Notes : O Essay

Submitted By drea970
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Transcript of Copy of Flow Chart of Outbreak Investigation
James Smith
Judy Smith
Mike Smith
Sue Smith
18
At college soccer player
'all-nighters'
Married
41
Live in small city with Judy
Expecting another child
42
Lives in small city with James dental hygienist mother of 3 slightly overweight walks everyday
No more children planned
Expecting another child
Daughter
Son
16
Day 1
Symptoms: Slight fever, headache visits infirmary other girls in dorm also sick

Monday: Feeling tired, sick
Two intense soccer games
High fever
Medical History:
Broken ankle at 11
Mild Asthma controlled w/ inhaler
Drinks a lot of energy drinks and coffee
Was not vaccinated against bacterial meningitis
Roommates and
Teammates on
Soccer Team
Jill
Symptoms:
Body feeling tight overnight
Soreness
Slight fever, 99.7 F
Wanda
Day 1 Symptoms:
Fever over past few days
Glands in neck swollen
Woke with sore throat
Boyfriend Ray, same symptoms
Maggie
Day 1 Symptoms:
Scratchy throat past few days
Woke, throat 'on fire'
Head feels heavy
Can't regulate temperature
Maria
Symptoms:
Feeling rundown
Barely able to get out of bed
Fever, almost 103
Day 1Interventions:
Gargling saltwater
Drinking tea
Anthony
Arnie
Symptoms:
Dry Cough
Fatigue
Muscle Soreness
Fever, 100 F, few days
Sinus Pressure
Interventions:
OTC Cold Medicine
Day 1 Symptoms:
Cough
Runny Nose
Fever, 100.5 F
Intervention:
Increased Vitamin Intake
All live on same floor and same chem. class
History:
Smokes occasionally
Same floor, constant visitor to Sue/Jill
Sorority Sisters
Friends
Friends and Same floor
Marco
Symptoms:
Extreme Fatigue
Killer Headache
Lab Partners
Ray
Symptoms:
Fever
Swollen neck glands sore throat
Intervention:
Tylenol
BF/GF
Elena
Shared food+drinks
BF/GF
Alvin
Symptoms:
Headache
Sore Throat
Neighbor at Dorm
Day 2 Symptoms:
Neck feels tight
Diagnosis:
Bacterial Meningitis
Day 3 Symptoms:
Glands now extremely swollen Extremely Tired
Day 3 Symptoms:
Cannot swallow food
High fever
Day 3 Interventions:
Drinking juice
Taking vitamin supplements
Day 3 Symptoms:
Coughing
Chills easily
Onset of fatigue
Note: Alvin possibly shared coffee with
Wanda
Sue's infection was quickly diagnosed and treated.

Antibiotics eliminated the infection and Sue did a full recovery. Two Months Later:
Physician recommends she have her hearing checked.
Sean Smith
Meg Smith
Gina Smith
Aaron Smith
Married
Married
Tyler Smith
Five month old baby
Diagnosed with cystic fibrosis
28
Thinking of starting a family
26
Thinking of starting a family
Son
Brother
Brother
Brother
Brother
Medical History:
Not carrier for cystic fibrosis
Medical History:
Not carrier for cystic fibrosis
Carter Smith
New born baby
Son
Symptoms: last few months, pain in upper arm. cancer? pain in right proximal humerus in middle of growth spurt
Pain is worsening, keeps him awake at night
Difficult to lift arm
Area below shoulder has gotten tender, swollen and red
Diagnostic tests: x-rays blood tests, checks for ALP and LDH levels
ALP and LDH higher than normal x-rays show tumor close to epiphyseal plate
[sent to orthopedic oncologist] ordered a CT scan, MRI, and bone scan results show that Mike most likely has localized osteosarcoma bone biopsy of tumor
Grandpa Joe
Smoker for past 30 years last year, came down with cold which developed into pneumonia family convinced him to join study to investigate 6 genes possibly involved with lung cancer
Medical History: joined a research study investigating three genes though to be associated with osteosarcoma
Carrier for cystic fibrosis
Carrier for cystic fibrosis
Laura
diagnosed with breast cancer in her 40's
BRCA2 mutation
Bill
diagnosed with breast cancer in 40's
Married
Father
Jennifer
diagnosed with breast cancer at 35
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