Jenna Richmond

<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: $knock to true) <img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;"> [<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Jenna-what-brings-you-in.mp4" title="What brings you in today?" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>] (if:$other_questions is false) [Do you have any questions for Jenna? * [[When did your symptoms start?->SymptomsStart]] (if:$travel_history is true)[* [[Why were you in Peru?->TravelHistory]]] (if:$peru_activies is true)[* [[Why were you in Peru?->TravelHistory]]] (if:$symptoms_swim is true)[* [[Did the symptoms begin before or after swimming in these lakes?->SymptomsSwimming]]] (if:$other_travelers is true)[* [[Did anybody else on the trip get sick?->OtherTravelers]]] (if:$other_questions is true)[* [[Do you have any other symptoms or questions?->OtherQuestions]]]] What else would you like to do? * [[Conduct a physical examination->Physical Exam]] * [[Order lab tests->Laboratory]] * [[Review Jenna's medical history->Medical History]] * [[I'm ready to diagnose and treat Jenna Richmond ->Diagnosis and treatment]] (if:$other_questions is true) [Do you have any questions for Jenna? * [[When did your symptoms start?->SymptomsStart]] * [[Why were you in Peru?->TravelHistory]] * [[Why were you in Peru?->TravelHistory]] * [[Did the symptoms begin before or after swimming in these lakes?->SymptomsSwimming]] * [[Did anybody else on the trip get sick?->OtherTravelers]] * [[Do you have any other symptoms or questions?->OtherQuestions]]] --- (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: 64 bpm * Blood Pressure: 114/74 * Temperature: 37.1 °C/98.8 °F * Respiration Rate: 18 rpm * Weight: 121 lbs * Height: 5’4” * BMI: 20.8 * O2 Sat: 99% [[Return to the exam room->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 blood]] * [[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]] --- (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/Jenna_Richmond_MH-1.png"> <img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Jenna_Richmond_MH-2.png"> This medical history is fictitonal. It does not reflect the actual health or behaviors of the actor. (if:$knock is false)[[[Enter exam room 4->Knock]]] (if:$knock is true)[[[Return to the exam room->SymptomsStart]]] --- (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. Jenna Richmond is standing next to the exam table. She is visibly nervous and is picking at her fingernails. As you enter, her arms drop quickly to her side. [[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. Jenna Richmond was infected with *Entamoeba histolytica* The first line treatment for this infection is metronidazole 500 mg PO TID for 10 days. The patient should also be advised to replenish fluids and watch for signs of dehydration. #Credits Talent * Jenna Richmond: Emily Callender * The Doctor: Emily Callender * Case Author: Julia Mazanek * Director: Emily Callender * Game Design: Brian Bill Images * Entamoeba histolytica microscopy image: CDC, 1977 (https://phil.cdc.gov/Details.aspx?pid=21084) * Normal blood smear: Keith Chambers (https://en.wikipedia.org/wiki/Blood_smear#/media/File:Normal_Adult_Blood_Smear.JPG) * 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 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;"> <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")[Jenna Richmond] is ready in exam room 4. She recently traveled to Peru and has abdominal pain, nausea, and a mild fever with chills. A few hours ago, she noticed dark bloody stool and came in immediately," he says as he hands you a file. "Thanks, Erick," you reply as you glance at the notes. [[Enter exam room 4->Knock]] [[Review Jenna'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://upload.wikimedia.org/wikipedia/commons/1/16/Normal_Adult_Blood_Smear.JPG" width="400px"> Fecal sample under 900X magnification. * [[Return to the exam room->What brings you in today]] * [[Review Toby's medical history->Medical History]] * [[I'm ready to diagnose and treat Jenna Richmond ->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="https://phil.cdc.gov//PHIL_Images/17557/17557_lores.jpg" width="400px"> Fecal sample under 900X magnification. * [[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]] --- (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;"> (set: $travel_history to true) [<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Jenna_Richmond_when-did-your-symptoms-start.mp4" title="When did your symptoms start?" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>] Do you have any questions for Jenna? * [[Why were you in Peru?->TravelHistory]] What else would you like to do? * [[Conduct a physical examination->Physical Exam]] * [[Order lab tests->Laboratory]] * [[Review Jenna's medical history->Medical History]] * [[I'm ready to diagnose and treat Jenna Richmond ->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;"> (set: $peru_activities to true) [<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Jenna_Richmond_Why_Peru.mp4" title="Why did you travel to Peru?" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>] Do you have any questions for Jenna? * [[What did you do in Peru?->PeruActivities]] What else would you like to do? * [[Conduct a physical examination->Physical Exam]] * [[Order lab tests->Laboratory]] * [[Review Jenna's medical history->Medical History]] * [[I'm ready to diagnose and treat Jenna Richmond ->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;"> (set: $symptoms_swim to true) [<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Jenna_Richmond_Peru_Activities.mp4" title="What did you do in Peru?" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>] Do you have any questions for Jenna? * [[Did the symptoms begin before or after swimming in these lakes?->SymptomsSwimming]] What else would you like to do? * [[Conduct a physical examination->Physical Exam]] * [[Order lab tests->Laboratory]] * [[Review Jenna's medical history->Medical History]] * [[I'm ready to diagnose and treat Jenna Richmond ->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;"> (set: $other_travelers to true) [<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Jenna_Richmond_How_Soon_after_Swimming.mp4" title="Did your symptoms begin before or after swimming in these lakes?" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>] Do you have any questions for Jenna? * [[Did anybody else on the trip get sick?->OtherTravelers]] What else would you like to do? * [[Conduct a physical examination->Physical Exam]] * [[Order lab tests->Laboratory]] * [[Review Jenna's medical history->Medical History]] * [[I'm ready to diagnose and treat Jenna Richmond ->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;"> (set: $other_questions to true) [<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Jenna_Richmond_Other_Travelers.mp4" title="Did anybody else on the trip get sick?" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>] Do you have any questions for Jenna? * [[Do you have any other symptoms or questions?->OtherQuestions]] What else would you like to do? * [[Conduct a physical examination->Physical Exam]] * [[Order lab tests->Laboratory]] * [[Review Jenna's medical history->Medical History]] * [[I'm ready to diagnose and treat Jenna Richmond ->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;"> (set: $other_questions to true) [<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Jenna_Richmond_Other_Questions.mp4" title="Do you have any other symptoms or questions?" 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 Jenna's medical history->Medical History]] * [[I'm ready to diagnose and treat Jenna Richmond ->Diagnosis and treatment]] Do you have any questions for Jenna? * [[What brings you in today?->What brings you in today]] * [[When did your symptoms start?->SymptomsStart]] * [[Why were you in Peru?->TravelHistory]] * [[Why were you in Peru?->TravelHistory]] * [[Did the symptoms begin before or after swimming in these lakes?->SymptomsSwimming]] * [[Did anybody else on the trip get sick?->OtherTravelers]] --- (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