Download - Problem-Based Learning Simulation
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PROBLEM-BASED
LEARNING SIMULATION
Similar to the TV Show “House”
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CASE Anyone want to read this? A 30 year-old white female lab
technician who lives in Boston, MA presents with an upper respiratory infection, fever, chills, and a rash on her thigh. A week ago, with a group, she took a trip to a camping grounds just outside Boston. She slept outdoors along with the rest of her group. She doesn’t remember being bitten by anything. She is concerned that her rash started small and during the last few days has been spreading. She has no allergies. She had tried an over-the-counter medication, Benadryl, with no rash improvement. Further questioning revealed that she slept on leaves she placed on the grass.
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THE RASH
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LET US DISCUSS Signs/
Symptoms??? Differential
Diagnosis??? Clinical
Diagnosis??? Treatment??? Write on the
board Why?
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CASE (CONT…) She was given a minimal dose of
Tetracycline (broad spectrum). The patient went home. Why?
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CASE (CONT…) Two days later, the laboratory results
came back. She was positive for Lyme Disease. Her primary care physician alerted here immediately and increased the dose of her Tetracycline to fight the infection.
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WHAT IS LYME DISEASE?
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CAUSED BY BACTERIA, BORRELIA Gram-negative
spirochetal bacteria from the genus Borrelia.
They need a vector to transmit itselfLiceTicks
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CARRIED BY TICKS
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TICK SIZE VARIES, BUT THEY ARE REALLY, REALLY SMALL
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LYME DISEASE OVERVIEW
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HUMAN CYCLE
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LYME DISEASE OVERVIEW CONT.
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LIFECYCLE
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TREATMENT OUTCOME – THE GOOD Good if detected
early.
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TREATMENT OUTCOME – THE BAD Untreated, can
cause many problems, affected many organs.Brain.Nerves.Eyes. Joints.Heart.
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LYME DISEASE TOTAL CASES
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PREVENTION
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YOUR TURN FOR PROBING QUESTIONS??? Speaker: Manpreet Singh Email: [email protected]
Speaker: Marizabel Orellana
Email: [email protected]
Speaker: Vanessa Correa Email: [email protected]