Fem. 56 years old with a history of diabetes II, hypertension, obese starts 5 days ago with a dry cough, fever, intense muscle pain, headache, with respiratory distress since the day before, for which she went to the consultation. No smoking. No vaccines against Covid19. Physical ex: symmetrical chest, lungs with slight decrease in vesicular murmur and bilateral crackles. FC: 102, FR: 32, Sat.O2 86 a) Possible diagnoses. b) Pathogens to consider c) Corresponding studies d) Specific treatments

Case Study #8: A 35-year -old Native-American male presents in the clinic with a complaint of recurrent low-grade fevers, sweating, weakness, muscle pains and a loss of about 10% of his body weight over a 4 month period. The worsening weakness and muscle pain prompted the visit. The patient reports that he has been working on a bison slaughter line owned by his tribe, and blood and tissue juices often splash in his face or contaminate minor hand and arm injuries. He likes to hunt and fish. He is married and has two children. He eats fairly well, but he has not been as hungry lately. He had rheumatic fever as a child and was in a fairly serious car accident three years earlier, resulting in a leg broken in three places. He feels he was physically fit prior to the past 4 months. He likes to play basketball and softball. He has had all the usual childhood immunizations, but does not see the doctor often. On physical examination, the patient has a temperature of 101F. He has mildly swollen…

Case #3Mr. C is a 60-year-old male who lives in his 1994 Toyota Corolla. He earns money by collectingaluminum cans along the roadside and from trash dumpsters. He states that he has been coughing up about ¼ cup of white sputum each morning for the past 20 years. About 1 week ago, he noticed a sudden onset of shaking chills, fever, sweating, malaise, chest pain, and shortness of breath at rest. He also begancoughing up rust-colored sputum that was thicker than his normal sputum production. Mt. C admits to current consumption of two packs per day of cigarettes (ie 70 pack-year smoking history). He admits to occasional alcohol use but denies having orthopnea, ankle edema, nausea, vomiting, diarrhea, weight loss,dysuria, wheezing, or hemoptysis.Lab results on room air:ABGpH 7.47PaCO2 32 mmHgPaO2 44 mmHgHCO3 23 mEq/lSaO2 75%BE -2Hb 12 g/dlPB 760 mmHgETCO2 10 mmHgPart 1: Interpret the ABGPart 2: Calculate Mr. C’s PaO2 and A-a gradient

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