السلام عليكم ورحمة الله وبركاته
اخواني عفوا على صيغة العنوان لكن الموضوع مهم بالنسبالي وهو ان عندي امتحان بكره في معمل المايكروبيولوجي الطبيه وحسب مافهمت منهم انه جابو عينات لثلاث مرضي مختلفين وعزلوالمكروبات على اطباق وحيكون فيه ميكروبين لكل مريض والمطلوب اننا نعرف كل ميكروب على مدى ثلاث معامل (كل معمل لمدة ساعتين -والمعمل يوم الخميس بس......المشكله اني ليه فتره عن المعمل فهمتكو معاي
طبعا ادونا التشخيص لكل مريض عشان ندرسه ويساعدنا بتحديد الميكروبات والزراعه المناسبه علي الاطباق والاختبارات المناسبه من كتاليز واوكسديزوغيره
المريض الاول:78 year old female brought into hospital from a residental nursing home with the following symptoms that had started 2 days before and progressed very repidly:
fever
cough
chest pain
shortness of breath
a sputum sample was collected and 2 organisms were isolated.These are presented (as a mixed culture) on both blood and chocolate agar plates and designated A+B.
المريض الثاني:
21 year old male attending the emergency department with fever and a painful swelling on his neck.This patient had been previously healthy apart from an occasional boil.His temperature was raised (38.8 C).1 ml of pus was drained by needle aspiration and sent for culture. these are presented (as a mixed culture) on a blood agar plate and designated C+D.
المريض الثالث:
23 year old female presents at hospital complaining of frequency and pain on passing urine.the hospital sends an MSU (in a boric acid container) to the laboratory.The urine sample was collected at 9.15am and processed in the laboratory at 3pm.
Initial microscopy on the sample revealed numerous leucocytes and a few epithelial cells.
These are presented (as a mixed culture) on CLED agar plates and designated E and F (both at a count of >10^5
Over three weeks you will need to decide which tests you will need to perform in order to ascertain the identity of each organism.Once you have done this you will need to decide which antibiotic set to use.
طبعا حسب ما فهمت انه محتاجين نعرف كل السته اورجانزم (كل مريض 2 organisms) وكمان نحدد ايه ال antibiotic set المناسب لكل واحد منهم
قصه طويله شويه ...بس انا متأكد اني اخترت المكان المناسب عشان احط موضوعي...وجزى الله خير كل من يساعد ولو بمعلومه....بانتظاركم