A community volunteer and previously healthy man present with a 2-month history of flu-like illness, night sweats, intermittent fever, weight loss, and chest pain which has worsened over the past 24 hours making him feel very weak. The clinical finding shows his temperature is 39.5 °C with a heart rate of 100 and increased respiratory rate. His chest X-ray results show consolidation in both lung fields, and traces of blood in his sputum. After 24 hours his condition has not improved, a repeat chest X-ray reveals the presence of fluid in his lungs. What diseases do you suspect? (3 possibilities) Explain each. What are pathogens that would likely cause the above-mentioned diseases? Provide its morphology.
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A community volunteer and previously healthy man present with a 2-month history of flu-like illness, night sweats, intermittent fever, weight loss, and chest pain which has worsened over the past 24 hours making him feel very weak.
The clinical finding shows his temperature is 39.5 °C with a heart rate of 100 and increased respiratory rate. His chest X-ray results show consolidation in both lung fields, and traces of blood in his sputum. After 24 hours his condition has not improved, a repeat chest X-ray reveals the presence of fluid in his lungs.
- What diseases do you suspect? (3 possibilities) Explain each.
- What are pathogens that would likely cause the above-mentioned diseases? Provide its morphology.
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- Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following: RBC 2.24 X1012 /l Hb 71 g/l PCV 24% Plt 8.0 X109/l WBC 1.2 X109/l Differential Segmented Neutrophils 2% Lymphocytes 94% Monocytes 4% Reticulocyte count 0.7% She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and…Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following: RBC 2.24 X1012 /1 Hb 71 g/l 24% 8.0 X10/1 PCV Plt WBC 1.2 X109/1 Differential Segmented Neutrophils Lymphocytes Monocytes Reticulocyte count 2% 94% 4% 0.7% She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and there were no malignant cells present. 1- Connect these clinical symptoms with her laboratory-screening…A 55-year-old man comes to the emergency department with epistaxis (uncontrolled nosebleed). He reports that he has “bleeder’s disease” and has had multiple episodes of inflammatory hemarthroses (joint bleeding). Physical examination reveals swollen, immobilized knees; mild jaundice; and an enlarged liver and spleen. CBC results indicate that the patient is anemic and has thrombocytopenia with a platelet count of 74,400/mL (reference interval, 150,000 to 450,000/mL). The PT is 18 seconds (reference interval, 12 to 14 seconds), and the PTT is 43 seconds (reference interval, 25 to 35 seconds).Diagnosis: Liver Disease Provide strong evidence of the diagnosis by creating a table of other possible parameters or test results (coagulation tests) that might be present in this type of condition.
- A 55-year-old man comes to the emergency department with epistaxis (uncontrolled nosebleed). He reports that he has “bleeder’s disease” and has had multiple episodes of inflammatory hemarthroses (joint bleeding). Physical examination reveals swollen, immobilized knees; mild jaundice; and an enlarged liver and spleen. CBC results indicate that the patient is anemic and has thrombocytopenia with a platelet count of 74,400/mL (reference interval, 150,000 to 450,000/mL). The PT is 18 seconds (reference interval, 12 to 14 seconds), and the PTT is 43 seconds (reference interval, 25 to 35 seconds). What is the most likely diagnosis? Support your answer. How can the PT result support your diagnosis? Can this be considered a vitamin k deficiency? Why or why not? Provide strong evidence of your diagnosis by creating a table of other possible parameters or test results (coagulation tests) that might be present in this type of condition.Lin, a 5-year-11-month boy. He had a fever 20 days ago with no-obvious trigger and reached- the highest oral temperature of 40°C, no obvious cough, runny nose, vomiting. headache. dizziness, melena, urinary frequency, urgency, and dysuria but had nose bleeding. He visited a local hospital and underwent a blood-routine test: WBC 8.7X 10°/L. N 21%. RBC 3.36X 10/L. BPC 75 X 10°L, Hb 109g/L; peripheral blood smear shows: atypical cells 29%. The local hospital suspected "infectious mononucleosis", thus intravenous ganciclovir was given and his blood was extracted to check for anti-EBV antibody simultaneously. 1.- What are the main symptoms found on this patient? According to the patient's history and- presentations, what are the probable issues that you will need to think of?A 29-year-old previously healthy female presented with a productive cough, fever to 102 oF, and severe headache. She had cervical adenopathy (swollen glands), although she had a nonerythematous throat with no exudate. Chest examination showed crackles bilaterally at the lung base with decreased breath sounds diffusely. This finding was confirmed by chest film that showed bilateral multifocal areas of patchy consolidation. Her neck was not stiff, but because of the severity of the headache, she was admitted to the neurologic service. A spinal fluid was obtained and was negative for bacteria, cryptococcus, and acid-fast smear. Blood cultures and sputum cultures did not produce a pathogen. The patient did not improve on ceftriaxone. On day 3 she was started on erythromycin. On day 4, cold agglutinins were done and were positive. The patient gradually improved although the headache, photophobia, and cough continued for some time QUESTIONS: 1. What is the agent of this disease?…
- A 13-year-old girl is brought to the emergency department 15 minutes after the sudden onset of shortness of breath. She has a 9-year history of episodes of soft tissue swelling, particularly involving her face and extremities, but without urticaria or erythema. Some of these episodes have been accompanied by acute abdominal pain with diarrhea. She has no history of severe or frequent infections. Her temperature is 37°C (98.6°F), pulse is 81/min, respirations are 20/min and labored with marked stridor, and blood pressure is 95/65 mm Hg. Physical examination shows marked facial edema. Treatment with danazol and stanozolol resolves her symptoms. The most likely cause of her which of the following substances? condition is a deficiency of Angiodema A) C1 inhibitor B) CD40 ligand-class switching C) Factor VIII (antihemophilic factor) DY IgA resp issues also NADPH oxidase respiratory hurst issue F) Plasminogen activator ↓ Azols helps in reduction of Ego sterol 091 by wholortus cyfockmome $450…A 65-year-old female is driven to the hospital emergency room with severe shortness of breath, cough, and fever. She is also complaining of muscle aches stating, “It feels like I was hit by a truck.” She has a long-standing history of severe lung disease (chronic obstructive pulmonary disease) requiring home oxygen because of a 45-pack-per-year smoking history. It is January, and she declined influenza vaccination when she was seen by her primary care physician in November. She is admitted to the hospital with a diagnosis of severe exacerbation of her chronic lung disease. The next day her attending physician decides to test her for influenza. The test is reported back to the floor as a critical value because the result is positive for influenza Type A. She is started on an antiviral medication for influenza. Discuss the following questions: What type of transmission-based precautions should be used to isolate this patient? What could have been done differently with this case starting…CV a 35-year-old mountain camper and enthusiast of outdoor activities comes at the emergency room of a government hospital. He states that he is experiencing fever and chills for 2 days now. Further investigation reveals that the patient recently was camping in the tropical mountains. Culture reports reveal malaria. The attending physician orders chloroquine and primaquine. What additional questions might the nurse ask to assist in helping CV understand his condition? Explain why these questions would be important?
- A 6-week-old male was brought into the office with a 2-day history of choking spells following a protracted (10 day) period of cold-like symptoms. The parents reported that now the infant would suddenly start coughing and could not seem to catch his breath. They became concerned today because the infant has also started vomiting shortly after these episodes. Copious mucous accompanies the coughing episodes. Upon examination his pulse and respiratory rates were elevated. His WBC was 15,500/ul with 70% lymphocytes. The nasopharyngeal swab did not grow any pathogens on routine lab culture. 16. The child is suffering from what disease? How do you know (hallmark)? Name two virulence factors for this pathogen leading to tissue damage. Why did the routine lab culture not show any results? (4This is a Respiratory Case Study. Gladys Young is a 68 year old female that resides in an Independent Living facility with her husband. She presents to her primary care physicians office with complaints of fever, chills, nausea and vomiting. She also states that she has had some mild hemoptysis occasionally with her persistent coughing. She has recently completed treatment with Chemotherapy for Breast cancer and is concerned that she may have an infection. You are the nurse caring for her. She is able to complete a sentence in its entirety, but she is persistently coughing during the history. She is a former smoker, she smoked ½ pack of cigarettes per day for 30 years and quit when she was diagnosed with breast cancer 6 months ago. She denies shortness of breath or chest tightness. She has not yet gotten her influenza vaccine, but did receive the Pneumovax vaccine last year. She has had problems with persistent coughing at night which has prevented her from getting a good night’s sleep…A 30-year-old man is brought to the emergency department with a knife wound to the chest. On visual inspection, asymmetry of chest movement during inspiration, displacement of the trachea, and absence of breath sounds on the side of the wound are noted. His neck veins are distended, and his pulse is rapid and thready. A rapid diagnosis of tension pneumothorax is made. Discuss the pathogenesis of pneumothorax