P003 Mary Smith

<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;"> Welcome to the Happy Sunshine Clinic! What is your name? (input-box:2bind $dr_name,"X=", 1) If you are a Mississippi State University student, what is your NetID? (input-box:2bind $netid,"X=", 1) [[Let's get started->Page]] (set: $other_questions to false) (set: $knock to false) { (track: 'medical-background', 'loop', true) (track: 'medical-background', 'playwhenpossible') (track: 'medical-background', 'volume', 0.08) } --- (text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]

(set: $knock to true) <img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;"> [<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Mary_Smith_Interview.mp4" title="What brings you in today?" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>] What else would you like to do? * [[Conduct a physical examination->Physical Exam]] * [[Order lab tests->Laboratory]] * [[Review Mary's medical history->Medical History]] * [[I'm ready to diagnose and treat Mary Smith ->Diagnosis and treatment]] --- (text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]

<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;"> You complete the physical exam and note the following: * Pulse: 61 bpm * Blood Pressure: 110/66 * Temperature: 37.1 °C/98.8 °F * Respiration Rate: 19 rpm * Weight: 98 lbs * Height: 5’1” * BMI: 18.5 * O2 Sat: 97% What else would you like to do? * [[Order lab tests->Laboratory]] * [[Review Mary's medical history->Medical History]] * [[I'm ready to diagnose and treat Mary Smith ->Diagnosis and treatment]] * [[Revisit the medical interview->What brings you in today]] --- (text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]

"What can we do for you, Dr. $dr_name? <img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/twine_background.png" width="800"> What tests do you order from the laboratory? * [[Microscopic examination of stool]] What else would you like to do? * [[Return to the exam room->What brings you in today]] * [[Review Jenna's medical history->Medical History]] * [[I'm ready to diagnose and treat Jenna Richmond ->Diagnosis and treatment]] * [[Conduct a physical examination->Physical Exam]] --- (text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]

<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Mary_Smith_MH-1.png"> <img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Mary_Smith_MH-2.png"> This medical history is fictitonal. It does not reflect the actual health or behaviors of the actor. [[Go to the exam room->Knock]] --- (text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]

<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;"> You knock and enter the room. Mary Smith is hunched over and scrolling through something on her phone. She does a double-take and puts her phone away. [[Hello Jenna, what brings you in today?->What brings you in today]] (if:$knock is false)[<audio src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/door_opening.mp3" autoplay>] --- (text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]

<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;"> The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor. Mary Smith was infected with *Giardia lamblia* Since this patient is in good health, symptomatic treatment and replenishing fluids should be sufficient to clear the infection. #Credits Talent * Mary Smith: Mckenna Jacobs * The Doctor: Perry Elizabeth Liles * Case Author: Unknown * Game Design: Brian Bill Music Medical Examination by MaxKoMusic https://soundcloud.com/maxkomusic Video Link: https://youtu.be/35gGWOZepWc Images * Giardia lamblia microscopy image: CDC/Dr. Healy, 1964 (https://phil.cdc.gov/Details.aspx?pid=22462) * Nurse Erick Buchan: https://pixabay.com/photos/male-nurse-nursing-maintenance-5017719/ #License This content is published under the [[Createive Commons Attribution-NonCommercial 3.0 Unported (CC BY-NC 3.0)|https://creativecommons.org/licenses/by-nc/3.0/legalcode]] You are free to share and adapt this material, but you must provide attribution. This material may not be used for commercial purposes <img src="https://upload.wikimedia.org/wikipedia/commons/thumb/9/99/Cc-by-nc_icon.svg/1200px-Cc-by-nc_icon.svg.png" width="400px"> --- (text-style:"italic")[The details of this case are fictional. It does not reflect the actual health or behaviors of the actor.]

<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;"> <img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/male-nurse-g2e06abd77_1920-1024x1024-1.jpg" width="400px" style="float: left;"> As you walk down the corridor, nurse Erick Buchan approaches with notes in hand. "Dr. $dr_name, (text-style:"bold")[Mary Smith] is ready in exam room 2. She has some abdominal discomfort and abdominal pain lasting for two weeks," he says as he hands you a file. "Thanks, Erick," you reply as you glance at the notes. [[Enter exam room 2->Knock]] [[Review Mary's medical record->Medical History]] --- (text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]

<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;"> What is your diagnosis? (input-box:2bind $diagnosis,"X=") What treatment do you reccomend? (input-box:2bind $treatmetn,"X=") [[Submit Answers->End]] --- (text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]

<img src="https://phil.cdc.gov//PHIL_Images/22462/22462_lores.jpg"> Fecal sample under 900X magnification, stained with chorazol black. * [[Return to the exam room->What brings you in today]] * [[Review Mary's medical history->Medical History]] * [[I'm ready to diagnose and treat Mary Smith ->Diagnosis and treatment]] --- (text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]

medical-background: http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Medical-Examination-Music.mp3