Difference between revisions of "IPLab:Lab 9:Clostridial Myonecrosis"

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== Clinical Summary ==
 
== Clinical Summary ==
This 68-year-old white male with insulin-dependent diabetes was admitted one day before his death. The chief complaints were the occurrence of chills and fever since passing a kidney stone two days earlier. In the last day, the right leg had become swollen. The most striking physical findings were redness of the right posterior calf and crepitance in both legs. The patient's white blood cell count was found to be 34,000 cells/cmm and the packed red blood cell volume (PCV) was 18%. Within hours, the right calf became tense and the crepitance spread up to the nipple line. The patient vomited, aspirated the vomitus, and died 10 hours after admission.  
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This 68-year-old white male with insulin-dependent diabetes was admitted one day before his death. The chief complaints were the occurrence of chills and fever since passing a kidney stone two days earlier. In the last day, the right leg had become swollen. The most striking physical findings were redness of the right posterior calf and crepitance in both legs. The patient's white blood cell count was found to be 34,000 cells/mm³ and the packed red blood cell volume (PCV) was 18%. Within hours, the right calf became tense and the crepitance spread up to the nipple line. The patient vomited, aspirated the vomitus, and died 10 hours after admission.  
  
 
== Images ==
 
== Images ==
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File:IPLab9Clostridium7.jpg|This is a high-power photomicrograph of a tissue section stained with a tissue Gram's stain (Brown & Brenn). The Gram-positive bacilli can be seen throughout this tissue section.  
 
File:IPLab9Clostridium7.jpg|This is a high-power photomicrograph of a tissue section stained with a tissue Gram's stain (Brown & Brenn). The Gram-positive bacilli can be seen throughout this tissue section.  
 
</gallery>
 
</gallery>
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== Virtual Microscopy ==
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<peir-vm>IPLab9Clostridium</peir-vm>
  
 
== Study Questions ==
 
== Study Questions ==
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* [http://emedicine.medscape.com/article/217943-overview eMedicine Medical Library: Gas Gangrene]
 
* [http://emedicine.medscape.com/article/217943-overview eMedicine Medical Library: Gas Gangrene]
 
* [http://www.merckmanuals.com/home/infections/bacterial_infections/gas_gangrene.html Merck Manual: Gas Gangrene]
 
* [http://www.merckmanuals.com/home/infections/bacterial_infections/gas_gangrene.html Merck Manual: Gas Gangrene]
 
=== Journal Articles ===
 
 
  
 
=== Images ===
 
=== Images ===
 
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* [{{SERVER}}/library/index.php?/tags/167-clostridium_infection PEIR Digital Library: Clostridium Infection Images]
 
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* [http://library.med.utah.edu/WebPath/INFLHTML/INFLIDX.html WebPath: Inflammation]
== Related IPLab Cases ==
 
 
 
  
 
{{IPLab 9}}
 
{{IPLab 9}}
  
 
[[Category: IPLab:Lab 9]]
 
[[Category: IPLab:Lab 9]]

Latest revision as of 16:32, 3 January 2014

Clinical Summary[edit]

This 68-year-old white male with insulin-dependent diabetes was admitted one day before his death. The chief complaints were the occurrence of chills and fever since passing a kidney stone two days earlier. In the last day, the right leg had become swollen. The most striking physical findings were redness of the right posterior calf and crepitance in both legs. The patient's white blood cell count was found to be 34,000 cells/mm³ and the packed red blood cell volume (PCV) was 18%. Within hours, the right calf became tense and the crepitance spread up to the nipple line. The patient vomited, aspirated the vomitus, and died 10 hours after admission.

Images[edit]

Virtual Microscopy[edit]

Study Questions[edit]


Additional Resources[edit]

Reference[edit]

Images[edit]

A normal white blood cell count is 4,000 to 11,000 cells per cubic mm.

A normal hematocrit for a male is 39 to 49%.