MIMM 413 Lecture : march 19 2012- dr. ndao.docx

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magentacricket108

15 May 2012

School

McGill University

Department

Microbiology and Immun (Sci)

Course

MIMM 413

Professor

Various

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Document Summary

Review of last lecture: bancrofti and b. malariae are the main causes of lf. In the case of w. bancrofti, if you have a patient in the office, the best way to diagnose is with travel history and taking blood at night. Otherwise you must inject oxygen into the patient during the day. Most of the time people are asymptomatic during this incubation. Ppp= release in the stool and the blood. When you take blood, you are looking for microfilaria. The adults are in the cavities, not the blood. This disease causes a large physical and psychological impact. Possible to diagnose using a thick and thin smear. If you coat a plate with an antigen for. When you coat your plate with antigen, you are looking for ab. So you are adding the serum of the patient. But if you are coating your plate with moab and you add the serum, you are trying to find the ag.

Related Questions

Highlight any risk factors that might exist, existing medical conditions, present signs and symptoms or complains that the patient is suffering from.

Analyze the results of any diagnostic tests that were performed. Diagnostic tests include, physical exams, blood test, radiologic tests (x-ray, CT scans, etc.), and other functional tests.

Relate the medical treatment used to the underlying pathology.

Propose clinical management plan for the patientâs condition, and possible prognosis.

Case Study #2 K.H. is a 67-year-old African-American man with primary hypertension and diabetes mellitus. He is currently taking an angiotensin-converting enzyme (ACE) inhibitor and following a salt-restricted weight loss diet. He is about 30 pounds over his ideal weight. At his clinic visit his blood pressure is noted to be 135/96. His heart rate is 70 beats/min. He has no complaints. His wife brought a blood pressure cuff and stethoscope with her in the hope of learning to take her husbandâs blood pressure at home. A. Risk factors, diagnostic tests, treatment and clinical management plan Highlight any risk factors that might exist, existing medical conditions, present signs and symptoms or complains that the patient is suffering from. Analyze the results of any diagnostic tests that were performed. Diagnostic tests include, physical exams, blood test, radiologic tests (x-ray, CT scans, etc.), and other functional tests. Relate the medical treatment used to the underlying pathology. Propose clinical management plan for the patientâs condition, and possible prognosis. B. Discussion Questions Questions will be made available in Class. Groups will discuss and present answers. Area of focus for questions- Risk factors for hypertension; Treatment of hypertension; Use of ACE inhibitors .

General Hospital

1511 Ninth Avenue Sun City, USA, 12345 (555)802-1887

Date April 14, 20xx Pathology: 43022 Patient Franks, Robert Room 910 Physician Dante Riox,

MD Specimen: Skin from (a) dorsum left wrist and (b) left forearm, ulnar area, near elbow.

Clinical Diagnosis: Bowen disease versus basal cell carcinoma versus dermatitis.

Microscopic Description: (a) There is mild hyperkeratosis and moderate epidermal hyperplasia with full-thickness atypia of squamous keratinocytes. Squamatization of the basal cell layer exists. A lymphocytic inflammatory infiltrate is present in the papillary dermis. Solar elastosis is present. (b) Nests, strands, and columns of atypical neoplastic basaloid keratinocytes grow down from the epidermis into the underlying dermis. Fibroplasia is present. Solar elastosis is noted. Pathologic Diagnosis: (a) Bowen disease of left wrist; (b) nodular and infiltrating basal cell carcinoma of left forearm, near elbow. Samantha Roberts, MD sr:bg

Define all the Highlighted terms: AND Answer these Questions:

1. In the specimen section, what does "skin on dorsum left wrist" mean? ________________________________________________________________

2. What types of cells made up the inflammatory infiltrate? ________________________________________________________________

3. What was the pathologist's diagnosis for the left forearm (look at pathologic diagnosis)? ________________________________________________________________

4. Provide a brief description of Bowen disease, the pathologist's diagnosis for the left wrist. ________________________________________________________________

A 38-year-old woman has vaginal spotting and goes to see a gynecologist. She has a history of cervical hyperplasia and is afraid she is having an exacerbation of the condition. After receiving pap smear results, her doctor tells her that the pathology results revealed severe dysplasia. The doctor says the condition is diagnosed as carcinoma in situ. The patient says, "I don't understand what all of these words mean. What could have caused this?" How would you explain all this to the patient? Define the highlighted terms and give the patient an answer as to some causes of this condition.

MIMM 413 Lecture : march 19 2012- dr. ndao.docx

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