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Case Study Analysis

Nneka Ezike

Pathophysiology

Walden University

06/14/20




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, Case Study

A 42-year-old man comes to the clinic with a chief complaint of pain, redness, and

swelling of his right calf. He states that he had been working in his yard using a string trimmer

when the trimmer slipped and cut his leg. He cleaned the wound with water from the garden hose

and covered the wound with a large Band-Aid. Several days later, he developed a fever to 100.6˚

F and chills and noticed that his leg was swollen and red. He comes to the emergency department

for definitive care.

Introduction

After the trauma via trimmer, bacteria has entered the breached skin and thus lead to the

accumulation of neutrophils and other cells at the site. This has caused production of

antimicrobial peptides and keratinocyte proliferation, producing characteristic finding of

cellulitis i.e. redness, edema and fever. As the superficial layer is also involved and there

are symptoms of redness with chills, indicates erysipelas. Also, it is hard to distinguish

between cellulitis and erysipelas based on clinical symptoms.

The Adaptive responses include the physical reaction of body defense mechanisms to

disease or injury (McCance & Heather, 2019). One should be able to recognize signs and

symptoms as an advanced practitioner that indicates uneven homeostasis of the body to diagnose

and treat diseases correctly. The goal of this paper is to discuss the pathophysiology of the

disease process, identify genes associated with the development of the disease, and explain the

process of immunosuppression.


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