What is the diagnosis of the patient?

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
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James Garcia a 25 years old, bisexual freelance model went to the hospital for a check up. Upon the assessment he reported that he had a travel history around europe and got home in 2 months. During his stay for work, he was invited to multiple events and parties. He also stated that he has been sexually active with multiple partners(with men). Few weeks after he got home, he experience symptoms of fever, nausea/vomitting During health history he reported increase in body temperature and abdominal pain on his right upper side of her abdomen, he rated as 7 out of 10 in pain scale. The patient does not report any prior medical history or surgeries. His family is non-contributory. Patient stated "i have stomach pain and i feel like vomitting". The patient also stated that he is food conscious and experiencing a loss of appetite. He also mentioned that he experiences muscle pain, weakness and he drinks beer or wine in moderation. Upon the physical examination, his body temperature is 38.8 degree Celsius, blood pressure is 110/75 mmHg, pulse rate is 86 beats/min and his respiratory rate is 23 breaths/min. What is the diagnosis of the patient?
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