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nformation used to create this case study came from Control of Communicable Diseases Manual, 18th edition (2004), edited by David L. Heymann and published by the APHA and WHO and from an actual case that happened to one of my friends. A 24-year-old Caucasian woman (non-smoker; social drinker, no intravenous drug use; sexually active with barrier protection) comes into Urgent Care with symptoms of headache and body aches that began the night before. The patient denies any feelings of nausea or congestion, and her abdomen is soft and not painful. You find signs of minor dehydration but no other reportable findings from a urinalysis, and a red, spreading rash on both legs. The patient explains that she was in a hurry and tried shaving three days ago without using any soap or shaving cream, which really irritated her skin. Examining the rash you see small red, raised bumps without obvious breaks in the skin, and decide to do a quick culture-check of one of the reddest spots. You release the patient after prescribing an anti-inflammatory cream, instruct her to take some ibuprofen and drink more water, and recommending that she come back if her condition worsens. The culture from the
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NURSING

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