Question

A new patient presents to the urgent care center with a laceration to the left elbow that happened 10 days ago and was not treated. An infected gaping wound was found, with resulting cellulitis to the forearm and upper left arm. Extensive irrigation and debridement using sterile water were performed but closure was not attempted pending resolution of the infection. Culture of the wound revealed streptococcus. The patient received 1,200,000 units of Bicillian CR IM and is to return in 3 days for follow up. The history and physical examination were problem focused.

a. S51.012A, L03.114, B95.5, 99201, 96372, J0561x12
b. L03.114, B95.5, 96372-LT, J0561x12
c. S41.009A, B95.5, 99201
d. S51.012A, 99281, 96372, J0561x12

Answer 1

Microscopic examination of bacteria provides valuable information about their shape and arrangement, helping in identification and treatment. Leukocytosis is a common response to infections or inflammation like severe burns, highlighting the body's immune reaction.

Step-by-step explanation:

By examining bacteria under a microscope, we can learn about their shape, size, and arrangement, which are critical in identifying the type of bacteria and guiding appropriate treatment options. For instance, Staphylococcus aureus is usually seen as clusters resembling grapes, while Streptococcus pyogenes appears in chains. These characteristics, along with specialized tests like agglutination tests for S. aureus or bacitracin susceptibility for S. pyogenes, can confirm the presence of these bacteria as seen in the case studies provided.

Leukocytosis, or a high white blood cell count, is an expected response to infection or inflammation, such as seen in a severe burn or infections like necrotizing fasciitis or infections related to surgical sites like implantation of a central venous catheter.