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 Case Study #1 Man with a surgical wound after a prosthetic hip placement Patient History A 72 year-old man with a history of rheumatoid arthritis underwent placement of a prosthetic left total hip 2 weeks ago. The wound initially started healing, but over the past 3–4 days, he noted increasing pain in the joint with redness and swelling. Yesterday he noticed a small blister over the middle of the incision, and today the area has opened up and begun to drain purulent material. He denies any fever or chills. On physical examination, he is well appearing but has difficulty bearing weight on his left leg because of pain. His temperature is 38oC (100.4oF), heart rate is 86 beats per minute, blood pressure 180/78 mm Hg, and respiratory rate is 18 breaths per minute. There are no oral or skin lesions. His chest is clear. Cardiac exam is without murmurs, rubs, or gallops. The remainder of the examination is unremarkable, except for his left leg. There is severe pain on rotation of his hip. The incision is warm, erythematous, hard (indurated), and tender. There is a small area where the skin has split open (dehiscence) where purulent material can be expressed. Laboratory studies reveal a white cell count of 11.8/mm3 and normal electrolytes. The erythrocyte sedimentation rate (ESR) is 86 mm/h. Plain radiographs of the left hip are unremarkable. A joint aspirate yielded 20 mL of thick cloudy fluid. Gram stain of the fluid revealed the following. Wound infections contribute significantly to morbidity and mortality following surgery. The risk of acquiring a post-operative wound infection increases with prolonged operating time, the nature of the surgery (clean or dirty), increased number of blood transfusions, and the length of hospital stay. Organisms causing wound infections stem from two main sources: the environment (operating room and staff) and the surrounding skin and mucous membrane (patient’s endogenous flora). Assignment Based on this case study, write a 1-page report describing the appropriate specimen collection, laboratory safety, culture conditions, and causative agent. Discuss the probable causative agent in terms of laboratory testing, pathogenesis, treatment, and prevention.

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Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.

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Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.

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Humanities

Assessment item 2 ACS Code of Conduct Value: 13% Due date: 28-Aug-2015 Return date: 18-Sep-2015 Length: 800 words Submission method options Alternative submission method Task Proceed according to the following instructions. Use the same ethical dilemma or ethically questionable situation that you id ...

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CUL 710 The World of Art

Biography of the Artist’s Life Present a brief biography of the artist’s life. Your biography should include the dates the author lived(s), where they lived, some relevant life experiences, some of the influences on the artist’s work, and any other facts in their life that are rel ...

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plzz make Assignment according to Australian standard lecture slides are uploaded below and make sure you read about all the name of companies on which you can not make assignment as its given below in word document further if you need any help plzz call or email on any of these numbers 04691462 ...

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Define Transvestite: Description Of Sexual Orientation And Gender Dysphoria Issues

Define transvestite. Also, give a brief description of sexual orientation and gender dysphoria issues. ...

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