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Case Study: Mary, aged 50 years, was digging manure into her rose garden when she sustained a deep 4 cm cut to her right calf

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Case Study:

Mary, aged 50 years, was digging manure into her rose garden when she sustained a deep 4 cm cut to her right calf. She was brought into the medical centre, her wound cleaned and sutured. She was also given a tetanus booster injection and sent home. She returned to the medical centre 48 hours later complaining of pain and feeling febrile. She had a Temperature of 38.2°C with a Blood Pressure of 120/80 mmHg.

On inspection of her wound, the following observations were made:

1. Wound edges red and hot to touch

2. Surrounding tissues swollen

3. Purulent and odorous discharge

A wound swab was taken for culture and sensitivity. The report of the culture found the colonizing organism to be Staphylococcus aureus which was sensitive to Amoxicillin. Mary was prescribed Augmentin, 250mg every eight hours for five days.

1. Rationale for giving Mary a tetanus booster.

1.1 What is the organism that causes tetanus and why is it of concern in this situation?

1.2 Discuss the rationale for giving Mary the tetanus booster.

2. Physiological basis of the three wound observations

2.1 For each of the three wound observations indicate, and provide a rationale, as to whether it is a sign or a symptom.

2.2 Name and discuss the physiological basis of the first observation.

2.3 Name and discuss the physiological basis of the second observation.

2.4 Name and discuss the physiological basis of the third observation.

3. Development and benefits of fever.

3.1 How did Mary’s fever develop?

3.2 Discuss two ways in which fever is beneficial.

4. Possible source of contamination and modes of transmission.

4.1 Name one endogenous source of contamination and discuss the mode of transmission from the source to the new host.

4.2 Name one exogenous source of contamination and discuss the mode of transmission from the source to the new host.

5. Appropriateness of Augmentin as the antibacterial agent prescribed to Mary

5.1 Given the colonizing was Staphylococcus aureus, discuss why Augmentin is an appropriate prescription?

5.2 Describe the added benefits that Augmentin provides, with reference to the role of the major ingredients in Augmentin.

6. Presentation

6.1 Referencing in-text and in reference list conforms to APA 7^th ed. Referencing style.

6.2 Critique supported by relevant literature as prescribed.

6.3 Correct sentence structure, paragraph, grammatical construction, spelling, punctuation, and coherent presentation.