13.3: Lab Report for Case Study #2

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After receiving a baby chicken for Easter, a 7 year old boy is taken to the emergency room with symptoms of vomiting, nausea, non-bloody diarrhea, abdominal cramps, and a temperature of 100°F. A complete blood count (CBC) shows the WBC count to be within the normal reference range.

1. Patient’s history and predisposing factors

Read the case study. Explain how any relevant parts of the patient’s history contributed to your diagnosis of the type of infectious disease that is present here. You are urged to use the computers in lab to search reliable medically oriented Internet sources to support this. Reliable sources you might consider are Medscape (http://emedicine.medscape.com/infectious_diseases) and The Centers for Disease Control and Prevention (CDC) at http://www.cdc.gov/. Cite any sources you use at the end of this Patient's History section in APA style (https://www.scribbr.com/apa-examples/website/).

The patient's history and patient's symptoms should suggest a general type of infectious disease, such as a urinary tract infection, a wound infection, gastroenteritis, pharyngitis, pneumonia, septicemia, etc. You need to determine the general type of infection in order to determine what microbiological tests to perform to identify the bacterium causing the infection. Search at least one medically-oriented reference article from a reliable site such as Medscape and use this article to support your diagnosis the type of infectious disease seen here. Don't forget to cite any sources you used in APA style directly under this Patient's History and Patient's Symptoms sections of this Lab Report.

2. Patient’s signs and symptoms

Read the case study. Explain how the patient’s signs and symptoms contributed to your diagnosis of the type of infectious disease that is present here. You are urged to use the computers in lab to search reliable medically oriented Internet sources to support this. Reliable sources you might consider are Medscape (http://emedicine.medscape.com/infectious_diseases) and The Centers for Disease Control and Prevention (CDC) at http://www.cdc.gov/. Cite any sources you use at the end of this Patient's Symptoms section in APA style (https://www.scribbr.com/apa-examples/website/).

The patient's signs and symptoms should suggest a general type of infectious disease, such as a urinary tract infection, a wound infection, gastroenteritis, pharyngitis, pneumonia, septicemia, etc. You need to determine the general type of infection in order to determine what microbiological tests to perform to identify the bacterium causing the infection. Search at least one medically oriented reference article from a reliable site such as Medscape and use this article to support your diagnosis the type of infectious disease seen here. Don't forget to cite any sources you used in APA style under this Patient's History and Patient's Symptoms sections of this Lab Report.

3. Vocabulary list for medical terms used in the case study under signs and symptoms

List and define any medical terms used in your case study that describe the patients’s signs and symptoms that the average person not in the medical profession might not know.

4. Results of laboratory test given in the case study

List each lab test given and explain how the results of that test helps to contribute to your diagnosis. Refer to Appendix C (Complete Blood Count) in your lab manual as well as your source paper used above.

5. Microbiological lab tests you performed in Lab 12

a. XLD agar
Describe the results of the XLD agar plate you inoculated with the sample from the patient. State how this contributed to your identification of the bacterium causing this infectious disease. XLD agar is discussed in Lab 12 under C. Lab Tests Used in Today’s Lab.

b. EnteroPluri-Test.

Using the Enterotube®II inoculated with a colony from the MacConkey agar above, identify the bacterium causing the infection. The EnteroPluri-Test and its use are described in Lab 12 under C. Lab Tests Used in Today’s Lab.

1. In the table below, put a (+) or a (-) in the Result row for each test.
2. Add up the value of each positive test in a group and put that number in the code for each group.
3. The 5-digit number is the CODICE number. Look that number up in the Codebook and identify your unknown.

	Group 1			Group 2			Group 3			Group 4			Group 5
Test	Glucose	Gas	Lysine	Ornithine	H2S	Indole	Adonitol	Lactose	Arabinose	Sorbitol	VP	Dulcitol	PA	Urea	Citrate
Value	4	2	1	4	2	1	4	2	1	4	2	1	4	2	1
Result
Code
CODICE NUMBER:

Genus of the the bacterium: __________________________________

Final diagnosis:

What infectious disease does the patient have?

What is the genus of the bacterium causing this infectious disease?

Contributors and Attributions

Dr. Gary Kaiser (COMMUNITY COLLEGE OF BALTIMORE COUNTY, CATONSVILLE CAMPUS)