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.
Answer:
wellness, health
Explanation:
The process that lead to improved health is known as wellness. Wellness is an active method of becoming conscious of a good and fulfilling life and making decisions. Wellness is more than being disease-free, it is a vibrant shift and development process.
However, on the other hand, the state of complete social well being is called health.
Answer:
If you are gifted in a certain area, it can be a burden because people expect so much from you and think that you are perfect and not supposed to mess up. It is a blessing, however, because then people can depend on you for help. And since you are good in that specific area, you are better at it than most people are.
I believe that people with down syndrome are more likely than the general population to develop Alzheimer's disease in late life.
