Patrick Jadallah , 7 5 y ea rs old, presented to the ER with fever, shortness of
breath, diffused chest pain, and severe, productive cough . H e was
immediately put on oxygen because of his severe respiratory distress. A chest
x-ray revealed a right lower lobe infiltrate, and he was admitted to the
hospital. Blood , sputum, urine, and blood cultures were collected.
A direct Gram stain of the sputum specimen revealed the following:
Many neutrophils (>25 per low power field)
Rare squamous epithelial cells (<1 per low power field)
Many Gram positive diplococci in short chains (>25 per oil immersion field)
Few Gram negative diplococci (<10 per oil immersion field)
Few Gram positive bacilli (<10 per oil immersion field)
After overnight incubation, the BAP revealed a mixture of two colony types:
rare, non-hemolytic, tiny, white, dry-looking colonies were present; along
with a predominance of small, wet, convex, (crater-form), entire-edged
colonies with a gre ening of the agar around them. The blood was run for
routine blood chemistries and CBC which showed unremarkable results. The
urine culture showed no growth at 24 hours, and the blood cultures were
negative after 5 days incubation.
Based on the direct Gram stain, is the sputum specimen of acceptable quality
to provide clinically relevant information? Why or why not?.
Streptococcus Case Study A 75yearold man Tony G present.pdfbabitasingh698417
Streptococcus Case Study A 75-year-old man, Tony G., presented to the emergency room with
fever, shortness of breath, chest pain, and severe, extremely productive cough. Tony had been a
heavy smoker for almost 50 years before he quit 7 years ago, when he was diagnosed with
emphysema. Tony occasionally used oxygen at home when he had difficulty breathing, and on
presentation he was using portable oxygen because of his severe respiratory distress. A chest x-
ray revealed a right lower lobe infiltrate, and Tony was admitted to the hospital. Sputum, urine, and
blood cultures were collected. The direct Gram's stain of the sputum specimen revealed the
following: Many neutrophils (>25 per low-power field) Rare squamous epithelial cells ( <1 per-low-
power field) Many gram-positive lancet-shaped diplococci and cocci in short chains ( >25 per oil
immersion field) Few gram-negative diplococci ( <10 per oil immersion field) Few gram-positive
bacilli ( 10 per oil immersion field) After overnight incubation at 35C in 5% to 7%CO, a blood-agar
plate inoculated with the specimen revealed a mixture of two colony type. Rare, non-hemolytic,
tiny, white, dry-looking colonies were present. A predominance of small, wet-looking, convex
(crater-form), entire-edged colonies were also seen, with a greening of the medium around them.
The urine culture showed no growth at 24 hours. All blood cultures were negative after 5 days
incubation. Questions: 2. Based on the direct Gram's stain, what is the quality of this sputum
specimen? is this specimen of acceptable quality to provide clinically relevant information? 2.
Based on the colony morphology and the Grams stain, what organism is suspect as the cause of
Tony's pneumonia? 3. What other (nonpathogenic) organisms commonly found in this type of
specimen this type of hemolysis? 4. What laboratory tests are useful in differentiating these
organisms and identifying the pathogen? List at least two tests, and be sure to include expected
reactions for each organism. 5. Organisms other than the predominant organism were seen in the
Gram's stain and culture. Does this mean that the patient has polymicrobial pneumonia? Why are
those other organisms present..
Streptococcus Case Study A 75yearold man Tony G present.pdfbabitasingh698417
Streptococcus Case Study A 75-year-old man, Tony G., presented to the emergency room with
fever, shortness of breath, chest pain, and severe, extremely productive cough. Tony had been a
heavy smoker for almost 50 years before he quit 7 years ago, when he was diagnosed with
emphysema. Tony occasionally used oxygen at home when he had difficulty breathing, and on
presentation he was using portable oxygen because of his severe respiratory distress. A chest x-
ray revealed a right lower lobe infiltrate, and Tony was admitted to the hospital. Sputum, urine, and
blood cultures were collected. The direct Gram's stain of the sputum specimen revealed the
following: Many neutrophils (>25 per low-power field) Rare squamous epithelial cells ( <1 per-low-
power field) Many gram-positive lancet-shaped diplococci and cocci in short chains ( >25 per oil
immersion field) Few gram-negative diplococci ( <10 per oil immersion field) Few gram-positive
bacilli ( 10 per oil immersion field) After overnight incubation at 35C in 5% to 7%CO, a blood-agar
plate inoculated with the specimen revealed a mixture of two colony type. Rare, non-hemolytic,
tiny, white, dry-looking colonies were present. A predominance of small, wet-looking, convex
(crater-form), entire-edged colonies were also seen, with a greening of the medium around them.
The urine culture showed no growth at 24 hours. All blood cultures were negative after 5 days
incubation. Questions: 2. Based on the direct Gram's stain, what is the quality of this sputum
specimen? is this specimen of acceptable quality to provide clinically relevant information? 2.
Based on the colony morphology and the Grams stain, what organism is suspect as the cause of
Tony's pneumonia? 3. What other (nonpathogenic) organisms commonly found in this type of
specimen this type of hemolysis? 4. What laboratory tests are useful in differentiating these
organisms and identifying the pathogen? List at least two tests, and be sure to include expected
reactions for each organism. 5. Organisms other than the predominant organism were seen in the
Gram's stain and culture. Does this mean that the patient has polymicrobial pneumonia? Why are
those other organisms present..
INTRODUCTION
• Blood must be maintained in a fluid state in order to function as a transport system, but must be able to solidify to form a clot following vascular injury.
• Successful haemostasis is achieved by complex interactions between vascular endothelium, platelets, coagulation factors etc.
HAEMOSTASIS
• The term haemostasis is derived from the Greek word haem= blood and stasis=halt.
• Process of stoppage of bleeding after blood vessels are punctured , cut , or otherwise damaged.
• It is a complex natural physiological response.
• Bleeding disorders are due to altered ability of blood vessels, platelets , and coagulation factors to maintain haemostasis.
• Steps of natural haemostasis:
• Pre-injury conditions-> Early haemostatic response-> Fibrin clot formation-> Limiting clot formation-> Fibrinolysis
Pead the following hypothetical and write an argument about whether th.pdfinfo571050
Pead the following hypothetical and write an argument about whether this is or is not soxual
harassment. Your rosponse should be edited, college-level writing, and suberissions should be
around 500 words. Lonnie and Michelle are co-workers and friends. Michelle is going through a
divorce and Lonnie has encouraged her to talk to him about it. Fairly regularly, they go out for
drinks after work to talk. One night, after Michelle goes home, she continues to drink and calls
Lonnie at home and tells him she wants to have sex with him. He nicely declines. Michelle then
goes to his apartment and wakes him up. (They live in the same complex). He politely declines
again. The next day, Lonnie tells some of his co-workers what happened and they tell him to go
to the supervisor. Lonnie tells the supervisor and he says to let it go. Is this advice sound? For the
toolbar, press ALT+F10 (pO) or ALT+FN+F10 (Mac)..
PBS News Hour reported that 39-4- of Americans between the ages of 25.pdfinfo571050
PBS News Hour reported that 39.4% of Americans between the ages of 25 and 64 have at least a
two-year college degree (P6S website, December i5, 2014 ). Assume that 50 Americans between
the ages of 25 and 64 are selected randomly. a. What is the expected number of people with at
least a two-year college-flegree (to 1 decimal)? b. What are the variance and standard deviation
for the number of people with at least a two-year college degree (to 4 decimais)?.
Patrick Company has the following information for the year ended Decem.pdfinfo571050
Patrick Company has the following information for the year ended December 31, 2024. (Click
the icon to vew the information) Use the information to prepare a schedule of cost of goods
manufactured and an income statement. Assume no indirect materials are used and al amounts
are show: Begin by preparing a schedule of cost of goods manufactured. Data table.
Part 3- Glaciers - Depositional Features The term glacial drift is app.pdfinfo571050
Part 3: Glaciers - Depositional Features The term glacial drift is applied to all sediment of glacial
origins, regardless of how, where, or in what way it was deposited. Drift comes in two types; (1)
till, which is unsorted sediment that is deposited directly by the ice, (2) outwash (a.k.a. stratified
drift), which is the drift that has been sorted and deposited by the flow of glacial meltwaters. The
most widespread depositional features associated with glaciers are moraines, which are ridges of
glacial till that form along the margins of the ice. Terminal (end) moraines are a ridge of till that
forms at the terminus of the glacier, where the ice front is stationary. End moraines mark the
farthest advance of the glacial ice. Another type of moraine is a recessional moraine that forms
when the ice becomes stationary for a time during a period of retreat. Ground moraines represent
a layer of till that is deposited by the base of the retreating ice. There are several other
depositional features listed below, many are illustrated in Figure 11. Review your class notes and
write out a definition for each depositional feature: - Kettle Lakes: - Kame: - Drumlin: - Esker:
Figure 12: Common landscape features associated with olpine glocier.
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INTRODUCTION
• Blood must be maintained in a fluid state in order to function as a transport system, but must be able to solidify to form a clot following vascular injury.
• Successful haemostasis is achieved by complex interactions between vascular endothelium, platelets, coagulation factors etc.
HAEMOSTASIS
• The term haemostasis is derived from the Greek word haem= blood and stasis=halt.
• Process of stoppage of bleeding after blood vessels are punctured , cut , or otherwise damaged.
• It is a complex natural physiological response.
• Bleeding disorders are due to altered ability of blood vessels, platelets , and coagulation factors to maintain haemostasis.
• Steps of natural haemostasis:
• Pre-injury conditions-> Early haemostatic response-> Fibrin clot formation-> Limiting clot formation-> Fibrinolysis
Pead the following hypothetical and write an argument about whether th.pdfinfo571050
Pead the following hypothetical and write an argument about whether this is or is not soxual
harassment. Your rosponse should be edited, college-level writing, and suberissions should be
around 500 words. Lonnie and Michelle are co-workers and friends. Michelle is going through a
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drinks after work to talk. One night, after Michelle goes home, she continues to drink and calls
Lonnie at home and tells him she wants to have sex with him. He nicely declines. Michelle then
goes to his apartment and wakes him up. (They live in the same complex). He politely declines
again. The next day, Lonnie tells some of his co-workers what happened and they tell him to go
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toolbar, press ALT+F10 (pO) or ALT+FN+F10 (Mac)..
PBS News Hour reported that 39-4- of Americans between the ages of 25.pdfinfo571050
PBS News Hour reported that 39.4% of Americans between the ages of 25 and 64 have at least a
two-year college degree (P6S website, December i5, 2014 ). Assume that 50 Americans between
the ages of 25 and 64 are selected randomly. a. What is the expected number of people with at
least a two-year college-flegree (to 1 decimal)? b. What are the variance and standard deviation
for the number of people with at least a two-year college degree (to 4 decimais)?.
Patrick Company has the following information for the year ended Decem.pdfinfo571050
Patrick Company has the following information for the year ended December 31, 2024. (Click
the icon to vew the information) Use the information to prepare a schedule of cost of goods
manufactured and an income statement. Assume no indirect materials are used and al amounts
are show: Begin by preparing a schedule of cost of goods manufactured. Data table.
Part 3- Glaciers - Depositional Features The term glacial drift is app.pdfinfo571050
Part 3: Glaciers - Depositional Features The term glacial drift is applied to all sediment of glacial
origins, regardless of how, where, or in what way it was deposited. Drift comes in two types; (1)
till, which is unsorted sediment that is deposited directly by the ice, (2) outwash (a.k.a. stratified
drift), which is the drift that has been sorted and deposited by the flow of glacial meltwaters. The
most widespread depositional features associated with glaciers are moraines, which are ridges of
glacial till that form along the margins of the ice. Terminal (end) moraines are a ridge of till that
forms at the terminus of the glacier, where the ice front is stationary. End moraines mark the
farthest advance of the glacial ice. Another type of moraine is a recessional moraine that forms
when the ice becomes stationary for a time during a period of retreat. Ground moraines represent
a layer of till that is deposited by the base of the retreating ice. There are several other
depositional features listed below, many are illustrated in Figure 11. Review your class notes and
write out a definition for each depositional feature: - Kettle Lakes: - Kame: - Drumlin: - Esker:
Figure 12: Common landscape features associated with olpine glocier.
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Patricia Perez is a licensed architact. During the first month of the operation of her business. the
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completed and delivered to P . Donahue. 30 Paid secretary-receptionist for the month $1 , 500 .
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Part 2. Spatial resolution of touch (two subjects) 2.1 Fill out the table. You may copy and paste
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Part 2: Main Questions. These questions assess the learning objective skills. The objectives being
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Part 1b. Use the letters from the choiees below to label the phylogeny below. The cmpty boxes
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arrows indicating only certain taxa. (Note that Arehosauria = Testudines + Aves) A) Aminiota
clade (arnniote egg) B) Deuterostomia clade (deuterostome development) C) "fish" (not a
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anal tail) B) "reptiles" (tiot a monophyletic geoup) F) Tetrapoda clade (four legs) G) Vertebrata
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purple curves I 1 and I 2 represent two of their indifference curves for upscale dinners and diner
brunches. Assume that the friends have a monthly budget of $1 , 000 available to spend on going
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upscale dinner is $100 . At this price, Paolo and Sharon would choose to consume five upscale
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a point along the same indifference curve as they were on initially ( I 1 ) -the income spent on
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Patrick Jadallah- 75 years old- presented to the ER with fever- shortn.pdf
1. Patrick Jadallah , 7 5 y ea rs old, presented to the ER with fever, shortness of
breath, diffused chest pain, and severe, productive cough . H e was
immediately put on oxygen because of his severe respiratory distress. A chest
x-ray revealed a right lower lobe infiltrate, and he was admitted to the
hospital. Blood , sputum, urine, and blood cultures were collected.
A direct Gram stain of the sputum specimen revealed the following:
Many neutrophils (>25 per low power field)
Rare squamous epithelial cells (<1 per low power field)
Many Gram positive diplococci in short chains (>25 per oil immersion field)
Few Gram negative diplococci (<10 per oil immersion field)
Few Gram positive bacilli (<10 per oil immersion field)
After overnight incubation, the BAP revealed a mixture of two colony types:
rare, non-hemolytic, tiny, white, dry-looking colonies were present; along
with a predominance of small, wet, convex, (crater-form), entire-edged
colonies with a gre ening of the agar around them. The blood was run for
routine blood chemistries and CBC which showed unremarkable results. The
urine culture showed no growth at 24 hours, and the blood cultures were
negative after 5 days incubation.
Based on the direct Gram stain, is the sputum specimen of acceptable quality
to provide clinically relevant information? Why or why not?
