Question

Please use the following case for questions.

You are at your son’s baseball game when another boy’s dad experiences dizziness and nearly faints in the stands next to you. You tell him that you are a paramedic and will walk him to your car where you have your medical equipment. He reports that he has had a headache off and on since he had a tooth extracted four days ago. This evening he is feeling very weak. His blood pressure is normal. When you listen to his heart you note that he has a pronounced murmur. He reports having had rheumatic fever 15 years ago. You examine his fingernails and find one that has tiny petechial hemorrhages under it.
1. Which cardiovascular infectious condition is this?2. What is the most likely causative organism and the route of transmission?3. What the connection, if any with rheumatic fever?4. Why did you look at his fingernails?5. What type of culture would a physcian most likly order and why?

Answer 1

Step-by-step explanation:

a) the cardiovascular condition is sabacute endocarditis

b) It is caused by a type of streptococcus called streptococcus viridians and transmitted through the opening of the wound

c) rheumatic fever can lead to damage to the heart and this damage allows bacteria to attach itself to the heart. Streptococcus viridians are often caused by bacteria hence there growth can be favorite by rheumatic fever.

d) the nails is used to check the blood stream, and should be check for capillary heamorrhage

e) He would order for BAP- Bacteria Agar plate that is used mostly to classic streptococcal bacteria.