5. A 35-year-old man comes to the physician because of a 3-day history of fever, chills, muscle aches, headache, and diarrhea. He immigrated to the USA from Nigeria 12 years ago, but herecently returned from a 2-week visit to his native country. He takes no medications. His temperature is 38.8°C (101.8°F), pulse is 94/min, respirations are 16/min, and blood pressure is125/82 mm Hg. Physical examination shows diaphoresis, scleral icterus, and a supple neck. The remainder of the examination shows no abnormalities. Which of the following is most likely toconfirm the suspected diagnosis in this patient?A) Examination of stool for ova and larvaeB) Gram stain and culture of cerebrospinal fluid for bacteriaC) Peripheral blood smears for protozoaD) Serologic testing for filariaE) Urine antigen testing for fungiA or C

This is a case of a 35-year-old man who presented with fever, chills, muscle aches, headache, and…

Answered: A 35-year-old man comes to the…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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The patient was an 80-year-old female who 10 days previously had had a cystocele repair performed. At the time of the hospital admission, a urine culture was obtained and revealed >100,000 CFU/ml of an Escherichia coli strain that was susceptible to all antimicrobial agents against which it was tested. Postoperatively, she began a 7-day course of oral cephalexin. She was discharged after an uneventful postoperative course of 3 days. Ten days postoperatively, she presented with a 3-day history of diarrhea. The patient noted multiple watery, loose stools without blood, crampy abdominal pain, and vomiting. She presented with a temperature of 38.2 degrees C, pulse rate of 90/min, respiration rate of 20/min, and blood pressure of 116/53mm Hg. Her white blood cell count was normal, but a large number (53%) of immature polymorphonuclear cells were seen. Physical examination, electrolytes, liver enzymes, and lipase were all within normal limits. Cultures for Salmonella, Shigella, Yersinia,…
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