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- 24-year-old male, drug user (marijuana) and hookah user, he comes to the emergency room with a chronic, productive cough, a viscous sputum, and a loss of approx. 15 lbs of weight. Then he started with dyspnea when walking, stabbing pain in right chest, night sweats. He denies quantified fever spikes. RT: 120-80Mmg, FC 80latxmts, FR: 16, SATO2 98%. Symmetric chest, Lungs: absence of vesicular murmur in the lower 2¨ thirds of the right hemithorax, and dullness in this area, no added noises or rales. a) Possible diagnoses b) What studies would you request from this patient. c) Treatments according to your diagnostic approaches.I. A Case StudyA 30-year-old man was transported to the emergency room with an unexplained fever, headache, and dizziness for the past two days, as well as indicators of dehydration and epistaxis. An initial examination revealed an oxygen saturation of 86%. (95-100 percent ). A positive Dengue IgM/IgG test and a platelet count of 15.0 mm3 are found in the laboratory (150, 000-450, 000 mm3). As a result, the physician gave the patient a blood transfusion and monitored his hydration level. 1. What blood component is most likely to be impacted and exhausted based on the indications and symptoms (headache + dizziness)? 2. What plasma component is most likely to be altered (elevated) physiologically in the setting of dehydration in the patient's case? 3. In the patient's instance, which blood component was most likely decreased when he had epistaxis? 4. In the patient's situation, what type of WBC is elevated? What is the morphology and granularity of the nucleus?A complication/complications of typhoid fever is/area. neurological damage b. intestinal perforation c. liver abscesses d. b and c
- An 18-year-old patient reports a low-grade fever, itchy and red eyes, pain in the right ear, as well as a mild cough and runny nose.Case Study:A 9-year-old boy complained of fever and sore throat over a 3-day period. On examination by his physician, the patient’s pharynx was red, and both tonsils were swollen. Pronounced cervical lymphadenopathy was present. A swab of the tonsillar area was taken and inoculated to a sheep blood agar (SBA) plate. After 24 hours of incubation, small, shiny, translucent colonies showing β- hemolysis were noted. The microscopy shows a Gram positive coccus arranged in pairs.Diagnosis: Acute PharyngitisCase study presentation should include the following:1. Case2. Patient initials (Ex. 50-year-old man)3. History of the present illness (Symptoms and may include the physical exam of the patient)4. Chief Complaints (Ex. Morning stiffness in his joints for over a year)5. Diagnosis and Causative agent6. Pathophysiology7. Treatment and Management8. ReferencesAn 18-year-old patient reports a low-grade fever, itchy and red eyes, pain in the right ear, as well as a mild cough and runny nose. Vitals Temperature - 100.1 °F Heart Rate - 88 bpm Respiratory Rate - 18 bpm Oxygen Saturation - 94 BP - 124/78 What is the diagnoses
- A pediatric client presents to the office with ruddy checks and a low-grade fever of 101oF. The client’s mother states that the child has been acting normal, but now she notices the child has a slight rash, mainly on the torso. Which disease do you suspect based on this clinical presentation?a. scarlet feverb. fifth diseasec. rubeolad. roseola28. A nurse is caring for a client who has just delivered her first newborn. The infanthas been diagnosed with hyperbilirubinemia. While providing education to the client onthis condition, the nurse should include which of the following as potential causes ofthis condition? (SATA)A. Allergy to breast milkB. Biliary atresiaC. Prenatal alcohol consumptionD. ABO incompatibilityE. Rh isoimmunizationWrite the most likely causative microorganism and disease of the following cases and explain sign, symptoms and control measures. A 70-year-old woman presented after 3 days of enduring painful blisters only on the right side of her forehead and cheek and fever for the past 5 days. She developed the fluid-filled blisters 2 days after the fever. The pain was severe, continuous and radiating. She has medical history of chickenpox.
- Patient R., 32 y/o, was delivered with complaints of fatigue, decrease of appetite, intensification of pigmentation in the open areas of the body, palms of the hands, cyanosis, losing weight, nausea and vomiting. The symptoms began to aggravate during 1-2 weeks after acute poisoning. Objectively: arterial pressure – 60/30 mm column of mercury, pulse – 140 beats/minute, skin turgor is lowered, the colour is dark with intense pigmentation of the elbows, scars, skin folds on the palms; clearly low levels of sodium and chlorine, high levels of potassium in the blood; glycemia – 4.3 mmol/l. What is your diagnosis?A. Addisonian crisisB. Uremic coma C. Brain comaD. Acute cardio-vascular insufficiencyE. Hypoglycemic comaCase 8: An 18-year-old male college student was on spring break in the Florida Keys. He presented to the E.R. complaining of remittent fever, chills, and headaches. A blood smear revealed ring-shaped cells in his blood cells. What disease does the young man have, and what organism is most likely responsible? How did he contract this disease?Case Study . A journalist returning from a trip experienced severe fever, vomiting, chills, and muscle aches, followed by symptoms of meningitis and kidney failure. Early tests were negative for septicemia; throat cultures were negative; and penicillin was an effective treatment. Doctors believed the patient’s work in the jungles of South America was a possible clue to his disease. What do you think might have been the cause?