Case Study Case Study

CaseStudy

CaseStudy

ClinicalManifestations

The clinical manifestations descriptive of the patient’s conditionare swelling and pain that spreads rapidly. She is incapable ofbearing the weight of her legs because of the swelling that occurs inthe area. Further, the increase in the overall white blood cell is areflection of an immune response by the body against the buildup ofthe bacterial infection. She feels a sensation of redness due to theinflammation that is occurring on the skin. The patient can beintroduced to antibiotics. The rationale for the same emanates fromthe fact that cellulitis is a bacterial infection. Antibiotics suchas penicillin and erythromycin are appropriate in helping address thesituation (Wingfield, 2012).

MuscleGroups

The guidelines provided by the Anatomy Resource Center identifydifferent muscle groups that are likely to be affected by Ms. G’scondition. The quadriceps are affected especially as the diseaseprogresses. The accumulation of the thick yellow drainage affects thequadriceps. The other group likely to be affected is the calf.Notable sections of the calf that can suffer adverse effects are thesoleus, tibialis, and the gastrocs.

Significanceof Objective and Subjective Data Provided

The data provided is of significance since it presents an overview ofthe medical condition. It could aid in coming up with the most likelydiagnosis about the 23-year-old patient. Further, through the data,it would be possible to understand the most appropriate treatmentregimen to help in addressing the condition. The laboratory testing,for instance, provides details regarding the particular strain ofbacteria that is responsible for the cellulitis (Gunderson, 2011).The data can be used to educate physicians on the type of medicationto be introduced. Additionally, the patient can be educated oneffective ways of management to help in decrease of progression ofdisease. Future preventive care could focus on preventing situationsthat could result in cuts and grazes that lead to bacterialinfections. The patient can also take measures that seek to preventthe recurrence of cellulitis including maintenance of a good hygiene,keeping skin moisturized and treatment of any fungal infections. Thegoal is to deal with the cellulitis while at the same timesignificantly reducing the possibility of its recurrence. Theinformation is essential in determining the most appropriate drug tobe applied to treating and managing the condition.

Factorsthat Delay Wound Healing

The 23-year-old patient lives alone and has no one to help care forher. She has to do various tasks by herself, a move that could delayhealing of her wound. Further, the wound is open to pathogenicbacteria and is at risk of infections. Poor hygiene can as well delaywound healing.

Precautions

She should identify the possibility of infection developing in theopen wound and instigate measures to deal with the same. Treatmentwith antibiotics such as penicillin could help reduce infection(Thomas et al., 2013). The patient must take caution to ensure thatthe antibiotics taken do not develop resistance.

References

Gunderson, C. G. (2011). Cellulitis: Definition, etiology, andclinical features. American Journal of Medicine.http://doi.org/10.1016/j.amjmed.2011.06.028

Thomas, K. S., Crook, A. M., Nunn, A. J., Foster, K. a, Mason, J. M.,Chalmers, J. R., … Williams, H. C. (2013). Penicillin to preventrecurrent leg cellulitis. The New England Journal of Medicine,368(18), 1695–703. http://doi.org/10.1056/NEJMoa1206300

Wingfield, C. (2012). Diagnosing and managing lower limb cellulitis.Nursing Times, 108(27), 18–21. Retrieved fromhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&ampCSC=Y&ampNEWS=N&ampPAGE=fulltext&ampD=medl&ampAN=22860373
http://tc.liblink.umn.edu/sfx_local?sid=OVmedline&ampid=pmid:22860373&ampid=doi:&ampissn=0954-7762&ampisbn=&ampvolume=108&ampissue=27&ampspage=18&amppages=18-21&ampdate=2012&amptitle=Nursing+Times