Instructions INFECTIOUS DISEASE CASE STUDY 9: Meningitis Ricky, a 16-year old wh
ID: 204544 • Letter: I
Question
Instructions INFECTIOUS DISEASE CASE STUDY 9: Meningitis Ricky, a 16-year old white male was brought by ambulance to the emergency room of a community hospital at tely 10:00 p.m. He was agitated and incoherent. According to his parents, he had complained that morning at breakfast of muscle aches, ti and lack of appetite. When he vomited his breakfast soon after eating, his mother kept him home from school, suspecting influenza, which had been going around the community for a couple of weeks. During the day he had a severe headache and a midafternoon rise in temperature to 103.5°F. In the evening, Ricky became extremely agitated, began to mutter in an in ambulatory service. fashion, and was totally disoriented. His mother consulted the physician and called the Brief physical examination in the emergeney room revealed a temperature of 100.8°F and a blood pressure of 150/60 mm Hg. The patient was flailing about in a violent manner. His neck was stiff and even a small degree of dorsiflexion was impossible and a positive Kernig's sign was noted. Multiple Not allowed. This test can only be taken once Attempts Force Completion This test can be saved and resumed later QUESTION1 1 points Save Answer If this infection was of hacterial orioin what three hacteria (oenns and snecies) wonld most Save All AnswersExplanation / Answer
1. Three most common species which causes this kind of infection are
a. Neisseria meningitidis
b. Streptococcus pneumoniae
c. Haemophilus influenza type b
2. Most cases of reported bacterial meningitidis is caused by Neisseria meningitidis and Streptococcus pneumoniae.
3. Highest mortality rate is more in Neisseria meningitidis
4. Options which are true are as follows:
The three common forms of bacterial meningitis are all best prevented by available immunizations
The three common forms of bacterial meningitis all have capsules that contribute to their pathogenecity
Bacterial meningitis is life threatening and develops rapidly
A diagnosis of bacterial meningitis requires a sample of cerebrospinal fluid obtained by spinal tap
5. Absence of dorsiflexion is a condition in which the person is unable to raise the toes or raise the foot from the ankle.
Positive Kernig's sign is a condition in which the person experience pain when the thigh is flexed at the hip and knee at 90 degree angles.