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- Clinical History:This 29-year-old male's illness began 10 weeks prior to death, with an episode of "flu". Two weeks later his urine became "smoky". He was found to have hematuria, albuminuria and elevated BUN (180 mg/dl). He died from a pulmonary embolus. Photos include throat photo, blood agar, and grain stain. What specimens should be taken, aside from blood? What tests should be run? Include both a rapid test option and a lower cost test option. What signs and symptoms should have alerted the patient to come in for testing during or after his viral flu episode? What was the most likely cause to the embolus? No references, just homework please include referencesTreatment principle of acute myelogenous leukemia?What is hairy cell leukaemia? ( in details) -mention the diagnosis through bone marrow biopsy and through morphology of cells ( WBC, RBC, PLT, HCT, HGB and MCV)
- Clinical history: A suspicious envelope arrived for sorting at rural post office. The envelope was opened and found to contain white powder. Approximately two days later, the postal worker who handled the letter developed cutaneous boils, which were 1 to 5 cm in diameter with central necrosis and eschars. He and his wife also developed a mild nonproductive cough with fatigue, myalgia for 72 hours, followed by severe dyspnea, diaphoresis, and cyanosis. Temperature of 39.5°C, pulse 105/min, respiration 25/min, and blood pressure 85/45mm Hg. Crackles were heard at the lung bases. A chest xray shows a widened mediastinum and small pleural effusions. WBC count of 13,130/mm3, hemoglobin 13.7g/dL, hematocrit 41.2%, MCV 91 um3, and platelet count 244,000/mm3. Both died despite antibiotic therapy. Several cattle, horses, and sheep on the postal worker's farm also died. Photos include extremity photo and gram stain. What specimen was most likely collected for the grain stain? Does fact that…A 62-year old, recently widowed male Hispanic patient, KB. was brought in to the emergency department (ED) by his daughter for progressively worsening shortness of breath, fatigue, a lingering non-productive cough, and generalized edema. One month prior, he noticed dyspnea upon exertion, loss of appetite, nausea, vomiting and malaise, which he attributed to the flu. In the emergency department, he appeared anxious and pale, and had a dry yellow tint to the skin. He denied any chest pain, and he could not recall the last time he urinated. He has history of benign prostatic hyperplasia, diabetes mellitus type 2, hypertension, dyslipidemia, and renal insufficiency for the past two years. His ED assessment findings included: 1+ pedal edema, basilar crackles in the lungs bilaterally, and a scant amount of urine according to a bladder scan. His lab results indicated a glomerular filtration rate (GFR) of 12. Based on his subjective and objective symptoms, he was admitted with a diagnosis of…Clinical history: A 52-year-old homeless, alcoholic man had a fever and a cough productive of thick sputum that worsened over several days. His temperature is 38.2°C. Diffuse crackles are heard at the right lung base. Laboratory studies are as follows: hemoglobin: 13.3 g/dL, hematocrit: 40%, platelet count: 291,8000/mm3, WBC count: 13,240/mm3with 71 segmented neutrophils, 7% bands, 16% lymphocytes, and 6% monocytes. Sputum sample stain photo. What technique would you use to put the sputum sample on the slide? How would you stain the slide? What PPE should you have on while working in the lab? When noting the results above, what would be the correct way to report the results? Looking at the stain, what microbe might be the causative agent? No references, just homework Please include references