1. What were T.H's signs and symptoms? 2. Define what lymphadenopathy is using its root words, prefixes, and suffixes. 3. What tests were done to T.H. at the hospital? What samples were taken from him? Based on your research, how are these samples collected?
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- T.H., a 48-year-old man, was an admitted IV drug user and occasionally abused alcohol. Over 4 weeks, he had experienced fever, night sweats, malaise, a cough, and a 10-lb. weight loss. He was also concerned about several discolored lesions that had erupted weeks before on his arms and legs. T.H. made an appointment with a physician assistant at the neighborhood clinic. On examination, the PA noted bilateral anterior cervical and axillary lymphadenopathy and pyrexia. T.H's temperature was 39°C. The PA sent T.H. to the hospital for further studies. T.H's chest radiograph showed paratracheal adenopathy and bilateral interstitial infiltrates, suspicious of tuberculosis (TB). His blood study results were positive for HIV and showed a lymphocytopenia. Sputum and BAL (washing) fluid were positive for AFB, and a PPD skin test result was also positive. Based on these findings, T.H. was diagnosed with HIV, TB, and Kaposi sarcoma related to past IV drug abuse.Is omicron deadlyAlissa P., a 28-year-old female was brought to the hospital by her partner. She had a high fever and severe headache, and said the symptoms had come on suddenly. A physical exam revealed stiffness in her neck. The nurse practitioner noted that Alissa made her own cheeses from goat and cow milk on her farm. A lumbar puncture was immediately ordered for a cerebrospinal fluid (CSF) analysis. What may the possible bacterial pathogen that caused this? Patient CSF Leukocytes (per mm3) 1280 Neutrophils (% of WBCs) 76 Glucose (mg/dL) 23 Protein (mg/dL) 275
- What may cause an infection?Why is he in a coma? What could he have done to prevent contracting the disease? Chronic carrier of this disease have a higher risk of contracting another disease. What is the name of the other disease?Mrs. G HISTORY Mrs. G, a 62-year-old white woman, was seen in the emergency department for complaints of increasing shortness of breath. She stated that she had the flu approximately 1½ weeks earlier and that her breathing has been more difficult since that time. Her ankles have been swollen for the first time, and sleeping during this time has required "two pillows to support her." She stated that occasionally she awakens in the middle of the night noticeably short of breath. These episodes of nocturnal dyspnea are relieved by sitting up for several minutes. She has been producing ¼ cup of yellow sputum since the onset of the flu. Her exercise tolerance was 1 block but is now 20 feet. Mrs. G stated that 7 years ago her family physician told her she had pulmonary emphysema. Mrs. G started smoking at age 12 and smoked approximately 2 packs of cigarettes a day until she quit 2 years ago. Mrs. G took the following home medications: small-volume nebulizer (SVN) with metaproterenol four…
- Male with a history of blistering lesions on the scalp since the neonatal period andrecurrent pyoderma. After a year and a half of life, he was admitted to a specialty clinic due togeneralized pyoderma associated with febrile illness with lymphadenopathies and abscesses on the thighs. To thephysical examination revealed coarse facies, broad forehead, infraorbital fold, presence of dark circles,low nasal bridge and hypertelorism. In addition to confluent maculopapular lesions in the neckand trunk, occipital eczema, genital gluteal hyperchromic plaque, purulent external otitis. it was triedwith antibiotics with good response, but with persistence of purulent otorrhea. The study of serum immunoglobulins IgM, IgG, IgA, complement, chemotaxis and burstRespiratory was within normal ranges. Serum IgE stood out at 56,400 IU/ml (rangenormal for age 0-90 IU/ml) and eosinophilia. At the age of 2 years 11 months he was hospitalized for genital phlegmon with a good response tocloxacillin plus…What is “Hypericum perforatum”?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=8.7X10°L, N=21%, RBC= 3.36X10%/L, BPC=75X 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. After 6-days of intravenous ganciclovir, his body temperature still fluctuated at around: 38°C. Anti-EBVVCA-IgM(-), anti-VCA-IgG(+) 1. Do you think the doctor's diagnosis is correct? And what do you think the next step would the doctor take? 2. How long does a normal fever and infectious fever last?