CASE Fishing Marines arley Histon was now a marinc. He had finished boot camp at

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CASE Fishing Marines arley Histon was now a marinc. He had finished boot camp at Paris Island, was officially stationed at Camp LJ, and was going to enjoy three days of R&R; on Emerald Isle. The worst part of boot camp was actually the strep throat infection he got at the end. He was now on day 7 of his cephalexin and felt fine. He and his marine buddies Jermaine and Darnell rented a motel room and reserved a charter boat to go fishing. None of them had ever gone saltwater charter fishing before-they were all from Detroit. They checked into the Dockside Motel and got on the charter boat. By 5 p.m, they were out at sea, and Jermaine caught his first king mackerel. Then, in short order, Darnell caught one. "Never have marines actually caught king mackerel on their first trip before!" shouted the captain. "I am sort of unprepared for two big ones. Scuff em in the cooler! We'll take a little ride down the coast so you can see the camp from the water-unless you want to keep fishin? We've got the boat for three hours," said Farley. "Why not just keep fishing and sce what happens?" Five minutes went by and Farley caught a king mackerel. This one was bigger than eitber of the other two. "It's gotta be at least 10 pounds! Make sure I get that one when we get back!" said Farley When they got back to the dock, the men were tired. The thrill of getting through boot camp was finally catching up with them. Instead of building a fire on the beach and cooking some fish as they had planned, they cleaned the fish on the dock and put them in their fish coolet. They left the cooler in the motel room and then t to eat supper at the bar next door. All thrce were asleep by 10 p.m. The next morning, they decided to wen cook Farley's fish on the beach. They bought some firewood, built a firepit in the sand, and, when the coals were ready, cooked Farley's fish with some clams and corn-in-the-husk they bought at the coner market. This uys cating stuff they caught. "Yeah," said is like reality TV on a tropical island," said Jermaine. "Thrce buff gu ate food from the market. I am the only one eating the mackerel. Well, t s your fish," said Jermainc. "We'll eat ours when we get back to camp." Farley wrapped his in some foil and put it in the truck for the half-hour drive back to ca mp. enjoyed the smoky flavor. "This was quite a good week for you, Farlcy! I am so proud of you!" said Jocelyn. About half an hour later, Farlcy told Jocelyn, "I don't feel so well. My knces are really hurting, and look how swollen they are. My head and stomach hurt, and I have heartburn. My chest is really itchy-do I have hives or something? "Wow," said Jocelyn, "it looks like one giant hive. Can you swallow water? Maybe you are allergic to something. I am driving you right over to the navy ER.- Farley's chest was bright red Later that day, Farley chilled the mackerel and put it on spinach salad for his wife, Jocelyn. They both

Explanation / Answer

Anaphylaxis:Adrenaline or EPINEPHRINE is the recommended treatment for patients with anaphylaxis.Anaphylaxis is the clinical syndrome representing the most severe systemic allergic reactions.The clinical target of anaphylaxis involve multiple organs including skin,respiratory,gastrointestinal and cardiovascular system.One of the symptom is hypotension where in the above mentioned example blood pressure came to normal after treating with epinephrine IM.Adrenaline has a physiological benefits in the treatment of anaphylaxis.It increasesperipheralvascular resistance thus improving blood pressure and coronary profusion,reversing peripheral vasodilation and decreasing angioderma. The soar throat of the person is first diagnoised as pharyngitis.Pharyngitis is the inflammation of the pharynx,which is the back of the throat.It is simply referred as soar throat.It causes difficulty swallowing.And the person is treated with amoxicillin.Amoxicillin is the antibiotic used to treat bacterial infections like bronchitis,pneumonia,infections of the ear,skin,nose,throat,skin and urinary tract.Even thoughit is highly recommended for above mentioned problems it usually causes side effects even those who are not allergic to it.Same way in the above mentioned example the person got side effects of amoxicillin.Later the problem was diagnised as mononucleosis.Mononucleosis is often called kissing disesse because the virus causes mono often transmitted through saliva.On exposure to cough or sneeze or by sharing food utensils who has mono it spreads easily.The other symptoms may include fatigue,soar throat,fever,swollen lymph nodes in neck and armpits,swollen tonsils,headache,skin rash,soft and swollen spleen.Sometimes problem with liver issues may occur like jaundice and hepatitis.The problem caused by Epstein Barr virus.There is no specific treatment for mono.Corticosteroid medication and taking rest,staying hydrated and using OTC pain medicationslike acetaminophen may give some relief. Cephalexin is an antibiotic that can treat a number of bacterial infections.It kills gram positive and some gram negative bacteria by disrupting the growth of bacterial cell wall.It can treat certain bacterial infections,those of middle ear,bone and joint,skin,urinary tract.Also treatssome type of pneumonia,strep throat,prevent bacterial endocarditis. Diseases the present with fever and rash are usually classified according to the morphology of the primary lesion.Rashes can be categorised as maculopapular,patechial,diffusely erythematous with desquamation,vesiculobullouspustular and nodular.Potential causes includes viruses,bateria,spirochetes,rickeesiae,medications and rheumatologic diseases.The complete blood count with differential,erythrocyte sedimentation rate,chemistry panel,liver function test,blood and urine culture may useful in identifying organisms or disease processes. The most common symptoms in RA are those affecting joints throughout the body,including inflammation,pain,swelling,tightness and stiffness.Pain medications include analgesics,such as non steroidal anti inflammatory drugs,glucocorticoid treatments etc. The term purpura describes a purplish discoloration of the skin produced by small bleeding vessels near the surface.When purpura spots are very small they are called petechiae or petechial haemorrhages.Larger,deeper purpura are referred to asecchymoses or bruising.Purpura may occur either normat platelets counts or decreased platelet counts.In general the purpura indicates the problem of the platelet system ,diffeciency of clotting factorswill cause haemarthrosis as in haemphilia.Several acute viral infections also cause purpuric rashes.The glasstest(diascope) is well known to patients and is very useful. Lymphadenopathy is a disease of lymph nodes in which the lymphs are abnormal in size,number and consistency.In general,lymph nodes greater than 1 cm are considered abnormal.A recent upper respiratory can cause cervical LAP.Which is usually self limited. Maningitis is an inflammation of the membranes surrounding brain and spinal cord.

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