Question

! Body Text ListParagraph No Spacing Table Paragr. Heading 1 Mary B., a 30-year-old woman with a history of intravenous (IV) drug use, was seen at a health clinic with complaints of swollen glands, fatigue, fever, weight loss, fre- quent vaginal yeast infections, and a persistent skin rash that had not responded to treatment. The physician ordered the laboratory tests shown in Tables 4...5 to 4.7. is Table 4-5 COMPLETE BLOOD COUNT Mary B. WBC RBC Hb Het MCV MCH MCHC Platelets Segmented neutrophils Bands Lymphocytes Monocytes Eosinophils Basophils RBC morphology Reference Range 5-10 x 10 4.0-5.0 x 102/ 120-160 g/L -36-46 LIL 80-100 fl. 26-34 pe 31-37% 150-400 x 10°/L 25-60% 0-10% 20-50% Normal Table 4-6 I CHEMISTRY Mary B. 142 Sodium Potassium Chloride CO Glucose Tilirubin. totah 102 30.0 Reference Range 135-145 mEq/L. 3.6-5.0 mEq/L 98-107 mEq/L 24.0-34.0 mEq/L 80-120 mg/dL 0.2-1.9 mg/dL Focus 10S 0.4 -- MacBook Air

Answer 1

1. Abnormal laboratory result is HIV - ELISA. It is positive.

2. Possible diagnosis is HIV infection.

3. ELISA test is ordered by the physician.

4. One conjugated with enzyme and other present in serum.

5. Yes

6. Antibodies that detected in HIV ELISA are IgG antibodies, IgM and IgG antibodies, p24 antigen which comes directly from HIV virus.

First step is to test antibodies and antigen in blood or saliva.Then Western blotting is done. In this test namely transfer, blocking, primary antibody incubation, secondary antibody incubation and protein detection and analysis is done.

7. a. Category B with symptoms that are directly attributable to HIV infection or that are complicated by HIV infection.

b. Bacterial meningitis, pneumonia, candidiasis, oropharyngeal, cardiomyopathy, cytomegalovirus.

8. In category a that is asymptomatic category no symptoms occurs only flu like symptoms occur but the virus continues to reproduce.

9. Having unprotected sex, having non monogamous sexual intercourse or use of injectable illicit drugs.

b. Useof injectable drugs is the high risk factor.

10. No

11. Combination test, antibody - antigen test, viral load test.

12. Zidovudine was the first approved HIV drug.Treatment involves taking medicines that slow the progression of virus in the body.

13. For a sexually active HIV adult RPR test is needed at least once a year.