week 4 assign 1 SOAP 6512 2025

Assignment 1: Lab Assignment: Differential Diagnosis for Skin Conditions Photo Credit: Getty Images/iStockphoto Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause. In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition. To Prepare Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment. Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies? Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. Consider which of the conditions is most likely to be the correct diagnosis, and why. Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment. Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note. Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment. The Lab Assignment Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources. Learning Resources Required Readings (click to expand/reduce) Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Chapter 9, “Skin, Hair, and Nails” This chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments. Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis. Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center. This section explains the procedural knowledge needed prior to performing various dermatological procedures. Chapter 1, “Punch Biopsy” Chapter 2, “Skin Biopsy” Chapter 10, “Nail Removal” Chapter 15, “Skin Lesion Removals: Keloids, Moles, Corns, Calluses” Chapter 16, “Skin Tag (Acrochordon) Removal” Chapter 22, “Suture Insertion” Chapter 24, “Suture Removal” Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. Chapter 28, “Rashes and Skin Lesions” This chapter explains the steps in an initial examination of someone with dermatological problems, including the type of information that needs to be gathered and assessed. Note: Download and use the Student Checklist and the Key Points when you conduct your assessment of the skin, hair, and nails in this Week’s Lab Assignment. Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Skin, hair, and nails: Student checklist. In Seidel’s guide to physical examination (9th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center. Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Skin, hair, and nails: Key points. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center. Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis. Chapter 2, “The Comprehensive History and Physical Exam” (Previously read in Weeks 1 and 3) VisualDx. (n.d.). Clinical decision support. Retrieved June 11, 2019, from http://www.skinsight.com/info/for_professionals This interactive website allows you to explore skin conditions according to age, gender, and area of the body. Clothier, A. (2014). Assessing and managing skin tears in older people. Nurse Prescribing, 12 (6), 278–282. Document : Skin Conditions (Word document) This document contains five images of different skin conditions. You will use this information in this week’s Discussion. Document : Comprehensive SOAP Exemplar (Word document) Document : Comprehensive SOAP Template (Word document) Shadow Health Support and Orientation Resources Use the following resources to guide you through your Shadow Health orientation as well as other support resources: Frey, C. [Chris Frey]. (2015, September 4). Student orientation [Video file]. Retrieved from https://www.youtube.com/watch?v=Rfd_8pTJBkY Document: Shadow Health Support and Orientation Resources (PDF) Shadow Health. (n.d.). Shadow Health help desk. Retrieved from https://support.shadowhealth.com/hc/en-us Document : Shadow Health. (2014). Useful tips and tricks (Version 2) (PDF) Document : Shadow Health Nursing Documentation Tutorial (Word document) Document : Student Acknowledgement Form (Word document) Note : You will sign and date this form each time you complete your DCE Assignment in Shadow Health to acknowledge your commitment to Walden University’s Code of Conduct. Document : DCE (Shadow Health) Documentation Template for Health History (Word document) Use this template to complete your Assignment 2 for this week. Optional Resources LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical. Chapter 6, “The Skin and Nails” In this chapter, the authors provide guidelines and procedures to aid in the diagnosis of skin and nail disorders. The chapter supplies descriptions and pictures of common skin and nail conditions. Ethicon, Inc. (n.d.-a). Absorbable synthetic suture material. Retrieved from https://web.archive.org/web/20170215015223/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/absorbable_suture_chart.pdf Ethicon, Inc. (2006). Dermabond topical skin adhesive application technique. Retrieved from https://web.archive.org/web/20150921174121/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/db_application_poster.pdf Ethicon, Inc. (2001). Ethicon needle sales types . Retrieved from https://web.archive.org/web/20150921171922/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/needle_template.pdf Ethicon, Inc. (n.d.-b). Ethicon sutures . Retrieved from https://web.archive.org/web/20150921202525/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/suture_chart_ethicon.pdf Ethicon, Inc. (2002). How to care for your wound after it’s treated with Dermabond topical skin adhesive . Retrieved from https://web.archive.org/web/20150926002534/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/db_wound_care.pdf Ethicon, Inc. (2005). Knot tying manual. Retrieved from https://web.archive.org/web/20160915214422/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/knot_tying_manual.pdf Ethicon, Inc. (n.d.-c). Wound closure manual . Retrieved from http://www.uphs.upenn.edu/surgery/Education/facilities/measey/Wound_Closure_Manual.pdf Required Media (click to expand/reduce) Module 3 Introduction Dr. Tara Harris reviews the overall expectations for Module 3. Consider how you will manage your time as you review your media and Learning Resources for your Discussions, Case Study Lab Assignments, DCE Assignments, and your Midterm exam (12m). Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript Skin, Hair, and Nails – Week 4 (19m) Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript Online media for Seidel’s Guide to Physical Examination In addition to this week’s media, it is highly recommended that you access and view the online resources included with the text, Seidel’s Guide to Physical Examination . Focus on the videos and animations in Chapter 8 that relate to the assessment of the skin, hair, and nails. Note : To access the online resources included with the text, you need to complete the FREE online registration that is located at https://evolve.elsevier.com/cs/product/9780323172660?role=student . To Register to View the Content Go to https://evolve.elsevier.com/cs/product/9780323172660?role=student Enter the name of the textbook, Seidel’s Guide to Physical Examination (name of text without the edition number) in the Search textbox. Complete the registration process. To View the Content for this Text Go to https://evolve.elsevier.com/ Click on Student Site. Type in your username and password. Click on the Login button. Click on the plus sign icon for Resources on the left side of the screen. Click on the name of the textbook for this course. Expand the menu on the left to locate all the chapters. Navigate to the desired content (checklists, videos, animations, etc.). Note : Clicking on the URLs in the APA citations for the Resources from the textbook will not link directly to the desired online content. Use the online menu to navigate to the desired content. Suturing Tutorials The following suturing tutorials provide instruction on the basic interrupted suture, as well as the vertical and horizontal mattress suturing techniques Tulane Center for Advanced Medical Simulation & Team Training. (2010, July 8). Suturing technique [Video file]. Retrieved from https://www.youtube.com/watch?v=c-LDmCVtL0o Note : Approximate length of this media program is 5 minutes. Mikheil. (2014, April 22). Basic suturing: Simple, interrupted, vertical mattress, horizontal mattress [Video file] . Retrieved from https://www.youtube.com/watch?v=MFP90aQvEVM Note : Approximate length of this media program is 9 minutes. Incision and Drainage of an Abscess (a common procedure in primary care) New England Journal of Medicine (NEJM). (2013, September 30). NEJM abscess incision and drainage [Video file]. Retrieved from https://www.youtube.com/watch?v=MwgNdrA18fM&list=PL9UKTUFtRDcNq4–Vf2NYfUANEyObfeNm&index=8 Note : Approximate length of this media program is 10 minutes. Dermablade Use for Shave Biopsies Dermablade®. (2012, November 9). PersonnaBlades [Video file]. Retrieved from https://www.youtube.com/watch?v=D8u1Y18L9DQ Note : Approximate length of this media program is 5 minutes. Welcome to week 4 We are entering week 4. Students have 2 assignments due this week. You will choose a lesion to document the SOAP note and secondly, this week is our first Shadow Health Assignment. There are several student tips, how to upload the lab pass, etc. located in the course. Regarding the SOAP notes, there is not enough information. I advise you to make up the information that is not there (ie. Health hx, social hx, etc). This will allow you to critically think as you develop the notes. You need to know that the DCE score is not the only score that counts as your grade, it is only a portion of the grade. You must complete the documentation portion. Also, we have noted that in SH, the ROS is not located in the documentation portion but is located in the subjective data collection portion. Remember to document as the SOAP order. I advise you to review my SOAP document send last week for guidance. Last week we engulfed in great conversation on the risks of our findings about growth, measurements, and nutrition of children and their families. As practitioners, it’s important to communicate professionally, ask the right questions, and guide families as they strive to have healthier and happy lives. This week we will begin to review assessments of body systems. Skin, Hair, and Nails will be covered. I encourage you to perform the assessment of Skin, Hair, and Nails so that you may be proficient with it for the overall assessment. You are able to access the check lists by enrolling into the evolve website in your resources. You first assignment for this week is to be written in a SOAP Note format (NO NARRATIVES). There is a template/sample for you to follow posted in your announcements at the beginning of the semester. You will need to put in the missing information in the note (some may be made up ie meds, hx, parts of the ROS and PE). In the Assessment/Plan, you will document your differential diagnoses as per the assignment. I will comment on your notes and if needed, send you an email if I need to help you with them more. Assignment 1: The Lab Assignment · Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. · Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references , one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

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Analyzing Assessment Data 2025

Data from assessments can used to determine if learners are meeting course or learning outcomes. Assessments can be utilized in many ways, such as learner practice, learner self-assessment, determining readiness, determine grades, etc. The purpose of this assignment is to analyze sample test statistics to determine if learning has taken place. To address the questions below in this essay assignment, you will need to use the information from your textbook chapter readings and the data provided in the “NUR-648E Sample Item Analysis” resource. In a 1,000-1,250 word essay respond to the following questions: Explain what reliability is and whether this test is reliable based on the “Sample Item Analysis” resource. What evidence supports your answer? What trends are seen in the raw scores? How would an instructor use this information? What is the range for this sample? What information does the range provide and why is it important? What information does the standard error of measurement provide? Does the test have a small or large standard error of measurement? How would an instructor use this information? Explain the process of analyzing individual items once an instructor has analyzed basic concepts of measurement. If one of the questions on the exam had a p value of .100, would it be a best practice to eliminate the item? Justify your answer. If one of the questions on the exam has a negative PBI for the correct option and one or more of the distractors have a positive PBI, what information does this give the instructor? How would you recommend that the instructor adjust this item? Based on the “Sample Item Analysis” resource, what steps would you take to improve learning? Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite.

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week 3 assignment 675 2025

Assignment: Focused SOAP Note for Anxiety, PTSD, and OCD. In assessing patients with anxiety, obsessive-compulsive, and trauma and stressor-related disorders, you will continue the practice of looking to understand chief symptomology in order to develop a diagnosis. With a differential diagnosis in mind, you can then move to a treatment and follow-up plan that may involve both psychopharmacologic and psychotherapeutic approaches. as Case Study—-Dev Coddoba- See Video transcription In assessing patients with anxiety, obsessive-compulsive, and trauma and stressor-related disorders, you will continue the practice of looking to understand chief symptomology in order to develop a diagnosis. With a differential diagnosis in mind, you can then move to a treatment and follow-up plan that may involve both psychopharmacologic and psychotherapeutic approaches. a In this Assignment, you use a case study to develop a focused SOAP note based on evidence-based approaches. To Prepare Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders. Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. Review the video, Case Study: Dev Cordoba . You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar. Consider what history would be necessary to collect from this patient. Consider what interview questions you would need to ask this patient. The Assignment Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template: Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy. Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you could follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old). SOAP TEMPLATE attached. Medication list . Review the FDA-approved use of the following medicines related to treating anxiety disorders, OCD, PTSD, and related disorders: AnxietyGeneralized anxiety disorderPanic disorderalprazolam amitriptyline amoxapine buspirone chlordiazepoxide citalopram clomipramine clonazepam clonidine clorazepate cyamemazine desipramine diazepam dothiepin doxepin duloxetine escitalopram fluoxetine fluvoxamine gabapentin (adjunct) hydroxyzine imipramine isocarboxazid lofepramineloflazepate lorazepam maprotiline mianserin mirtazapine moclobemide nefazodone nortriptyline oxazepam paroxetine phenelzine pregabalin reboxetine sertraline tiagabine tianeptine tranylcypromine trazodone trifluoperazine trimipramine venlafaxine vilazodonealprazolam citalopram desvenlafaxine duloxetine escitalopram fluoxetine fluvoxamine mirtazapine paroxetine pregabalin sertraline tiagabine (adjunct) venlafaxinealprazolam citalopram clonazepam desvenlafaxine escitalopram fluoxetine fluvoxamine isocarboxazid lorazepam mirtazapine nefazodone paroxetine phenelzine pregabalin reboxetine sertraline tranylcypromine venlafaxine Posttraumatic stress disorderReversal of benzodiazepine effectsSocial anxiety disordercitalopram clonidine desvenlafaxine escitalopram fluoxetine fluvoxamine mirtazapine nefazodone paroxetine prazosin (nightmares) propranolol (prophylactic) sertraline venlafaxineflumazenil citalopram clonidine desvenlafaxine escitalopram fluoxetine fluvoxamine isocarboxazid moclobemide paroxetine phenelzine pregabalin sertraline tranylcypromine venlafaxine Obsessive-compulsive disorder citalopram clomipramine escitalopram fluoxetine fluvoxamine paroxetine sertraline venlafaxine vilazodone

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NSG6435 Week 4 Assignment 3 Quiz latest 2017 2025

Question 1 . Question : Which theory focuses on the relationships among individuals as they develop and change in the environment? Ecological theory Cognitive theory Humanistic theory Sociocultural theory Question 2 . Question : The Board of Nursing in each state is responsible for _____________ . certified medical assistants pharmacy technicians anesthesiologists advanced practice nurses Question 3 . Question : Stool of a breastfed infant is: hard and dark brown soft, yellow, and seedy florescent green white in color Question 4 . Question : An essential tool in the evaluation of precocious puberty in girls is: Menarche Growth spurt Thelarche Pubarche Question 5 . Question : The incidence of epiglottis has decreased because of which vaccine? Hib Prevnar Varicella Meningococcal Question 6 . Question : What factors contribute to the inability among children to access health-care services? Inability to obtain health insurance Language and cultural barriers Lack of financial resources All of the above Question 7 . Question : An eight-year-old has chronic intermittent nasal congestion . All but which one of the following would support allergic rhinitis? Red swollen turbinates Darkened areas below eyes Increased basophils on complete blood count (CBC) Itchy, watery eyes Question 8 . Question : Parents or guardians of adolescents should ___________________ . not be included in the adolescent’s health care receive health guidance information at least twice during adolescence encourage reasonable use of alcohol and tobacco by the adolescent encourage early sexual activity by providing condoms to the adolescent Question 9 . Question : A five-year-old female presents for a follow-up emergency room visit with a diagnosis of bronchitis . Which treatment you would expect to have been prescribed? Oral steroids Azithromycin Increase rest and fluid intake Albuterol Question 10 . Question : How does cultural sensitivity impact the care of infants in the primary care setting? Health-care providers may possess cultural biases that can impact care . Cultural sensitivities do not exist in health care . Cultural sensitivity only impacts the parents of infants . Cultural sensitivity increases access to timely health-care services for infants . Question 11 . Question : The most typical chest radiographic finding consistent with the diagnosis of asthma is ______________ . normal chest film diffuse airway edema right upper-lobe infiltrate hyperinflation Question 12 . : A four-year-old male patient presents with his mother with a school referral regarding red eyes . Which questions would not assist in establishing a list of differential diagnoses? A four-year-old male patient presents with his mother with a school referral regarding red eyes. differential diagnoses is Vision status Unilateral vs . bilateral presentation Type of drainage Vision status History of a bacterial infection one month agso Question 13 . Question : The average adolescent male usually experiences his biggest growth spurt at approximately __________ of age . 10 . 5 years 11 . 5 years 12 . 5 years 13 . 5 years Question 14 . Question : ___________ adolescents should be screened for hypertension . All Obese High risk No Question 15 . Question : ___________ is a natural part of our cultural and ethnic background . Food Race Language Religion Question 16 . Question : Physical health is not the only important consideration in providing health care to children . As a nurse practitioner, you will also need to take into account the following: The presence of psychosocial issues A child’s social development A child’s neurodevelopment All of the above Question 17 . Question : Allergic symptoms may cause increased nasal congestion, sneezing, watery eyes, and difficulty in sleeping . What are some of the potential problems that may be present in addition to these symptoms? Gastrointestinal disturbances Difficulty in concentrating Auditory and visual disturbances Decrease in asthma exacerbations Question 18 . Question : The most common clinical presentations of pneumonia include _____________ . cough, fever, and tachypnea hemoptysis and putrid breath sudden chest pain and cyanosis retractions and stridor Question 19 . Question : The average adolescent female usually experiences her biggest growth spurt at approximately ____________ of age: 10 . 5 years 11 . 5 years 12 . 5 years 13 . 5 years Question 20 . Question : An infant should no longer have a head lag when pulled from the supine to sitting position at what age? Two months Three months Six months Nine months

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Microbiology day six assignment 2025

Answer Clinical Application Questions 1-3 for Chapter 12 on page 368 and Clinical Application Question 1-3 for Chapter 13 on page 400. Answers should be submitted in a word document with any associated references used.? Answer Clinical Application Questions 1-3 for Chapter 12 on page 368 a) A girl developed generalized seizures. A CT scan revealed a single brain lesion consistent with a tumor. Biopsy of the session showed cysticerus. The patient lived in South Carolina and had never traveled outside the state. What parasite caused her disease? How is this disease transmitted? How might it be prevented? b) A California farmer developed a low-grade fever, myalgia, and cough. A chest X-ray exam revealed infiltrate in the lung. Microscopic exam of the sputum revealed round budding Cells. A sputum culture grew mycelia and arthroconidia. What organism is most likely the cause of the symptom? How is this disease transmitted? How might it be prevented. c) A teeaged male in California complained of remittent fever, chills, and headaches. A blood smear revealed ring-shaped cells in his red blood cells. He was successfully treated with primaquine and chloroquine. The patient lives near the San Luis Rey River and has no history of foreign travel, blood transfusion, or intravenous drug use. What is the disease ? How was it acquired? and Clinical Application Question 1-3 for Chapter 13 on page 400. A) A 40 year old man who was seropositive for HIV experienced abdominal pain, fatique, and low grade fever (38 degree C) for 2 weeks. A chest X-ray exam revealed lung infiltrates. Gram and acid fast stains were negative. A viral culture revealed the cause of his symptoms: a large , enveloped polyhedral virus with double-stranded DNA. What is the disease? Which virus causes it? Why was virus culture done after Gram and acid-fast stain results were obtained B) A new born female developed extensive vesicular and ulcerative ; lesions over her face and chest. What is the most likely symptoms? How would you determine the viral cause of this disease without doing a viral culture? C) By May 14, two people living in the same household had died with five days of each other. Their illnesses were characterized by abrupt onset of fever, muscle pain, headache , and cough, followed by rapid development of respiratory failure. By the end of the year, 36 cases of the disease, with a 50% mortality rate, had been confirmed. A member of the Orthomyxoviridae, Bunyaviridac, or Adenoviridac could cause this disease . Differentiate among these families by method of transmission, morphology, nucleic acid, and type of replication. The reservoir for this disease is mice. Name the disease .

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