Case Report“Cooties”

Aldair CabraRyan Howe

Kiana SmithKeishmari Vega

Patient- Daniel Stevens 21 year old, Caucasian male reports

symptoms of fever, chills, and sweating profusely and an inflammation of the stomach. He also reports having nausea and diarrhea.

Patient reports noticing symptoms for a week, but thought that it was a common flu.

Daniel Stevens A college student at Ohio State University

majoring in Journalism. Reported that he recently lost his mother

to Breast Cancer.

Exam at Local Hospital

Patient was seen by Physician Assistant History and had physical exam Medical history: Jaundice, has herpes

(prescribed antiviral tablets to reduce outbreak)

Family history: No record of family history Allergies: bees and amoxicillin Patient Medication- Pseudoephedrine

Physician Assistant (PA) Practice medicine under the supervision

of a physiscian Work in inner city clinics Medicine doctor

Exam Vital Signs Ht 77” Wt 186 T-98.9°F, P-86, R-19 HEENT: Autraumatic, Pupils are equal CN Exam: WNL Palpation shows minor inflated spleen Normal Reflexes Muscle Strength in lower/upper

extremities, graded as +3 bilaterally Normal lung sound Heart Sound: Murmur detected

Exam (cont) Abdominal exam shows pain, hernia

detected Diagnosis (DX)- Viral Gastroenteritis Treatment (RX)- Check up with doctor

weekly and get blood work done

Patient in Crisis Patient has diarrhea, panic attacks, vision

disturbances and depression Other disturbing symptoms are vivid

dreams, nausea, and headaches. Sent to the doctor after 2 weeks of these

constant symptoms

Patient is admitted to Hospital

Normal vital signs Pulse ox is at 95% Physician asks about traveling Daniel says he went on a trip to South

Africa a few months ago Lab tests are admitted

Attending Hospital Physician

Doctor of Medicine MD Doctor of Epidemiology EO Specializes in detecting diseases

Getting the patient stabilized

Several tests taken ECG- normal results Physical/Neuro exam results WNL Complete blood count, HIV, Urine Sample Since he traveled he also got a parasite

test

Lab Results Plasmodium in the blood RBC 4.3M cells/mcL White blood cells 5K cells/mcL

Plasmodium Infection

http://upload.wikimedia.org/wikipedia/commons/thumb/0/02/Mature_Plasmodium_malariae_schizont_PHIL_2715_lores.jpg/240px-Mature_Plasmodium_malariae_schizont_PHIL_2715_lores.jpg

Infectious Disease Specialist (ID)An ID diagnoses and treats infectious diseases.An ID is an internal medical doctor, they use specialized tests to diagnose reoccurring infections. Antibiotics are also prescribed by an ID or an arrange for vaccination.They are contacted when there is a risk in traveling to hazardous infectious areas.

Artesunate Artesunate is a type of plant, belongs

to category of antiprotozoal agents drugs.

Artesunate acts rapidly, stopping parasite development and preventing subsequent cytoadherence and rosetting

The Goal of Treatment Cure the disease by getting rid of all the

parasites. Make a vaccine (shot) for this disease. Patients that plan to go to this country

must get a shot before going.

Malaria Ronald Ross discovered mosquitoes

transmitted malaria (1889) An infectious blood disease that is caused

by an infected Anopheles mosquito Transmitted from one human to another The parasite in Malaria (plasmodium)

attacks the red blood cells

More about Malaria This disease killed 655 thousand

people in 2010 91% of those 655 are young children

from Africa. Curable

http://upload.wikimedia.org/wikipedia/commons/thumb/7/7e/Anopheles_stephensi.jpeg/300px-Anopheles_stephensi.jpeg

Anopheles Mosquito

Disease Transmission Only transmitted from mosquito to human Mosquito makes a cycle and infects

anyone that comes into its path.

Controlling the Disease Disease is more controlled now, than it

was before Adults traveling into a very infected area

are advised to take a antimalarials prophylactically (shot to prevent infection)

Use insecticides, to prevent bites from mosquitoes in general

Daniel Stevens Spent 4 weeks in South Africa researching

for a journalism class Researching the living environment of

South Africans He slept in a hotel but its believe that he

caught the disease by spending most of the time living in their environment.

http://d1520793.u66.hosting365.ie/images/khayelitsha_1.jpg

Living conditions he visited

Daniel Stevens Reported that he could see a small

inflammation in his stomach and had a high fever

Immediately was drove himself to the hospital

Traveled with other classmates, none of them had this symptoms

HematologistA hematologist is a doctor that specializes in the treatment of blood disorders. Common blood disorders that a hematologist checks for or detects are anemia, sickle-cell, and hemophilia. These diseases are detected by the doctor giving blood and function tests. They consult with their patients and understand their symptoms in order to diagnose them with the blood disorder.

Malaria Infection: Not life long (curable) Symptoms: High fever, chills,

headache, muscle aches, tiredness and nausea

Complications: coma, low blood sugar, if untreated it will lead to death

http://factsanddetails.com/media/2/20110306-leishma%20cdc%20%20vl_enlarged_spleen.jpg

Complications of Malaria

His malaria was cured Plasmodium parasite

is gone Graduated college

and majored in journalism

How’s Daniel Doing

References" Hematologist Job Description, Career as a Hematologist, Salary, Employment - Definition

and Nature of the Work, Education and Training Requirements, Getting the Job - StateUniversity.com ." Job Descriptions and Careers, Career and Job Opportunities, Career Search, and Career Choices and Profiles - StateUniversity . N.p., n.d. Web. 6 June 2012. <http://careers.stateuniversity.com/pages/7828/Hematologist.html>.Assays, In Vitro Binding. "Cell Biology of Plasmodium." Tulane University. N.p., n.d. Web. 6 June 2012. <http://www.tulane.edu/~wiser/malaria/cmb.html>."Infectious Disease Specialist - Infectious Disease Expert & Consultant." Infectious Disease Specialist - Infectious Disease Expert & Consultant. N.p., n.d. Web. 6 June 2012. <http://www.infectiousdiseasemd.com/>."Malaria - MayoClinic.com." Mayo Clinic. N.p., n.d. Web. 6 June 2012. <http://www.mayoclinic.com/health/malaria/DS00475>."Physician Assistant Job Description." Health Care Salary Online . N.p., n.d. Web. 6 June 2012. <http://www.healthcaresalaryonline.com/physician-assistant-job-description.html>.SABO, ERIC. "Malaria - Symptoms, Diagnosis, Treatment of Malaria - NY Times Health Information ." Health News - The New York Times. N.p., n.d. Web. 6 June 2012. <http://health.nytimes.com/health/guides/disease/malaria/overview.html>."The Best Over The Counter Medicines For Sinus Congestion | LIVESTRONG.COM." LIVESTRONG.COM - Lose Weight & Get Fit with Diet, Nutrition & Fitness Tools | LIVESTRONG.COM. N.p., n.d. Web. 6 June 2012. <http://www.livestrong.com/article/75887-over-counter-medicines-sinus-congestion/>.

References (cont) "The Best Over The Counter Medicines For Sinus Congestion | LIVESTRONG.COM."

LIVESTRONG.COM - Lose Weight & Get Fit with Diet, Nutrition & Fitness Tools | LIVESTRONG.COM. N.p., n.d. Web. 6 June 2012. <http://www.livestrong.com/article/75887-over-counter-medicines-sinus-congestion/>.