Fina!Exam Extra Credit Diseases in Focus Chapter 21 Male, age 9 Diseases in Focu
ID: 300026 • Letter: F
Question
Fina!Exam Extra Credit Diseases in Focus Chapter 21 Male, age 9 Diseases in Focus Chapter 21 Male, age 9. MEDICAL HISTORY (Hx) The patient is a male, age 9. He is from Reno, Nevada. He was admitted to the clinic with a deep, red, swollen abscess on the nape of his neck. The patient is a student at a local grade school. He is also in a scout troop that meets most weekends and after school. The patient's dad is a highschool teacher, and his mother is an engineer. The family has a history of heart disease (patemal) and diabetes (maternal). The boy owns a pet boa constrictor and a gopher snake. Ten days ago, he went on a four- day backpacking trip with his scout troop. On the second morning of the trip, he noticed a "spider bite" on his neck. Two of the other children on the trip had similar bites on their arms and face, respectively. The troop-eader applied a topical antibiotic ointment to the bites and administered each child an adhesive bandage. The next day, the boy noticed that the bandage had fallen off at some point during the morning hike. When the trip ended, two days later, the boys parents noticed that the bite appeared red and somewhat swollen. Concerned, the boy's father swabbed the bite with alcohol and ointment and applied an adhesive bandage. The next day, the bite still appeared raised and inflamed After a few days, it began to feel hard and hot to the touch, and the patient often complained of tiredness and headaches. He was febrile upon admission to the clinic. The abscess on his neck is roughly 2 inches in diameter, with a yellow center and weeping, crusted tips. Access "Diseases in Focus" Tables 21.1, 21 and 213Explanation / Answer
the patient's symptoms, the fact that the bile did not respond to the treatment, the patient's age, the fact that more than one person had the same symptoms
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