45. A 5-year-old girl with a history of recurrent infections since the age of 4 months is brought to the physician for a follow-up examination. She has had multiple episodes of pneumonia, sinusitis, otitis media, and diarrhea. She is at the 20th percentile for height and weight. Her temperature is 37.4°C (99.3°F). Mild crackles are heard bilaterally over the lower lung lobes. Laboratory studies show: Leukocyte count Segmented neutrophils Eosinophils 10,500/mm³ (N=5500-15,500) 57% 2% Lymphocytes 34% CD3+ T lymphocytes 67% CD19+ B lymphocytes 28% CD56+ natural killer cells 5% Monocytes 7% Serum IgA IgG IgM undetectable (N=14-159 mg/dL) 25 mg/dL (N=345-1236) 410 mg/dL (N=43-207) This patient most likely has an abnormality of which of the following immune system components? A) Activation-induced deaminase B) CD40 ligand OC) Class II MHC protein D) Common y chain of the interleukin-2 (IL-2) receptor E) Recombination-activating gene 1 F) Terminal complement

Child Y , aged 10 months is admitted to your ward suffering from severe pneumonia. 1. State FIVE signs of severe pneumonia 2.Describe collaborative management of Child Y till discharge. 3. State THREE complications of pneumonia

make a pathophysiology flow chart (in drawing if possible) of Upper Respiratory Tract Infection with a data of: 3 months old baby, has sunken eyeballs, admitted due to having a fever for 3 days, A chief complaint of 4 Days PTA, onset of fever on and off, cbc shows high wbc has high infection, is warm to touch and crackles sound can be heard with no sneezing, system chart states only oral mucos, infant is not breast fed and is drinking a formulated milk, vital signs shows normal. with details explained

make a pathophysiology flow chart (in drawing if possible) of Upper Respiratory Tract Infection with a data of: 3 months old baby, has sunken eyeballs, admitted due to having a fever for 3 days, A chief complaint of 4 Days PTA, onset of fever on and off, cbc shows high wbc has high infection, is warm to touch and crackles sound can be heard with no sneezing, system chart states only oral mucos, infant is not breast fed and is drinking a formulated milk, vital signs shows normal. with details explained