CASE STUDIES ASSESSMENT WITH
COMPLETE REVIEWED SOLUTIONS.GRADE
A+
-- - answer ✔✔-A 19-year old student presents at the GC health clinic with slight fever (38.5°C), a
complaint of frequent urination, burning on urination, vaginal discharge and a small lesion on the labia.
Her blood pressure is 120/70.
She reports that she is very sexually active and had seven different sexual partners in the past six
months. Her last sexual contacts were about 9 days earlier. She had developed mild symptoms about 4
days prior to coming to the clinic, beginning with a discharge from the vagina. She began having pain on
urination about 3 days earlier.
Urine analysis revealed a pH of 8.2, some white cells and a few red blood cells. There was protein in the
urine. A smear of the vaginal secretion showed a number of diplococci,and an oxidase test was positive.
Vaginitis, caused by neisseria gonorrhoeae - answer ✔✔-What is your diagnosis?
Oxidase + test, diplococci, sexual activity, vaginal discharge, *lesion on labia - answer ✔✔-What clinical
features are critical to your diagnosis?
Gram Negative - answer ✔✔-What Gram reaction would a Gram stain reveal?
Ceftriaxone (antibiotic) along with oral doxycycline - answer ✔✔-What medication would you prescribe,
if any?
Pregnancy test, practice safe sex and tell partners - answer ✔✔-What further actions must be taken?
---- - answer ✔✔-You have a possible infectious condition that you are embarrassed to discuss with the
physician with whom you work. You have worn artificial nails for several months now and noticed that
the one on your left ring finger falls off regularly. The real nail underneath has become white and chalky,
and the skin around the nail is beginning to have little white lines in it and look a bit chalky, as well.
, Fungal infection, white chalky lines indicate it is hypae - answer ✔✔-What disease do you suspect?
Explain why.
Fungal culture, KOH (potassium hydroxide prep) - answer ✔✔-Besides microscopy, what would you
suggest be done for a more definitive diagnosis?
no, you'll have to go to a physician to get an oral anti fungal because it is in the nail bed so it would be
hard to use a topical over the counter drug - answer ✔✔-Can you treat this yourself with an over-the-
counter drug, or do you need to see a physician?
Ring Worm and Athletes Foot - answer ✔✔-What other conditions are caused by dermatophytes
(Microsporum, Trichophyton, and Epidermophyton)?
the fungi use enzyme keratinases to get keratin; dark and moist environment - answer ✔✔-What is
special about them that make them capable of thriving in their anatomical niche on their hosts?
- answer ✔✔-A 20-year old Georgia College baseball player presents in the emergency room with
headache, irritability, generalized muscle pain and uncontrollable back spasms. He has become very
restless and worried because he has had the back spasms all through practice that afternoon and they
became extremely painful. In his history, the student states that he has a very busy extramural schedule.
He has mild asthma, but proudly states that he has never taken medications because of his family's
religious beliefs. He injured himself about 10 days earlier, puncturing his left arm when a rival players
stud hit him as he was sliding into home plate. The wound has produced moderate quantities of pus, but
he has been keeping it clean.
The wound was sampled for microscopic examination and culture, and the results indicate gram-positive
anaerobic, bacilli.
The back appears to have very tight contractions and spasms. The patient is in o
tetanus - answer ✔✔-What is your diagnosis here?
Clostridium tetani - answer ✔✔-What is the scientific name of the organism?
Lockjaw - answer ✔✔-What is a common name for the disease?
COMPLETE REVIEWED SOLUTIONS.GRADE
A+
-- - answer ✔✔-A 19-year old student presents at the GC health clinic with slight fever (38.5°C), a
complaint of frequent urination, burning on urination, vaginal discharge and a small lesion on the labia.
Her blood pressure is 120/70.
She reports that she is very sexually active and had seven different sexual partners in the past six
months. Her last sexual contacts were about 9 days earlier. She had developed mild symptoms about 4
days prior to coming to the clinic, beginning with a discharge from the vagina. She began having pain on
urination about 3 days earlier.
Urine analysis revealed a pH of 8.2, some white cells and a few red blood cells. There was protein in the
urine. A smear of the vaginal secretion showed a number of diplococci,and an oxidase test was positive.
Vaginitis, caused by neisseria gonorrhoeae - answer ✔✔-What is your diagnosis?
Oxidase + test, diplococci, sexual activity, vaginal discharge, *lesion on labia - answer ✔✔-What clinical
features are critical to your diagnosis?
Gram Negative - answer ✔✔-What Gram reaction would a Gram stain reveal?
Ceftriaxone (antibiotic) along with oral doxycycline - answer ✔✔-What medication would you prescribe,
if any?
Pregnancy test, practice safe sex and tell partners - answer ✔✔-What further actions must be taken?
---- - answer ✔✔-You have a possible infectious condition that you are embarrassed to discuss with the
physician with whom you work. You have worn artificial nails for several months now and noticed that
the one on your left ring finger falls off regularly. The real nail underneath has become white and chalky,
and the skin around the nail is beginning to have little white lines in it and look a bit chalky, as well.
, Fungal infection, white chalky lines indicate it is hypae - answer ✔✔-What disease do you suspect?
Explain why.
Fungal culture, KOH (potassium hydroxide prep) - answer ✔✔-Besides microscopy, what would you
suggest be done for a more definitive diagnosis?
no, you'll have to go to a physician to get an oral anti fungal because it is in the nail bed so it would be
hard to use a topical over the counter drug - answer ✔✔-Can you treat this yourself with an over-the-
counter drug, or do you need to see a physician?
Ring Worm and Athletes Foot - answer ✔✔-What other conditions are caused by dermatophytes
(Microsporum, Trichophyton, and Epidermophyton)?
the fungi use enzyme keratinases to get keratin; dark and moist environment - answer ✔✔-What is
special about them that make them capable of thriving in their anatomical niche on their hosts?
- answer ✔✔-A 20-year old Georgia College baseball player presents in the emergency room with
headache, irritability, generalized muscle pain and uncontrollable back spasms. He has become very
restless and worried because he has had the back spasms all through practice that afternoon and they
became extremely painful. In his history, the student states that he has a very busy extramural schedule.
He has mild asthma, but proudly states that he has never taken medications because of his family's
religious beliefs. He injured himself about 10 days earlier, puncturing his left arm when a rival players
stud hit him as he was sliding into home plate. The wound has produced moderate quantities of pus, but
he has been keeping it clean.
The wound was sampled for microscopic examination and culture, and the results indicate gram-positive
anaerobic, bacilli.
The back appears to have very tight contractions and spasms. The patient is in o
tetanus - answer ✔✔-What is your diagnosis here?
Clostridium tetani - answer ✔✔-What is the scientific name of the organism?
Lockjaw - answer ✔✔-What is a common name for the disease?
