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olga2289 [7]
4 years ago
12

A 58 year old lawyer presents in the emergency room with headache, irritability, generalized muscle pain and uncontrollable back

spasms. He has become very restless and worried because he has had the back spasms all through his court case that afternoon and they became extremely painful. In his history, the lawyer states that he has a very busy practice. He is on medication for high blood pressure (beta blocker) and has mild asthma. He injured himself about 10 days earlier, puncturing his left arm with a nail from an old barn he is in the process of tearing down. The wound has produced moderate quantities of pus, but he has been keeping it clean. When asked, he did not remember having a tetanus shot shinc he was a kid. The wound was sampled for microscopic examination and culture. The patient's back appears to have very tight contrations and spasms. He is in obvious agonizing pain. Subsequent microscopic examination has shown a Gram-positive endospore-forming bacillus. The culture would not grow aerobically, but upon culture in a Gaspak anaerobic syste bacterial colonies developed.
A. What is your diagnosis here?
B. What is the proper treatment of this problem?
C. How could this have been prevented?
Biology
1 answer:
Lerok [7]4 years ago
4 0

Answer:

A. What is your diagnosis here?

As per symptoms and incident of puncturing left arm with nail from an old barn indicates it can be infection of Clostridium tetani causing disease tetanus.

When such kinds of wound occurs, there should be injection of tetanus immunoglobulin (TIG) immediately. This injection contains antibodies against Clostridium tetani which can kill the microorganism. It should be injected as soon as possible. But this is short term immediate medication.

B. What is the proper treatment of this problem?

For the treatment antibiotic penicillin, metronidazole or tetracycline can be given, it prevents multiplication of bacteria and production of neurotoxin from bacteria. these neurotoxins are responsible for muscular spasms. Along with antibiotic some anticonvasculants, muscle relaxants can be given to reduce spasms, anxiety.

C. How could this have been prevented?

This infection can be prevented by giving its vaccine in childhood itself. Vaccine is given in the form of DTaP vaccine (diptheria, tetanus toxoid, acellular pertusis). It is given in 5 shots. It is given in the arm or thigh when child is at 2 month age, 4 month age, 6 month age, 15 to 18 month age, 4- 6 years of age.

Explanation:

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Answer:

In the next generation of 4000 children, 1680 of them will be heterozygous for the eye colour.

Explanation:

There's a population of 2500, 2275 of with have brown eyes and 225 blue eyes. <u>Let's call the dominant allele associated with brown colour "B" and the recessive allele associated with blue colour "b"</u>. So the possible genotypes are BB, Bb and bb, being BB and Bb brown eyed individuals and bb blue eyed individuals.

If the population it's in Hardy-Weinberg equilibrium, it means genotypic and allelic frequencies don't change from one generation to the following.

From the information given, we can calculate both allelic and genotypic frequencies.

First, we know that the frequency of the genotype bb it's the amount of blue eyed individuals over the total population.

  • f(bb)=225/2500=0.09

Additionally we know the allelic frequencies can be related to the genotypic ones when the population it's in Hardy-Weinberg equilibrium. Particularly we can say:

  • f(bb)=[f(b)]^2 => f(b)=[f(bb)]^(1/2)= 0.3 <em>(square root of f(bb)).</em>

Also, we can calculate the frequency of the B allele, as the probability of all alleles of the gene sum 1. In other words:

f(b)+f(B)=1 => f(B)=1 - f(b) = 1 - 0.3 = 0.7

So far, we have calculated the allelic frequencies, f(b)=0.3 and f(B)=0.7.

Now we can calculate the genotypic frequencies, using the equations of the Hardy-Weinberg equilibrium.

  • f(bb)=[f(b)]^2 => f(bb)=0.3^2=0.09
  • f(Bb)=2*f(B)*f(b) => f(Bb)=2*0.7*03=0.42
  • f(BB)=[f(B)]^2 => f(BB)=0.7^2=0.49

Finally, knowing that there are 4000 children in the next generation, to know how many of them are expected to be heterozygous for the eye colour, we should multiply the number of children for the probability of being heterozygous for the eye colour (which is the genotypic frequency for the genotype Bb).

  • Nº of heterozygous individuals = f(Bb)*total population= 0.42*4000
  • => Nº of heterozygous individuals =1680

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