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Case Notes Warning Ghazoly1 1

Mrs. Andrew Adams, a resident at a care facility, presented with viral gastroenteritis caused by norovirus, exhibiting symptoms such as fever, vomiting, and diarrhea. The virus is highly contagious, particularly dangerous for the elderly, and can spread through contaminated food, water, or surfaces, necessitating isolation of affected individuals. A warning has been issued to the care facility manager to ensure precautions are taken to prevent further spread among residents.

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5 views4 pages

Case Notes Warning Ghazoly1 1

Mrs. Andrew Adams, a resident at a care facility, presented with viral gastroenteritis caused by norovirus, exhibiting symptoms such as fever, vomiting, and diarrhea. The virus is highly contagious, particularly dangerous for the elderly, and can spread through contaminated food, water, or surfaces, necessitating isolation of affected individuals. A warning has been issued to the care facility manager to ensure precautions are taken to prevent further spread among residents.

Uploaded by

osamae
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Case Notes: A Warning Letter

Read the case notes below and complete the writing task which
follows.
Time Allowed
Reading Time: 5 minutes
Writing Time: 40 minutes

Today's Date
13/10/19

Presented at ER with Viral gastroenteritis

Patient History

Name: Mrs Andrew Adams


DOB: 5/5/1960

Medical history: diabetic, htn, IHD


Personal data: lives at ages resident care since 2010

Presentation:

11/10/201: came with fever, vomiting, abdominal cramping and


diarrheoa.

AGhazouly
Isolates and Iv fluid stared.. bloor tests requested .. PCR
requested.

13/10/2018

Hb normal, platelet normal, Weight cell 14000 and PCR showed


norovirus
Electrolytes level abnormality- viral gastroenteritis due to
norovirus.

The virus non-enveloped, with icosahedral geometries. The larger


capsids (38–40 nm) exhibit T=3 symmetry and are composed of
180 VP1 proteins. Small capsids (23 nm) show T=1 symmetry,
and are composed of 60 VP1 proteins.
The virus contain a linear, non-segmented, positive-
sense RNA genome of approximately 7.5 kbp, encoding a large
polyprotein which is cleaved into six smaller non-structural
proteins (NS1/2 to NS7) by the viral 3C-like protease (NS6), a
major structural protein (VP1) of about 58~60 kDa and a
minor capsid protein.

Plan : patient needs to be kept in isolation till electrolytes level


become normal and contiue IV Fluids

AGhazouly
- Warn the manager at age care that this virus is highly
competitive contagious.

- Symptoms of this virus... Vomiting fever abdominal cramping


diarrhea. Norovirus infection can cause the sudden onset of severe
vomiting and diarrhea. The virus is highly contagious and commonly
spread through food or water that is contaminated during
preparation or contaminated surfaces. You can also be infected
through close contact with an infected person.

- Diarrhea, abdominal pain and vomiting typically begin 12 to 48 hours


after exposure. Norovirus symptoms last 1-2three days, older adults
and people with underlying disease — vomiting and diarrhea severely
dehydrating ..

- Norovirus infection occurring frequently in closed and crowded


environments> hospitals, nursing homes, aging care centers,

- Isolate any resident with this symptoms

- This virus very dangerous for elderly

Writing Task:
Using the information in the case notes, write a letter to the manager of
Milperra Retirement House, 12 Trafalgar Street, Glenfield, NSW, 2167.

Expand on the relevant case notes into complete sentences

• Do not use note form in the letter

AGhazouly
• Use letter format

The body of the letter should be approximately 180~ 200 words


long.

AGhazouly

AGhazouly

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