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A farmer from Los Alamos, New Mexico presented to the emergency department with a high fever,...

A farmer from Los Alamos, New Mexico presented to the emergency department with a high fever, headache, and labored breathing. His wife reported to the triage nurse that he had been cleaning out the barn 2 days before showing the current symptoms please.

1. Considering where he lives, what diagnosis should be considered? 

2. Is the history of the patient cleaning out the barn relevant to his condition or diagnosis? 

3. Is the condition potentially serious? 

4. Are others who come in contact with the farmer at risk? 

5. What is the likely source of the infectious agent? 

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Answer #1

1. Which diagnosis:

Farmer lung disease.

2. Yes, Barn cleaning may cause farmer lung disease.

3. Yes, its fatal... This inhaled grains, hays can cause severe anaphylaxis and death.

4. No, this farmer lung disease is not contagious.

5. Bacteria, viruses and fungal infections in the dust and grains.

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