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

Hematologist

A 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/>.