Reference no: EM133340454

CASE STUDY There are 10 questions in this case study. Each question is worth 2.5 points. The case study is worth a TOTAL of 25 points A young man, 20 years old, was driving alone back to college in Colorado from Atlanta. He decided to detour through Tennessee and visit friends for a week. They ate fast food, slept outside in the woods in sleeping bags, and went white water rafting. After a 5 day visit, he started his 2-day drive to Colorado. It wasn't long after he got into the car that he started feeling nauseous. He became so nauseous that he pulled over on the side of the highway several times to throw up.

Questions:

1. The differential diagnosis at this point is quite wide. Name five infections and five food poisonings that might be possible as well as possible sources: He called his mother telling her he didn't feel well. She told him to spend the night at a hotel, drink small amounts of soda and eat pretzels, and see how he felt in the morning. He called home in the morning stating that he felt a little better. However, on the road he started to feel nauseous again. In addition, he had awful chills and felt as though he was running a high fever. He called his mother again. She told him to stop and get some Tylenol and go to a hotel for the night.

2. What seems more likely at this point? An infection or a poisoning? Why? On the third day, by the time he made it to Colorado, he felt miserable. He had chills, felt weak, had a terrible headache, and he was suffering from leg cramps and muscle pain. His mother told him to visit the university clinic. She thought he was dehydrated from the vomiting and likely needed IV fluids. At the clinic, his fever was 101F. He appeared slightly jaundiced, and lab tests showed bilirubin in his rine. The doctor sent him to the university hospital for further tests. What causes jaundice? Is it normal for bilirubin to be in the urine? What organ seems to be affected?