Case studies Fall 2015 (60
illness is caused by a bacterium (NOT viral)
Choose one of the three cases and
complete the assignment by following the guidelines.
Write a typed, well constructed (complete
sentences, proper grammar) report of not more than three double spaced pages (4
Devote at least one paragraph to answering
each of the 6 questions. (8 points each)
microorganism causes this disease?
- 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?
- How is this disease transmitted?
symptoms might the patient develop if the disease is not treated? What is
the prognosis with treatment?
Include a reference section with at least 4
citations including at least one published reference. Use resources such as
microbiology text books, encyclopedias, HCC Library databases (e.g. Pro Quest
Biology, Pro Quest Nursing) journals and online medical sites to research these
questions. Indicate the source of information you found in ACS or MLA format.
Do not forget to include in-text
citations every time you borrow someone’s idea, even if you paraphrased it.
Be sure to include the publication date.
Comment on the reliability of the
source (why you think this source is reliable) under each reference. (8
All references must be cited, and direct quotes from the references
must be indicated as such, using quotation
marks. However, in science writing, direct quotes are seldom used. Instead,
paraphrase the information in the
reference, and supply the citation. In
the case of plagiarism, all students involved will receive a “0” on this
assignment. Thereafter, plagiarism will
be handled according to the College’s Academic Honesty Policy, with possible
failure of the course and suspension from the College.
Please submit your case studies through Canvas.
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 heart beat. 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.
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
A 4-year old girl presents at the emergency room with bloody
diarrhea, fever and vomiting. The child’s mother reports that the child has had
these symptoms for about 24 hours and she has not passed any urine for about 12
The child is enrolled in a day care center and the group had
recently made a field trip to a fast food place to learn about different jobs.
The children had a lunch of ground beef, fries and cola after meeting with
different workers. This field trip was 4 days earlier on Friday. The child had
a temperature of 39C and showed physical signs of dehydration. Blood samples
drawn showed evidence of greatly reduced kidney function and lysed red blood
You will be graded on the following items:
Each of the 6 Question
Some assumptions are
Final report is typed
One or fewer errors in
must be properly
Final report is typed,
10 errors in spelling,
Copious errors in
Any information that is
No in-text citations or
No in-text citations or