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- What term refers to the red streaks seen on this patient's skin? Bubo Myocarditis Lymphadenitis O LymphangitisPin-point hemorrhage refers to which of the following? Ecchymosis Petechia Hematoma Puncture woundM.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…A client has bull’s neck appearance,he is suspected to have; a mumps b tularemia c kissing diseas A client has a rash that resembles the bull’s eye he is suspected to have a mumps b tularemia c kissing disease An early sign of Lyme disease a arthrailgia b lyme carditis c bells palsyA 50-year-old man presented to the physician complaining of headaches and difficulty maintaining his balance. On physical exam the physician noticed a lump in the man’s left calf. Initial lab results including a complete blood count and differential were normal. The ESR (erythrocyte sedimentation rate) was slightly elevated, indicating generalized inflammation. The physician asked the man if he had traveled to any areas outside of the United States in the past 12 months. The man had recently returned from volunteering in Haiti. The physician prescribed niclosamide and had the patient collect three stool samples over the next 12 days. Following treatment the following parasite was recovered from the man’s stool with armed rostellum. 18 lateral branches were seen in its proglottids. Explain the morphologic characteristics that would definitively provide a clear identification of the parasite. What, if any, additional treatments are available for this patient?
- A fever is considered to be a ____________________________. prognosis sign symptom syndromeA 60-year old male patient, right-handed, single, tricycle driver is diagnosed with R CVD infarct, at day 5 post-ictus. On personal social history, the patient is living in a bungalo house with his 70-year old sister and her 20-year old son. Upon evaluation, the patient is awake, dysarthric, but manages to follow commands. The following are the pertinent physical examination findings: Shallow R nasolabial fold, fair gutturals, lingual, (+) gag reflexTone and reflex: hypotonic, hyporeflexive left upper and lower extremitiesMotor: MMT 0/5 left upper and lower extremities, 5/5 on right upper and lower extremitiesSensory: 50% deficit on left upper and lower extremitiesOther systemic physical examination findings were unremarkableFunctional assessment: moderately assisted in all ADLs The patient will be progressed from bed mobility skills to transitions to sitting. How will this be instructed?A 60-year old male patient, right-handed, single, tricycle driver is diagnosed with R CVD infarct, at day 5 post-ictus. On personal social history, the patient is living in a bungalo house with his 70-year old sister and her 20-year old son. Upon evaluation, the patient is awake, dysarthric, but manages to follow commands. The following are the pertinent physical examination findings: Shallow R nasolabial fold, fair gutturals, lingual, (+) gag reflexTone and reflex: hypotonic, hyporeflexive left upper and lower extremitiesMotor: MMT 0/5 left upper and lower extremities, 5/5 on right upper and lower extremitiesSensory: 50% deficit on left upper and lower extremitiesOther systemic physical examination findings were unremarkableFunctional assessment: moderately assisted in all ADLs The short-term goal for the patient is to be minimally assisted in bed mobility. What are two bed mobility activities to teach this patient to achieve this goal.
- What are: Physical Examination Palpable Lymphadenopathy TestWhat diagnostic testing and medication is appropriate for a pediatric patient with complaints of an earache with tympanic membrane (TM) erythematous, limited mobility, copious cerumen, purulent fluid, right greater than left, throat is erythematousWhat is the correct diagnosis of the disease and the causative agent(s). A 28 year old male presented to the emergency deaprtment with a 1 day history of sore throat and fever. Upon physical examination, there was tonsillar swelling noted without the prescence of pus. A throat swab was conducted and a rapid antigen detection test for Group A Streptococcus (GAS) was performed in the ED. Results were negative. A throat swab for the culture was also collected. The patient was sent home with a diagnosis of presumed viral pharyngitis. The next day, the patient returned to the ED with worsening sore throat and difficulty swallowing. Pus was seen on the tonsils and the uvula was deviated towars one sight of his throat. Viral Agents. Bacteria Rhinovirus Group A streptococcus Adenovirus Group C Streptococcus Coronavirus G SStreptococcus…