A 10-year-old boy, known to has a nephritic syndrome. Presented with a history o
ID: 238899 • Letter: A
Question
A 10-year-old boy, known to has a nephritic syndrome. Presented with a history of right thigh pain with inability to bear weight for a one-month duration, with a one-week history of fever.Initial workup showed WBC 7.4 x109/L with 72% Neutrophils, ESR of 74 mm/h and serum C-reactive protein 182 mg/dl and Blood culture grew MRSA with full sensitivity, MRI demonstrated right hip septic arthritis with effusion and right femur osteomyelitis. Patient treated with intravenous vancomycin then soon shifted to oral clindamycin with smooth clinical improvement.
1)What factors would you consider in administering drugs to this patient? 2)What other diseases is MRSA capable of causing? 3)What complications would you anticipate in this patient due not weight bearing? 4)What role does the patient’s age play? Would you treat an adult differently?
A 10-year-old boy, known to has a nephritic syndrome. Presented with a history of right thigh pain with inability to bear weight for a one-month duration, with a one-week history of fever.
Initial workup showed WBC 7.4 x109/L with 72% Neutrophils, ESR of 74 mm/h and serum C-reactive protein 182 mg/dl and Blood culture grew MRSA with full sensitivity, MRI demonstrated right hip septic arthritis with effusion and right femur osteomyelitis. Patient treated with intravenous vancomycin then soon shifted to oral clindamycin with smooth clinical improvement.
1)What factors would you consider in administering drugs to this patient? 2)What other diseases is MRSA capable of causing? 3)What complications would you anticipate in this patient due not weight bearing? 4)What role does the patient’s age play? Would you treat an adult differently?
A 10-year-old boy, known to has a nephritic syndrome. Presented with a history of right thigh pain with inability to bear weight for a one-month duration, with a one-week history of fever.
Initial workup showed WBC 7.4 x109/L with 72% Neutrophils, ESR of 74 mm/h and serum C-reactive protein 182 mg/dl and Blood culture grew MRSA with full sensitivity, MRI demonstrated right hip septic arthritis with effusion and right femur osteomyelitis. Patient treated with intravenous vancomycin then soon shifted to oral clindamycin with smooth clinical improvement.
1)What factors would you consider in administering drugs to this patient? 2)What other diseases is MRSA capable of causing? 3)What complications would you anticipate in this patient due not weight bearing? 4)What role does the patient’s age play? Would you treat an adult differently?
Explanation / Answer
What factors would you consider in administering drugs to this patient?
Nephrotic syndrome is often caused by damage to small blood vessels in the kidneys that filter waste and excess water from the blood. An underlying health condition usually plays a role. Any medication given should be calculated as the importance of its absorption and dosage should be kept in mind.
What other diseases is MRSA capable of causing?
Relatively lately, MRSA has been perceived in patients with CA contagion, strong as contamination in individuals deprived of health-related danger features. In an education, CA-MRSA produced >50% of all suppurative skin contaminations amongst patients who offered to emergency sections.
What complications would you anticipate in this patient due not weight bearing?
The primary consequence degree is specific incapacity measured by the ankle notch. Secondary consequences are
Eminence of life,
Difficulties,
Range of motion
Calf degenerative, and
Supreme compression load subsequently 3 months and 1 year.
What role does the patient’s age play? Would you treat an adult differently?
-While suggestions for surgical action are somewhat well distinct, disagreement occurs with respect to the best postoperative care routine.
-Post-operative maintenance routines vary extensively from plaster casts and practical restorative to undefended non-weight behavior and weight bearing.
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