A 65 year old man comes to the physician because of a one month history of an itching, red lesion on his left forearm that has become enlarged and ulcerated during the past two weeks. He has had no fever, chills, or weight loss. He recently returned from a six week trip to Suriname, China, and the Philippines. He has type two diabetes, mellitus that is well controlled with diet. His temperature is 37.2 C, pulse 84/min, and blood pressure 150/80 mmhg. Examination of the left upper extremity shows a 3 cm, non purulent ulcer with the raised borders over the forearm. Laboratory studies show a leukocyte count of 10,000 mm3. and the fasting serum glucose of 120mg/dl. Which of. the following is the most likely causal organism? A) Bruga malayi B) leishmania tropica C) schistosoma japonicum D)toxoplasma gondii E) trichinella spiralis

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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A 65 year old man comes to the physician because of a one month history of an itching, red lesion on his left forearm that has become enlarged and ulcerated during the past two weeks. He has had no fever, chills, or weight loss. He recently returned from a six week trip to Suriname, China, and the Philippines. He has type two diabetes, mellitus that is well controlled with diet. His temperature is 37.2 C, pulse 84/min, and blood pressure 150/80 mmhg. Examination of the left upper extremity shows a 3 cm, non purulent ulcer with the raised borders over the forearm. Laboratory studies show a leukocyte count of 10,000 mm3. and the fasting serum glucose of 120mg/dl. Which of. the following is the most likely causal organism? A) Bruga malayi B) leishmania tropica C) schistosoma japonicum D)toxoplasma gondii E) trichinella spiralis
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