Answer: ( QUESTION A:)<u> Measles is a childhood infection caused by a virus. Once quite common, measles can now almost always be prevented with a vaccine.</u>
<u>Also called rubeola, measles can be serious and even fatal for small children. While death rates have been falling worldwide as more children receive the measles vaccine, the disease still kills more than 100,000 people a year, most under the age of 5</u>.
(QUESTION B:)<u> </u><u>Measles attacks your body, it goes to war against your white blood cells. Specifically, it binds to your B- and T-cells, then wipes them out. Earlier symptoms come with a high fever, a cough, a runny nose, and itchy, watery eyes. One of the most recognizable effects of measles on the body is the characteristic rash.</u>
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Explanation:
Answer:
Explanation:
How does being the oldest, middle, or youngest sibling in your family influence your personality? Open-ended
Under what circumstances would you disobey an authority figure? Open-ended
How could our school increase student morale? Open-ended
Is homework always worthwhile? Close-ended
Do people pay too much attention to celebrities? Close-ended
Would you ever change places with someone else? Close-ended
Open-ended are questions that require you to produce your own answer rather than just answer true or false or yes or no.
Close ended questions require you to just answer with given answers such as a. b. c. d., true/false etc.
Based on the symptoms,
Differential diagnoses for the boy includes:
- Rocky Mountain Spotted Fever (RMSF) owing to his recent visit to Florida
- Meningitis
Course of treatment:
- The patient needs to be admitted
- Diagnostic tests including CBC, cultures of both blood and CSF to rule out meningitis should be done
Explanation:
Initial line of treatment with loading dose of doxycycline at 2.2 mg/kg and ceftriaxone at 100 mg/kg/day can be started.
RMSF is a contagious disease caused by ticks and is predominant in the southeastern regions of the United States like North Carolina. So the boy could have got the disease from his visit to N. Carolina. Doxycycline is a broad spectrum antibiotic is the most preferred treatment of choice for RMSF
Meningitis is a bacterial disease affecting the brain. Ceftriaxone is the treatment of choice for empirical treatment of meningitis.
Since the boy’s symptoms like fever, headache, petechial rashes etc are symptomatic of both RMSF and meningitis, both the antibiotics should be administered initially.
Then depending upon the culture results, other specific antibiotics and treatments can be started.
