What might be the predominant antibody present in the patient’s serum and why? What immunological response the patient’s body will develop and why?
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CASE SCENARIO
A 38-year-old woman went to a hospital and complained of a non-productive cough and dyspnea which has progressed over two weeks. Based on physical examination, she was pale, diaphoretic and in acute respiratory distress. According to her, she had a sexual contact with his partner for the past weeks. The physician ordered laboratory tests and results revealed that the CD4 count was significantly low.
Questions: What might be the predominant antibody present in the patient’s serum and why?
What immunological response the patient’s body will develop and why?
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- A 38 year-old woman went to a hospital and complained of a non-productive cough and dyspnea, which has progressed over two weeks. Based on physical examination, she was pale, diaphoretic and in acute respiratory distress. According to her, she had sexual contact with his partner for the past weeks. The physician ordered laboratory tests and results revealed that the CD4 count was significantly low. QUESTIONS: 1. What might be the predominant antibody present in the patient’s serum and why?M.L. is a 26-year-old homosexual man admitted to the hospital for progressive respiratory distress, fever, weakness, and chronic diarrhea. He tested HIV positive about 3 years ago, but his infection has remained asymptomatic until 2 months prior to admission. Pneumocystis jiroveci (carinii) pneumonia was suspected and confirmed by culture. Laboratory analysis demonstrates a low CD4+ count of 185 cells/ml. HAART treatment with the antiretrovirals azidothymidine (AZT), efavirenz (Sustiva), and ritonavir (Norvir) was started 2 months ago. QUESTIONS: A medical student asks you to draw a picture of the HIV virion and a CD4+ cell, and to explain the mechanism of intracellular infection and the role of reverse transcriptase. What would you show on the drawing and explain about the process?M.L. is a 26-year-old homosexual man admitted to the hospital for progressive respiratory distress, fever, weakness, and chronic diarrhea. He tested HIV positive about 3 years ago, but his infection has remained asymptomatic until 2 months prior to admission. Pneumocystis jiroveci (carinii) pneumonia was suspected and confirmed by culture. Laboratory analysis demonstrates a low CD4+ count of 185 cells/ml. HAART treatment with the antiretrovirals azidothymidine (AZT), efavirenz (Sustiva), and ritonavir (Norvir) was started 2 months ago. QUESTIONS: P. jiroveci pneumonia is an opportunistic infection to which immunocompetent people are immune. What other opportunistic infections are commonly seen in AIDS patients? Are there any data to suggest that M.L. may have one of these? A medical student asks you to draw a picture of the HIV virion and a CD4+ cell, and to explain the mechanism of intracellular infection and the role of reverse transcriptase. What would you show on the drawing…
- 38) Female,35 years old in the past six months, she had recurrent fever with joint swelling and pain in both hands,periungual erythema and purpura in both lower extremities. Laboratory examination showed tinrombocytopenia, positive urnine protein, and decreased complement. The most likely diagnosis is? A Systemic lupus erythematosus B Rheumatoid Arthritis C Allergic purpura D Vasculitis E Glomerulus nephritis1. What is the possible condition of the patient?2. Are the leukocyte count and differential count normal?3. What is the probable ethology of this disorder?4. What are the immunologic/serologic manifestations of infection?5. Are there any laboratory test that would further support the infection?Mrs. A , age 35 was given a pap test during a routine medical check-up. The test showed marked dysplasia of cervical cells but no sign of infection. 1. Discuss the purposes and uses of diagnostic testing and how it applies in this scenario 2.Discuss how the following terms might apply to this scenario: prognosis, latent stage, remission, exacerbations, predisposing factors 3.Compare and contrast the various types of common cellular adaptions focusing on dysplasia and the testing for the condition. Question2, MRS A's baby girl, Baby C, who is 3 months old,has had severe watery diarrhea accompanied by fever for 24hours, she is apathetic and responds weakly to stimulation, the condition has been diagnosed as viral gastroenteritis question A) list the major losses resulting from diarrhea and fever. question)list other signs and data that…
- A 38 year-old woman went to a hospital and complained of a non-productive cough and dyspnea which has progressed over two weeks. Based on physical examination, she was pale, diaphoretic and in acute respiratory distress. According to her, she had a sexual contact with his partner for the past weeks. The physician ordered laboratory tests and results revealed that the CD4 count was significantly low. Questions:What might be the predominant antibody present in the patient’s serum and why? What immunological response the patient’s body will develop and why?Clinical History:A 25-year-old woman had pelvic pain, fever, and vaginal discharge for 3 weeks. On physical examination, she has lower abdominal adnexal tenderness and a painful, swollen left knee. Laboratory studies show WBC count of 11,875/mm3 with 68% segmented neutrophils, 8% bands, 18% lymphocytes, and 6% monocytes. Gram negative rods were found. Photo includes gram stain. When reviewing the patient’s paperwork, what type of information would you look for, or perhaps ask patient if not listed on the paperwork? What type of specimen would you collect? What tests would you run to ID the causative agent? Typical treatment? Advice for patient? no references, just homework please include referencesRisk for infection as diagnosis what is the intervention and evaluation of this patient?
- Case 1 / A 3-month baby boy developed a red rash around his mouth, on the scrotum and on the elbows and knees. His parents reported him to be very irritable and to have developed diarrhoea. Hair loss was also reported. The GP noted that the problem coincided with weaning onto cow's milk. Examination of the child confirmed a sharply demarcated, red, scaly rash and also a red tongue with several mouth ulcers. The child himself appeared well nourished. Laboratory investigations carried out on the child included a plasma zinc level of 6 μmol/L (reference range 12-18 μmol/L). What is the diagnosis and treatment? Q1/ subdivide of food that we take Q2/ mention the source of energy Q3/ mention the rule of iron, zinc, iodine, ca, vit D,A,C,E,kDiscuss that, Is Widal test a confirmatory test for typhoid fever?A fever is considered to be a ____________________________. prognosis sign symptom syndrome
