A patient presented in the Emergency and Trauma Department with intense chills and shivering and he also had a fever. This is followed by a period of elevated temperature, headaches, and vomiting. The physician suspected that the patient is infected with malaria, so he ordered a peripheral blood smear (PBS) for malarial parasites. In the laboratory, one of the staff on duty noticed that the PBS shows a maltese-cross appearance in the red blood cells. The other staff on duty disagreed and said that it is not a maltese-cross appearance. A. Is there a discrepancy in the reading of the peripheral blood smear? Why? B. What is the possible diagnosis of the patient and why? C. As a medical technologist, how will you handle this situation? D. What are the additional tests you will recommend to confirm the diagnosis?

A patient presented in the Emergency and Trauma Department with intense chills and shivering and he also had a fever. This is followed by a period of elevated temperature, headaches, and vomiting. The physician suspected that the patient is infected with malaria, so he ordered a peripheral blood smear (PBS) for malarial parasites. In the laboratory, one of the staff on duty noticed that the PBS shows a maltese-cross appearance in the red blood cells. The other staff on duty disagreed and said that it is not a maltese-cross appearance. A. Is there a discrepancy in the reading of the peripheral blood smear? Why? B. What is the possible diagnosis of the patient and why? C. As a medical technologist, how will you handle this situation? D. What are the additional tests you will recommend to confirm the diagnosis?

Principles Of Pharmacology Med Assist

6th Edition

ISBN:9781337512442

Author:RICE

Publisher:RICE

Chapter15: Antibiotic Agents

Section: Chapter Questions

Problem 21RQ

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A patient presented in the Emergency and Trauma Department with intense chills and shivering and he also had a fever. This is followed by a period of elevated temperature, headaches, and vomiting. The physician suspected that the patient is infected with malaria, so he ordered a peripheral blood smear (PBS) for malarial parasites.In the laboratory, one of the staff on duty noticed that the PBS shows a maltese-cross appearance in the red blood cells. The other staff on duty disagreed and said that it is not a maltese-cross appearance. QUESTION: What are the additional tests you will recommend to confirm the diagnosis?
A 48-year-old businessman, presents at the emergency room with a 12-day history of headache, myalgia, nausea, and vomiting. Patient history reveals that the patient is a consulting engineer for the tropical area. On his latest trip, he failed to take his prophylaxis for malaria. According to his general physician’s records, all his immunizations are up to date. His fever was 39°C at the time of initial examination, but alternated with periods of extreme cold and cyanosis. A complete blood count was ordered, along with parasite examination and urinalysis. What parasite do you suspect? Which morphological factor will be important in deciding the species of this organism? Which morphological form you may observe in the peripheral blood of this patient? How did the patient contract this parasitic infection? Why this species can cause much more serious result than other species among this organism? Please list name of three parasites that lead to anemia as the main symptoms, and their…
Patient X was rushed to a nearby hospital in Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental Answer the following questions:4. Which of her symptoms indicate early signs of shock? Which of her symptoms point to hemorrhagic manifestations?5. Enumerate laboratory methods that can be used to diagnose the disease or detect the virus.6. How is the disease treated and controlled/prevented?
Patient X was rushed to a nearby hospital in Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental Answer the following questions:1. Which disease is characterized by the symptoms experienced by Patient X? Correlate her medical information and travel history to the disease.2. Explain the pathology of the disease.3. Which virus could have caused the disease? How did she contract the virus?4. Which of her symptoms indicate early signs of shock? Which of her symptoms point to hemorrhagic manifestations?5. Enumerate laboratory methods that can be used…
Patient X was rushed to a nearby hospital in Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental Kindly answer all the following questions:1. Which of her symptoms indicate early signs of shock? Which of her symptoms point to hemorrhagic manifestations?2. Enumerate laboratory methods that can be used to diagnose the disease or detect the virus.3. How is the disease treated and controlled/prevented?
Patient X was rushed to a nearby hospital in Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental. Answer the following questions: (Provide reference and in-text citation) 1. Which disease is characterized by the symptoms experienced by Patient X? Correlate her medical information and travel history to the disease. 2. Explain the pathology of the disease. 3. Which virus could have caused the disease? How did she contract the virus? 4. Which of her symptoms indicate early signs of shock? Which of her symptoms point to hemorrhagic manifestations? 5.…
Patient X was rushed to a nearby hospital in  Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental Kindly answer all the following questions:1. Which disease is characterized by the symptoms experienced by Patient X? Correlate her medical information and travel history to the disease.2. Explain the pathology of the disease.3. Which virus could have caused the disease? How did she contract the virus?
Patient X was rushed to a nearby hospital in  Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental 4. Which of her symptoms indicate early signs of shock? Which of her symptoms point to hemorrhagic manifestations?5. Enumerate laboratory methods that can be used to diagnose the disease or detect the virus.6. How is the disease treated and controlled/prevented?
Patient X was rushed to a nearby hospital in  Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental1. Which virus could have caused the disease? How did she contract the virus?2. How is the disease treated and controlled/prevented?
Patient X was rushed to a nearby hospital in Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental Answer the following questions:1. Which disease is characterized by the symptoms experienced by Patient X? Correlate her medical information and travel history to the disease.2. Explain the pathology of the disease.3. Which virus could have caused the disease? How did she contract the virus?
The patient complained of high fever with right upper abdominal pain and was admitted to the hospital. Physical examination showed tenderness in the liver area with hepatomegaly. Laboratory examination showed that the total number of leukocytes increased, neutrophils 88%, eosinophils 12% and C-reactive protein increased (indicated with infection). Abdominal CT showed space occupying lesions in the liver area and fuzzy structure in the lesions. The patient was born in Sichuan, China, a professional photographer and travelled all over the country. According to your knowledge of human parasitology, what kind of parasite may this patient be infected with? Please list up your diagnosis and explain the reasons. Please list the other two parasites that can cause organ space occupying lesions. Which parasitic diseases need to be identified from the perspective of parasitic pathogenicity? Please described the treatment principles in briefly.
Ms. Cornwall is admitted with pyelonephritis. She has chills, and her temperature is 101°F. She is complaining of flank pain, frequency, and dysuria. Her urine has white blood cell casts, and her urine culture is growing Escherichia coli. Why does she have bacteria and white blood cell casts in her urine?