Ce Exam 5 Chapters 9-11 (201505)- Requires Respondus osonmn howrer e t Length: 1

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Ce Exam 5 Chapters 9-11 (201505)- Requires Respondus osonmn howrer e t Length: 1:30:00 Time Taken:0.05:41 Rasheda Ansant: Atenot Question 33 (5 points) 6 1718 The following information is taken DIRECTLY FROM http://www.cdc.gov/r 920 21 Patient history, duration and progression of less and aboratary rot to etiologies of encephalitis will hep determine i rabies should be on the list for a patient Pabent history is important to idedly a pessible exposne to ted other encephalitides: however, rables should never be ruled out bosnd solely the of definite exposure history 2 23 24 Rabies should be considered in putients with signs or pmptonms of including autonomic instability, dysphagia, hydrophobia paresis andpthes a nonspecific prodrome preceded the onset of these signs by theto or ys 26 27 worsening of neurologic sns is charactersti o abeadtbe c indicator for rabies Laboratory tests to rule out common enceptalitides (herpesrssad should be performed. Negative results of these tests would ncestheeh the diagnosis. Ia patient presents with gymptons 29 30 sinlr to the ones desdbv tus does not change and the lhess continues for ongerth Part 1: A person thinks they have rabies but huve not been bitton y nyi year. Their primary physician states "Since you huve not been bit its IMPOSSIBL you have rabies why not?(1 pt) 32 33 rabies is unlikely as the dignosis ased on the intormation above would you agree with the ot wy Nothing to Save

Explanation / Answer

Part 1

If the person says that he has never been bitten by animal, but still consider the possibility of rabbies the doctor should check the other possibilities of transmission as well. I do not fully agree with doctor. Rabbies is most likely to occur by the bite of animal as the virus is transmitted through the saliva. But in rare cases the saliva of infected animal might have contacted the mucus membrane of skin dure to previous scratch or break in the skin.

Part 2

The other virus that can cause symptoms like rabbies are :

Part 3

Yes, rabbies can be diagnosed according to onset and progression of symptoms. Rabbies symptoms usually take upto 7-8 days to showcase in humans. However, rabbies have symptoms that are similar to encephalitis but the progression of cymptoms may determine the condition.
In early stage, it exhibits primary symptoms like fever, muscle spasm, agitation and confusion. But once the condition progresses, it shows neurological invlovement. After the occurance of neurological symptoms, one can predict the disease as rabbies.
The main symptom that differentiates all other neurological diseases from rabbies is HYDROPHOBIA.
- person has difficulty swallowing
- shows panic when presented with liquids to drink
- Great increase in saliva production

Part 4

The rabbies virus is almost always fatal, but the spread of rabbies among population does not decreases.
There are several reasons for rabbies to spread even if it kills the infected animal.

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