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

Waterhouse Friderichsen - Essay Example To have a clear description of Waterhouse Friderichsen, a hypothetical client scenario will be used. Other than concentrating on the primary organ affected by Waterhouse Friderichsen, other organs affected by the same will also be discussed. The final section under this medical condition will focus on impacts of healthcare and nursing. The hypothetical case study will be of a 35 year old female patient who was found with signs and symptoms associated with Waterhouse Friderichsen. Majority of cases have been reported in children, but the increased rate of meningococcal infections have led to high incidences of Waterhouse Friderichsen in adults. In many cases, patients with Waterhouse Friderichsen die within 24hrs, but a few have managed to survive beyond 48hrs. Cases of full recovery have also been reported in some regions. This fact proves that the syndrome is not fatal when early diagnosis is made. Worldwide incidences of Waterhouse Friderichsen syndrome are not many, although cases of the condition go unnoticed in many instances (Manchanda et al, 2008). Case Analysis This is a hypothetical case of a 35 year old female patient who 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 febrile with a pulse rate of 90/min and a systolic BP of 70mmHg. 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 done under standard bacteriological pr ocedures. 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 patient 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. Antibiotics under examination were sulfamethoxazole, chloramphenicol, ceftriaxone, trimethoprim, and p enicillin. The patient was put on ceftriaxone and steroids but went into a shock. On the third day of admission, water Friderichsen syndrome was reported as the cause of death. Discussion Waterhouse Friderichsen syndrome was reported first in 1911 by Rubert Waterhouse. This syndrome is caused by failure of the adrenal gland due to massive bleeding into the gland. The cause of bleeding is a bacterial infection, most common bacteria being meningococcus Neisseria meningitides. This medical condition presentswith rash, fever, coagulopathy, rash, and shock. During the course of its development, multiple organs are affected, leading to multiple system failure. One significant sign in Waterhouse

Healthy People 2020 Assignment Example | Topics and Well Written Essays - 1250 words

Healthy People 2020 - Assignment Example Unlike many other neighboring residential areas, Sunnyside still boasts of mom and pop businesses. The boundaries of Sunnyside roughly correspond to those of 11104 Zip Code. It is an area of nearly one half square mile. By 2014, Sunnyside had a total population of about 29,000 people (NYC Department of Health and Mental Hygiene, 2015a). Majority of the Sunnyside dwellers are first time mums and small families. This is basically because most of the houses in the area were initially built to accommodate small families. The initial houses were one to two bedroom units. It is however, worth pointing out that in some areas, developers have demolished the old houses and put up residential house that can accommodate large families. The residential buildings and units have gardens that are used for family gatherings, social events and as play areas for the young ones. Sunnyside neighborhood is best known for the Sunnyside Gardens Historic District. This is one of the first planned communities in the entire United States of America. It was built between 1924 and 1929 (Haller, 2015). The Sunnyside Gardens Historic District appears more like an old English town with gabled brick town houses. The area also boasts of verdant court yards as well as several pathways that weave between the buildings and residential house. The houses that were built during the 1924 planning period have been maintained with renovations being done on regular basis to ensure that they are in good condition for use by the Sunnyside dwellers. According to Haller (2015), the bike lanes and the Sunnyside gardens in the area has made it very attractive to small families and parents who are having their first children. The bike lanes are well kept and maintained. The lighting system in the various lanes and pathways has been perfectly done making it appear as a modern residential area yet it way planned