Case Study OneCase Study One

Table # 4Table # 4

Anola Jean BrownAnola Jean Brown

87 year-old female87 year-old female FebrileFebrile DeliriousDelirious Breathing rapidlyBreathing rapidly Wound (pus and red line) Wound (pus and red line)

QuestionsQuestions

How long have you had the wound?How long have you had the wound? How did you acquire the wound?How did you acquire the wound? Are you currently taking any medications?Are you currently taking any medications? Has the wound been treated medically?Has the wound been treated medically? How long have you had the fever?How long have you had the fever? Are you having any pain? Severe or mild?Are you having any pain? Severe or mild? Have you been having regular urine and Have you been having regular urine and

bowel output?bowel output? Are you having any painful urination?Are you having any painful urination?

HypothesisHypothesis

With the information With the information given we have given we have hypothesized that hypothesized that the differential the differential diagnosis would be diagnosis would be Septicemia coupled Septicemia coupled with Lymphangitis.with Lymphangitis.

Septicemia photo from Septicemia photo from www.zambon.eswww.zambon.es

Lymphangitis photo from Lymphangitis photo from www.cdc.govwww.cdc.gov

Differential DiagnosisDifferential Diagnosis

1.1. Septicemia coupled with Septicemia coupled with LymphangitisLymphangitis

2.2. Nosocomial infection / MRSANosocomial infection / MRSA

3.3. Toxic Shock SyndromeToxic Shock Syndrome

4.4. UTI (Urinary Tract Infection)UTI (Urinary Tract Infection)

5.5. PneumoniaPneumonia

Lab TestLab Test

CMP (Complete Metabolic Profile)CMP (Complete Metabolic Profile) CBC (Complete Blood Count)CBC (Complete Blood Count) ABG (Arterial Blood Gas)ABG (Arterial Blood Gas) Wound CultureWound Culture Blood Test for Liver and Kidney Blood Test for Liver and Kidney

FunctionsFunctions Chest X-RayChest X-Ray UA (Urinalysis) and Urine CultureUA (Urinalysis) and Urine Culture

OutcomeOutcome

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