Thursday, February 27, 2020

Waterhouse Friderichsen Essay Example | Topics and Well Written Essays - 2250 words

Waterhouse Friderichsen - Essay Example As the discussion highlights the hypothetical case study will be a 35-year-old female patient who was found with signs and symptoms associated with Waterhouse Friderichsen. A 35-year-old female patient got admitted after showing signs of high-grade fever accompanied by chills and vomiting over a period of 7days. The patient also had a skin rash on the abdomen and trunk, which appeared on the 5th day of infection. Following admission, the patient developed a hemorrhagic rash. On assessing the family history, there was no any significant information to associate the infection with family history. Medical examination revealed that the patient was unstable, and there was the presence of cyanosis. The patient was afebrile with a pulse rate of 90/min and a systolic BP of 70mmHg. From this paper, it is clear that neurological examination revealed positive signs of Kerning and Brudzinski. There were rashes all over the body but predominated on the abdomen and trunk. Collection of CSF was done under aseptic conditions and its processing is done under standard bacteriological procedures. Microscopy on CSF was done routinely, and a cell count of 9400/mm3 was reported. Of the total cell count, 86% were polymorphs while 14% were lymphocytes. An increase in CSF proteins to 309mg% and a decrease in glucose to 20mg% were reported. A Gram stain preparation of the CSF revealed pus cells accompanied with gram-negative diplococcus. CSF cultures were done on MacConkey agar, chocolate agar, and blood agar and incubated overnight. After overnight incubation, there were tiny translucent colonies on blood agar and chocolate agar. Standard bacteriological procedures identified the tinny translucent colonies to be those of Neisseria meningitides. A CT scan conducted on the patie nt confirmed adrenal hemorrhage, which is present in Waterhouse Friderrichsen syndrome. Antibiotic sensitivity using 5 antibiotics showed no resistance to any of the antibiotics under examination.

Tuesday, February 11, 2020

How the tiger got his stripes Assignment Example | Topics and Well Written Essays - 750 words

How the tiger got his stripes - Assignment Example It also works towards ensuring that the Federal resources and funds are used in an appropriate manner to deter threats, vulnerability, and terror related attacks. Moreover, it develops sound concepts that are relevant to the private sector and the critical infrastructure, making sure to address the cyber, human, and physical considerations that are paramount in the adoption of rational and comprehensive programs (Scheuer, n.d). On the same note, the DHS works jointly with the critical infrastructure stakeholders from the private sector and leads in coordinating a nationwide effort to reduce risks that are related to the country’s infrastructure. It does this by developing and implementing a sound and effective critical infrastructure oriented protection to ensure full protection. It also leads in risk management in order to protect the critical infrastructure against issues such as terrorism. Therefore, it collaborates with partners from the private sector in guaranteeing that they establish a risk management program and plan that is geared towards the protection of information technology, ensuring the continuity of the business, and guarantees maximum security. Finally, the DHS plays a major role in the protection by investing in the development of solid frameworks to enhance preparedness measures for the private sector partners (Scheuer, n.d, pp.