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Case Study One

Case Study One. Table # 4. Anola Jean Brown. 87 year-old female Febrile Delirious Breathing rapidly Wound (pus and red line). Questions. How long have you had the wound? How did you acquire the wound? Are you currently taking any medications? Has the wound been treated medically?

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Case Study One

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  1. Case Study One Table # 4

  2. Anola Jean Brown • 87 year-old female • Febrile • Delirious • Breathing rapidly • Wound (pus and red line)

  3. Questions • How long have you had the wound? • How did you acquire the wound? • Are you currently taking any medications? • Has the wound been treated medically? • How long have you had the fever? • Are you having any pain? Severe or mild? • Have you been having regular urine and bowel output? • Are you having any painful urination?

  4. Hypothesis With the information given we have hypothesized that the differential diagnosis would be Septicemia coupled with Lymphangitis. Septicemia photo from www.zambon.es Lymphangitis photo from www.cdc.gov

  5. Differential Diagnosis • Septicemia coupled with Lymphangitis • Nosocomial infection / MRSA • Toxic Shock Syndrome • UTI (Urinary Tract Infection) • Pneumonia

  6. Lab Test • CMP (Complete Metabolic Profile) • CBC (Complete Blood Count) • ABG (Arterial Blood Gas) • Wound Culture • Blood Test for Liver and Kidney Functions • Chest X-Ray • UA (Urinalysis) and Urine Culture

  7. Outcome We support our differential diagnosis of Septicemia making it our definitive diagnosis.

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