Female,35 years old in the past six months, she had recurrent fever with joint swelling and pain in both hands,periungual erythema and purpura in both lower extremities. Laboratory examination showed tinrombocytopenia, positive urnine protein, and decreased complement. The most likely diagnosis is?
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- CASE SCENARIOA 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. Questions: What might be the predominant antibody present in the patient’s serum and why?What immunological response the patient’s body will develop and why?An 18-year-old patient reports a low-grade fever, itchy and red eyes, pain in the right ear, as well as a mild cough and runny nose.A client has bull’s neck appearance,he is suspected to have; a mumps b tularemia c kissing diseas A client has a rash that resembles the bull’s eye he is suspected to have a mumps b tularemia c kissing disease An early sign of Lyme disease a arthrailgia b lyme carditis c bells palsy
- Can you tell me about the survival and prognosis for yellow fever, please?Clinical History:A 25-year-old woman had pelvic pain, fever, and vaginal discharge for 3 weeks. On physical examination, she has lower abdominal adnexal tenderness and a painful, swollen left knee. Laboratory studies show WBC count of 11,875/mm3 with 68% segmented neutrophils, 8% bands, 18% lymphocytes, and 6% monocytes. Gram negative rods were found. Photo includes gram stain. When reviewing the patient’s paperwork, what type of information would you look for, or perhaps ask patient if not listed on the paperwork? What type of specimen would you collect? What tests would you run to ID the causative agent? Typical treatment? Advice for patient? no references, just homework please include referencesM.L. is a 26-year-old homosexual man admitted to the hospital for progressive respiratory distress, fever, weakness, and chronic diarrhea. He tested HIV positive about 3 years ago, but his infection has remained asymptomatic until 2 months prior to admission. Pneumocystis jiroveci (carinii) pneumonia was suspected and confirmed by culture. Laboratory analysis demonstrates a low CD4+ count of 185 cells/ml. HAART treatment with the antiretrovirals azidothymidine (AZT), efavirenz (Sustiva), and ritonavir (Norvir) was started 2 months ago. QUESTIONS: P. jiroveci pneumonia is an opportunistic infection to which immunocompetent people are immune. What other opportunistic infections are commonly seen in AIDS patients? Are there any data to suggest that M.L. may have one of these? A medical student asks you to draw a picture of the HIV virion and a CD4+ cell, and to explain the mechanism of intracellular infection and the role of reverse transcriptase. What would you show on the drawing…
- M.L. is a 26-year-old homosexual man admitted to the hospital for progressive respiratory distress, fever, weakness, and chronic diarrhea. He tested HIV positive about 3 years ago, but his infection has remained asymptomatic until 2 months prior to admission. Pneumocystis jiroveci (carinii) pneumonia was suspected and confirmed by culture. Laboratory analysis demonstrates a low CD4+ count of 185 cells/ml. HAART treatment with the antiretrovirals azidothymidine (AZT), efavirenz (Sustiva), and ritonavir (Norvir) was started 2 months ago. QUESTIONS: A medical student asks you to draw a picture of the HIV virion and a CD4+ cell, and to explain the mechanism of intracellular infection and the role of reverse transcriptase. What would you show on the drawing and explain about the process?Clinical History:58-year-old African American female had been hemiplegic on the right side for 3 months prior to death. She developed malaise, fever and chills after visiting with her grandchildren. Her infection progressed. She developed dyspnea and expired. Sputum sample, gram stain. Photo includes sputum sample and gram stain. Does the visit with the grandchildren contribute to condition or no? What could have been a likely cause of the infection? What biosafety level is the causative agent? What type of cleaning agent would be effective against the causative agent? If this patient entered the hospital, what precautions would the staff take? no references, just homework Please include referencesPatient 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 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?