HISTORY OF PRESENT ILLNESS: A 13-year-old girl went to her physician because of sore throat, a...
Case Study Ab20-year-old woman was seen by her physician for fatigue, pallor, and easy bruising. Physical examination was unremarkable except for pallor, widespread petechiae, ecchymosis, and bleeding gums. The spleen was not enlarged. There was no history of recent exposure to drugs, toxins, or radiation. There was no history of any other illness, and she had been in good health until the past 2 weeks. Laboratory data revealed a normochromic, normocytic anemia with a hematocrit of 20%, WBC of 20...
A mother brings her 10-year-old daughter to the clinic; the child is complaining of a sore throat and has a low-grade fever (99.6°F). The mother states that the child has had a runny nose and a cough for the last few days. On examination, the physician notes that the child’s pharynx appears red and that her tonsils are slightly swollen; no exudate is noted. Blood is drawn for a complete blood count (CBC), and a rapid strep test is sent...
A 40-year-old male with a history of intravenous drug use comes to the emergency room because of a rash and fever. In addition, the patient is complaining of a several-day history of malaise, fatigue, fever, headache, and a sore throat. Physical examination reveals a moderately ill-appearing male with a temperature of 101.6°F. He has a blanching erythematous, macular-papular rash evident over the trunk, back, and upper and lower extremities. In addition, his throat shows enlarged tonsils and broad-based ulcerations on...
A 58-year-old white man presented to his physician for evaluation of leukocytosis found incidentally on a complete blood count performed at a health fair. He had no current complaints, but when questioned, reported felling of fullness in the left upper quadrant of his abdomen. He reported no recent fevers night sweats, or weight loss. He worked as a supervisor in an automobile assembly plant. On physical examination, he was found to have splenomegaly, with the spleen tip barely palpable below...
A 5-pound infant was born with microcephaly, purpuric rash, low platelet count, cardiovascular defects, and a cataract in the left eye. The infant’s mother recalled experiencing flulike symptoms and a mild skin rash early in her pregnancy. She had not sought medical attention at the time. The infant’s physician ordered tests to investigate the cause of the newborn’s symptoms. Questions a. What virus is the most likely cause of the infant’s Symptoms? b. What laboratory tests would you suggest the...
45-year-old man with a history of IV drug use presented to the emergency room complaining of a rash and fever.The patient also complained of a several-day history of malaise, fatigue, headaches, and a sore throat. Physical examination revealed a moderately ill-appearing man with a temperature of 38.8°C (102°F). He had a blanching erythematous, macular-papular rash evident over the trunk, back, and upper and lower extremities. In addition, his throat showed enlarged tonsils and broad-based ulcerations on the buccal mucosa. He...
A 23 year old woman developed sore throat, fever and swollen glands in her neck. The tonsils were enlarged with white spots on the surface. In about one week, the sore throat disappeared. Following an additional week, she noted her urine had become tea-colored. She presented to her physician and explained her condition for the past two weeks, the physician observed no abnormalities in the pharynx, but did find that she had an elevated blood pressure. Examination of her urine...
Case Study #4 Application to Practice Scenario History Application to Practice Scenario A 13-year-old boy presented to the clinic complaining of a sore throat that persisted for 2 days. After those 2 days, he developed fever, nausea, and malaise. A throat culture revealed the presence of Group A beta hemolytic streptococci, and the child was started on antibiotic therapy. The child’s symptoms gradually improved, but approximately 2 weeks later, he returned to the clinic because the fever, nausea, and malaise...
Anemia Case Study A 50 year old white woman had seen her physician and reported having no energy and feeling tired all the time. She also reported experiencing mild pain in the abdominal region. The physician ordered a routine CBC. WBC: 4,500/ul RBC: 1.76 x 106/ul Hb: 6.2 g/dl HCT: 22% MCV: 129.4 fl MCHC: 32 g/dl The peripheral blood smear demonstrated abnormalities of erythrocytes and leukocytes. On receipt of the laboratory data, the physician ordered the following additional tests:...
A 20-year-old female college student with a sore throat is seen in the student health service. A throat swab is cultured and reported positive for group A b-hemolytic streptococci. She is treated with an intramuscular injection of penicillin. Two weeks later, she wakes up in the morning and finds that she has decreased urine volume, and her urine is dark red. She also has a fever and swelling in her feet. She returns to the student health service, where urine...