A 65-year-old homeless man visits your ER and presents with a cough. He complain
ID: 164979 • Letter: A
Question
A 65-year-old homeless man visits your ER and presents with a cough. He complains of exhaustion, coughing up blood, night sweats, and weight loss. A smear of his sputum shows the presence of acid fast positive rods. What is the likely diagnosis of this patient? What bacteria causes this disease? Did his homelessness contribute to his acquiring this disease? Strong cell mediated immunity leads to the formation of what structure? What are the two key cells for production of this structure? Is antibiotic resistance a concern? A 33 yr old man comes to the clinic complaining about fever, exhaustion, headache, and generalized body pain. You notice a red rash resembling a bulls-eye on his leg as you are examining him. While giving his history, he explains that earlier this month he was on a big hiking and camping trip. What disease do you suspect? What bacteria causes this disease? Describe the shape of the bacteria. How is this disease transmitted? What systems of the body are damaged by this infection?Explanation / Answer
1
A. The likely diagnosis of the pateint would be Tuberculosis.
B. it is caused by mycobacterium tuberculosis (MTB) classified as acid fast bacteria.
C. yes this could be possible that the homelessness contributes the disease because it is a airborne disease.
D. Lymphocyte Granuloma forms as a result of migrating local uninfected macrophages and monocytes from the blood of a infected person
E. macrophages and monocytes
F. yes most of the tuberculosis are multidrug resistant.
2. A. Lyme disease matches with the symptoms
b. Lyme disease is caused by Borrelia burgdorferi and is transmitted to humans through the bite of infected blacklegged ticks.
c. Borrelia burgdorferi is a spirochete class of bacteria. it is a double membrane bacteria rather than gram positive or negative. Its shape is like a flat wave and it has an outer membrane and inner membrane with a thin layer of peptidoglycan.
D, disease is transmitted trough the blacklegged ticks bite.
E. It affect the heart, bone and joints and nervous system
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