A 38 year-old woman went to a hospital and complained of a non-productive cough and dyspnea which has progressed over two weeks. Based on physical examination, she was pale, diaphoretic and in acute respiratory distress. According to her, she had a sexual contact with his partner. The physician ordered laboratory tests and results revealed that the CD4 count was critically low. What parasitic complications the patient may develop and why?
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A 38 year-old woman went to a hospital and complained of a non-productive cough and dyspnea which has progressed over two weeks. Based on physical examination, she was pale, diaphoretic and in acute respiratory distress. According to her, she had a sexual contact with his partner. The physician ordered laboratory tests and results revealed that the CD4 count was critically low.
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- A 38 year-old woman went to a hospital and complained of a non-productive cough and dyspnea, which has progressed over two weeks. Based on physical examination, she was pale, diaphoretic and in acute respiratory distress. According to her, she had a sexual contact with his partner for the past weeks. The physician ordered laboratory tests and results revealed that the CD4 count was significantly low.Why is the CD4 count low? What might be the diagnosis of the patient? What additional hematology tests needed to confirm the diagnosis of the patient?A 38 year-old woman went to a hospital and complained of a non-productive cough and dyspnea, which has progressed over two weeks. Based on physical examination, she was pale, diaphoretic and in acute respiratory distress. According to her, she had a sexual contact with his partner for the past weeks. The physician ordered laboratory tests and results revealed that the CD4 count was significantly low. What fungal complications the patient may develop and why?A 45-year-old florist presents to the general medical clinic with a pustule on the dorsal side of her right hand and nodules extending up the wrist as shown in the image attached.. She states that she hurt herself with metal wiring when she was making rose bouquets for a wedding. Microscopy of pus from the lesions shows cigar-shaped budding yeasts. Which of the following is the most likely causative agent of this patient's presentation? Answers A - E A Blastomyces dermatitidis B Candida albicans C D Coccidioides immitis Microsporum gypseum E Sporothrix schenckii O Question #12 attachment Jere Mammino, DO
- A 38 year-old woman went to a hospital and complained of a non-productive cough and dyspnea, which has progressed over two weeks. Based on physical examination, she was pale, diaphoretic and in acute respiratory distress. According to her, she had sexual contact with his partner for the past weeks. The physician ordered laboratory tests and results revealed that the CD4 count was significantly low. 1. What laboratory tests in clinical chemistry are needed to confirm the patient’s diagnosisPlease give an explanation: A 32-year-old woman visits her physician with complaints of feeling tired and stiff for the past 2 weeks. She reports that she recently returned from a 2-month-long solo hiking trip and thought the signs and symptoms resulted from her trip. However, within the past few days, she has developed pain in her joints, tendons, bones, and muscles 1. The patient is unsure of when she was exposed to the infected tick. The physician decides to order the enzyme immunoassay (EIA), hoping the window is adequate for antibody production. The EIA results are positive. What is the physician’s next step? A. Make the Lyme disease diagnosis. B. Order a Western blot for confirmation.A man was diagnosed as having tertiary syphilis. He had been a responsible business man, a caring husband and a loving father until 3 years previously. At that time, his personality changed drastically. He became angry, abusive and dangerous. This culminated in him savagely killing a man and his son. The only physical symptom that he complained about was severe headaches. 1. What tests for syphilis would have been performed on serum?2. What would the results have been?3. What test would have been performed on his CSF in order to define his condition as tertiary syphilis? The new boyfriend of a woman has assured her that he has never had syphilis. Just to be sure, she asks him to have syphilis testing. His RPR was non-reactive and his FTA-ABS was reactive. 4. Should she believe him? 5. Why or why not?
- A 38 year-old woman went to a hospital and complained of a non-productive cough and dyspnea which has progressed over two weeks. Based on physical examination, she was pale, diaphoretic and in acute respiratory distress. According to her, she had a sexual contact with his partner. The physician ordered laboratory tests and results revealed that the CD4 count was critically low. HEMATOLOGY:Why is the CD4 count low? What might be the diagnosis of the patient?What additional hematology tests needed to confirm the diagnosis of the patient?A 54 years old Puerto Rican male presented to Emergency Room short of breath, feverish and coughing. Examinations revealed right-sided cardiac enlargement and reticular-nodular markings in the lung. He was admitted but died within the week. Autopsy showed an unusual liver. Multiple pseudo tubercles were present in the liver (photograph) and lungs. Right-sided cardiac enlargement was confirmed. a. What pathogenic sign does the liver show? b. What caused this patient’s pulmonary and cardiac problems? c. What simple test might have been performed that would have suggested the correct diagnosis? d. What therapy might have saved the patient’s life had it been prescribed earlier?A 66 year old man sought medical care at the hospital due to severe chest pain lasting 24 hours. The patient was aware of being hypertensive and was a smoker. Without any prior symptom, he started to have sever chest pain and sought emergency medical care about 24 hours, due to pain persistence. 1. Give the 4 aspects of the disease process: a. etiology or cause b. Pathogenesis c. Morphologic Changes d. Functional Derangements and Clinical Significance e. Conclusion and provide references
- A.) What are the most serious consequences of a chlamydial infection? B.) Why is HIV infection dangerous? How is the HIV virus transmitted? And how can infection be prevented?A young Honduran female patient presented with a huge cutaneous ulcer involving the right shoulder. She had been involved in an agricultural clearance project in the interior of the country. a. What parasite/s might cause such a lesion? b. How would you diagnose this infection? c. How is this infection usually acquired? d. How do these parasites evade the immune response?A man wants to divorce his wife because he believes her genitalherpes could only have been acquired sexually. Her doctor says she isinfected with type 1. Suggest a more likely source.