Instructor Manual for Microbiology

Instructor Manual for Microbiology Fundamentals A Clinical Approach (2024 Release) 5 th Edition By Marjorie Kelly Cowan, Heidi Smith, Jennifer Lusk (All Chapters 1-22, 100% Original Verified, A+ Grade)

This is The Only Original and Complete Instructor Manual for (2024 Release) 5 th Edition, All Other Files in the Market are Fake/Old/Wrong Edition.

Part 1: Case Study with Answers

Part 2: Critical Thinking Questions

Part 3: Lecture Notes 1 / 4

Copyright ©2019 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.Case 1 A 24-year-old female automotive technician presents herself at the doctor’s office. She complains of fever and of pain in her left hand.On physical examination, the patient had a deep wound on her left palm that was oozing pus. She had purplish, red streaks running up her left arm. She had enlarged lymph nodes at the elbow and under her arm. The patient’s skin was warm and dry.In her history, the patient had punctured her left palm with sharp metal from the undercarriage of a "real cherry" 1977 Malibu about a week earlier. She said the wound had bled for a few minutes and she thought that she had washed it "real good" with soap and water. She had covered the wound with a large "band-aid" and gone back to work. She developed a fever about three days later. For the past couple of days, she "did not feel so good" and had vomiting and diarrhea.

1.What type of infection do you believe she has in this hand?a.Streptococcus pyogenes b.Staphylococcus aureus c.Clostridium d.Pseudomonas e.Pasteurella multocida 2.From complaint and physical examination, which of the symptoms lead you to your choice of agent?a.the fever and pain in the hand b.the fever, wound with oozing pus and enlarged lymph nodes c.the lymph nodes and red streaks d.the warm dry skin e.the pain, red streaks and enlarged lymph nodes 3.From the history, which of the information confirmed your choice?a.The wound had bled for a while.b.The wound was cleaned with soap and water.c.The wound had been covered and had perhaps become anaerobic.d.She had diarrhea and vomiting.e.The cut was from a rusting car frame.

4.Which of the following is most likely to follow this infection?a.gangrene and amputation b.toxic shock syndrome c.muscle spasms d.neurological dysfunction of the hand e.arthritis

Part 1: Case Study with Answers 2 / 4

Copyright ©2019 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.Case 2 A 27-year-old white female presented at the walking clinic of her local physician on August 15. On physical exam, the patient had a fever of 38.5C. She appeared fatigued, had tender joints, and complained of a headache, a stiff neck and a backache. The physician noticed a circular "rash" about 5 inches in diameter, with a bright red leading edge and a dim center in the form of a "bull’s eye". The physician noted an irregular heartbeat. The patient complained of lack of ability to concentrate.The patient gave the following history: She is a graduate student in the wildlife program at the university in town. She was in the field for three weeks in Wisconsin during the months of May and June. She tracks small mammals in the field and studies their behavior. It had been a warm, wet spring and she complained of a large number of biting flies, mosquitoes and ticks in the area. She felt well until about 2 weeks after returning to her home. Since that time, many of her symptoms had progressed. She finally found that she could take it no more.

• What is your best diagnosis of this case?
• What features are critical to your diagnosis?
• What further steps should be taken to clear up the problem?
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Copyright ©2019 McGraw-Hill Education. All rights reserved. No distribution or reproduction without the prior written consent of McGraw-Hill Education.Case 3 At the Mount Union hospital, a 5-year-old white male child in good general health and physical condition was presented at the Saturday walk-in clinic by his mother. He was brought in because he had a fever, was cranky and had complained of a sore throat for about 24 hours. On physical examination by the attending resident, the patient had a fever of 39.3C, and he had considerable swelling and drainage of the pharynx and in the conjunctivae. His tonsils were enlarged and coated with a white patchy exudate. He had a red throat and swollen anterior cervical lymph nodes. His ears were clear. His chest sounded clear and he had no additional remarkable findings on routine examination.

• What would be your presumptive diagnosis for this child? Why?
• What diagnostic testing would be indicated to follow this exam?
• What is the most likely treatment for this illness? Why is it important?
• What factors of this case allowed you to make a presumptive diagnosis?
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