1. What kind of infectious diseases come to mind when a widespread rash is seen
ID: 82865 • Letter: 1
Question
1. What kind of infectious diseases come to mind when a widespread rash is seen as the primary complaint (Hint: Why had the doctor asked about her sexual history? Why did he ask about her immunizations?)
2. Her rash was diffuse, with well-separated bumps that were maculopapular. Was it likely to be chicken pox? Why or why not?
3. The cerebrospinal fluid obtained from the lumbar puncture was clear-no evidence of bacteria. Another infection was ruled out. Which one?
4. The doctor then asked the patient about her menstrual history and practices. She began menstruating at the age of 12 and reported that her last period began four days ago. She reported that she mainly uses tampons during her period. What infection do you think the doctor had in mind in asking about menstruation? What do you know about the infection in question?
5. Your mother says that if you see a patient with these symptoms once you start your practice as a physician's assistant, it is less likely to be the same infection. Why? 1. What kind of infectious diseases come to mind when a widespread rash is seen as the primary complaint (Hint: Why had the doctor asked about her sexual history? Why did he ask about her immunizations?)
2. Her rash was diffuse, with well-separated bumps that were maculopapular. Was it likely to be chicken pox? Why or why not?
3. The cerebrospinal fluid obtained from the lumbar puncture was clear-no evidence of bacteria. Another infection was ruled out. Which one?
4. The doctor then asked the patient about her menstrual history and practices. She began menstruating at the age of 12 and reported that her last period began four days ago. She reported that she mainly uses tampons during her period. What infection do you think the doctor had in mind in asking about menstruation? What do you know about the infection in question?
5. Your mother says that if you see a patient with these symptoms once you start your practice as a physician's assistant, it is less likely to be the same infection. Why? Your mother told you a story about a l4-year-old patient that she saw in the early 1980s when she was a nurse in a gynecologist's office Your mother's first contact with the young girl was after she vomited in the waiting room. She told your mother that she started feeling ill the night before. She had been having unusually heavy menstrual bleeding and reported having a fever earlier that morn- ing. The young patient complained of chills and had a diffuse rash on her arms and legs. A physician arrived on the scene and he and your mother helped her back to an examining room. Your mother checked her temperature and her blood pressure while the doctor asked her some questions. His first question was whether her neck was stiff or painful. She answered no, but the doctor ordered a lumbar puncture anywa The patient was starting to look dizzy and her blood pressure was low: 9 The doctor asked her if she had ever had sexual intercourse and the patient answered that she had not. When the patient's mother came in from parking the car the doctor asked if her immunizations were up to date. The mother confirmed that they were Your mom added that the other peculiar thing about this patient was that several days after she was admitted to the hospital the skin on the palms of her hands began to slough off
Explanation / Answer
1. Rah can be because of any reason such as toxic shock or toxic syndrome.
2. No, it cannot be chicken pox. Chicken pox is vesicular in nature.
3. Meningitis is the infection that has ruled out.
4. It can only be the toxic shock.
5. It is not necessary to be the same infection, it can be due to any other reason also.
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