A patient 19 year-old came to hospital and she had sore throat, fever, red tonsils and swollen uvula, and neck lymphadenopathy. She was given initially antibiotics and came after 5 days with tired, 39ºC. She had patches ofwhite exudate on the tonsils, lymphadenopathyand splenomegaly. Hematological examination shows atypical lymphocytosis. Why do you think did she have these symptoms? Answer: these symptoms are for ………………………. and caused by …………………………… 2) What are other tests and samples need to confirm the causative agent which cause these symptoms?

A patient 19 year-old came to hospital and she had sore throat, fever, red tonsils and swollen uvula, and neck lymphadenopathy. She was given initially antibiotics and came after 5 days with tired, 39ºC. She had patches ofwhite exudate on the tonsils, lymphadenopathyand splenomegaly. Hematological examination shows atypical lymphocytosis. Why do you think did she have these symptoms? Answer: these symptoms are for ………………………. and caused by …………………………… 2) What are other tests and samples need to confirm the causative agent which cause these symptoms?

Principles Of Pharmacology Med Assist

6th Edition

ISBN:9781337512442

Author:RICE

Publisher:RICE

Chapter14: Allergy: An Overview

Section: Chapter Questions

Problem 25RQ

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A patient 19 year-old came to hospital and she had sore throat, fever, red tonsils and swollen uvula, and neck lymphadenopathy. She was given initially antibiotics and came after 5 days with tired, 39ºC. She had patches of white exudate on the tonsils, lymphadenopathy and splenomegaly. Hematological examination shows atypical lymphocytosis. Why do you think did she have these symptoms? Answer: these symptoms are for ………………………. and caused by …………………………… What are other tests and samples need to confirm the causative agent which cause these symptoms?
A patient 19 year-old came to hospital and she had sore throat, fever, red tonsils and swollen uvula, and neck lymphadenopathy. She was given initially antibiotics and came after 5 days with tired, 39ºC. She had patches of white exudate on the tonsils, lymphadenopathy and splenomegaly. Hematological examination shows atypical lymphocytosis. ( please answer the two parts 1 and 2) 1. Why do you think did she have these symptoms? Answer: these symptoms are for ………………………. and caused by …………………………… 2. What are other tests and samples need to confirm the causative agent which cause these symptoms?
55) A 48 year old man who emigrated from India comes to the physician because of a 6 month history of scale, well demarcated rash on his forehaed . Physical examinationhypopigmented rash with anesthetic cewnter over the left side of the forehead. A biopsy speciment of the affected skin shows clusters of epithelialcwels and occassional ginatcells surrounded by lymphocyteswith rare acid fast bacilli. Which of the following cytokine patterns is most likely exhibited by CD 4+ T-lymphocyte clones responding to this infection A) Interleukin-1( IL-1) and Il-8 (B) IL-2 and interferon gamma (C) IL-4 and IL-10 (D) Il-5 and IL-12 (E) IL-6 and Tumor necrosis factor alpha
A 35-year-old African American woman complains of shortness of breath and cough for the last 2 months. She also has had fatigue and mild subjective fever. Physical examination reveals several discrete subcutaneous nodules. No masses or organomegaly is found. A chest radiograph shows bilateral hilar lymphadenopathy but no lung or mediastinal masses. A biopsy of one of the skin nodules shows noncaseating granuloma. What are the diagnostic considerations? What serum blood test can help confirm the diagnosis?
he patient, a 16 year old female was well until 2 days prior to admission when she had a fever to 39.9"C and vomiting. On the morning of admission, she had loose stools, continued fever, and vomiting. She was seen by her local pediatrician who noted that she was hypotensive (BP 76/48 mmHg) with a heart rate of 120 beats/min and a temperature of 38"C. She had an erythematous rash, which was most prominent on her trunk. Cultures were obtained. The patient was given intravenous fluids and IV antibiotics and transported to the hospital, where she was admitted into the Pediatric Intensive Care Unit. The patient had begun her menstrual period 4 days before she became ill. Laboratory studies indicated a WBC count of 24.10/uL (Reference range: 4-11/uL) with 78% neutrophils (Reference range: 50-70%) Lymphocyte count is normal and platelet count of 250/uL (Reference range: 150-450/uL) What organism do you think is the causative agent of her infection? * What are the organs that are possibly…
2:44 PM d O ll all 45 € A 30-year-old ra... A 30-year-old rancher was admitted to a hospital on February 12 because of a two-day history of headache, chills, and 40 degree Celsius fever. Before he was admitted, he began vomiting. During his admission it was found out that he has an orange-sized swelling in the left axilla. A laboratory analysis was administered using lymph-node aspirate and smear of peripheral blood, the result was reported to contain gram-positive cocci, often in pairs. Due to this situation he was given cefoxitin. The patient was acutely ill. Within a few hours of admission, he had a cardiopulmonary arrest. During resuscitation efforts, he vomited and aspirated his vomitus; a chest X-ray showed bilateral infiltrate. The patient was also bled from several body sites. Six hours after admission the patient died. Based on data given, the patient had trapped, killed, and skinned 3 kit foxes, 4 coyotes, and 1 bobcat. The patient cut his left hand shortly before skinning…
A 30-year-old rancher was admitted to a hospital on February 12 because of a two-day history of headache, chills, and 40 degree Celsius fever. Before he was admitted, he began vomiting. During his admission it was found out that he has an orange-sized swelling in the left axilla. A laboratory analysis was administered using lymph-node aspirate and smear of peripheral blood, the result was reported to contain gram-positive cocci, often in pairs. Due to this situation he was given cefoxitin. The patient was acutely ill. Within a few hours of admission, he had a cardiopulmonary arrest. During resuscitation efforts, he vomited and aspirated his vomitus; a chest X-ray showed bilateral infiltrate. The patient was also bled from several body sites. Six hours after admission the patient died. Based on data given, the patient had trapped, killed, and skinned 3 kit foxes, 4 coyotes, and 1 bobcat. The patient cut his left hand shortly before skinning the bobcat on February 7. After his death,…
Three-week-old Xavier Capelleto was brought to the emergency room with a bright scaly rash that first developed on his legs and then spread to his trunk and face. He also had blisters on his palms and the soles of his feet. Xavier’s parents said that he had been experiencing looser bowel movements than expected, a large amount of yellow pus had been accumulating around his swollen eyelids, and he showed signs of oral thrush. Tests revealed that Xavier’s lymphocyte count was only 8% of total white blood cells (normal = 50%), all immunoglobulins were markedly decreased except for IgE, and no thymic shadow was detected on a chest X-ray. Eosinophilia was also detected. His parents were told that Xavier had an autosomal recessive form of severe combined immunodeficiency (SCID) known as Omenn syndrome, which affects the development of both B cells and T cells. A bone marrow transplant was recommended; however, Xavier died from respiratory failure due to an opportunistic bacterial infection.…
38) 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? A Systemic lupus erythematosus B Rheumatoid Arthritis C Allergic purpura D Vasculitis E Glomerulus nephritis
This 19-year-old college student went to the Student Health Services because she had a slowly developing rash on both earlobes, hands and wrist, and around her neck. Her medical history revealed that she had eczema in childhood. During her early teens, she had facial acne, for which she was given tetracycline. Physical examination revealed a rash of erythema and small blisters, with marked excoriation because of the itching. Her hands were red, scaly, and dry. The rash on her hands was different from the eruptions on her neck and ears. A contact hypersensitivity was suspected. Follow-up patch tests included a standard battery of agents—rubber, cosmetics, plant extracts, perfumes, nickel, and makeup. Strongly positive reactions for rubber and nickel were observed. The student was advised to eliminate contact with rubber (e.g., rubber gloves) used at home or on the job. Her jewelry probably contained nickel and was believed to be the source of the irritation to her earlobes, neck, and…
Sam, a 6 year old boy weighing 23.4 kg, presents to the pediatrician's office complaining of fever,sore throat and head ache.His mother reports that he initially complained of sore throat about 12 hours ago.His temperature this morning was 102°F.He has had no other symptoms. He takes no medication and has no drug allergies physical examination reveals erythematous tonsils and throat, as well as an enlarged anterior cervical lymph node. Are sams symptoms more convenient with GAS or viral pharyngitis?
27. A 69-year-old man with congestive heart failure and chronic obstructive pulmonary disease has palpable adenopathy in the neck and inguinal region. He feels perfectly well and has normal blood counts. Lymph node biopsy shows follic- ular small cleaved lymphocytic lymphoma. Bone marrow biopsy shows peritrabecular infil- trates of small cleaved lymphocytes. Which of the following is the best management?