Sara is a 28 - year - old elementary school teacher. One - by - one, her students have been missing school. She started to feel tired, weak, and even had a fever. She went to her primary care physician, He checked her and she was
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- The mother of a 6-year-old child brings her daughter to the pediatrician's office because she has had a sore throat, cough, and fever for several days. She reports a fever up to 104°F that worsens at night, but seems to respond to treatment with acetaminophen. The child has not been eating or drinking well because she says, "it hurts to swallow." She is ill appearing, and does not seem interested in playing with the toys that are in the examination room. The physician notes a thick, white exudate on both of the patient's tonsils, which also seem enlarged. A throat culture and complete blood count with differential is ordered. 1) The patient's mother expresses concern about her daughter's fevers. She states that the fevers are a sign that her child is unable to fight this infection. What is a proper response to these concerns? A) It is impossible to determine exactly why she is having these fevers. Doctors call this a fever of unknown origin. B) Fevers are a natural response by the…Latasha’s doctor prescribed Amoxicillin for her to take for 10 days upon her diagnosis of Strep Throat. She began to feel better and stopped taking the Amoxicillin after 5 days. A couple of weeks later, she began to feel ill again and returned to the doctor. This time, the doctor prescribed that she takes the antibiotic Zithromax for 5 days.Dianne is an avid tennis player but has recently been complaining of tendonitis in her elbow. She knows that you work in health care and asks you to explain what caused this flare-up.
- Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). While waiting…Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED).…a patient is experiencing edema just in the left leg. she reveals she was bitten by mosquitos on a recent trip to South America. what disease does she most likely have
- 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.Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). While waiting…A 17-year-old boy visits his physician with com- plaints of recurrent bouts of dizziness, palpita- tions, and joint pain. He went on a summer hiking trip in eastern Massachusetts about six months bite and notes no rashes. The ECG is shown ago but does not recall getting a tick in the image. What is the most likely diagnosis of this patient's symptoms? (A) Brugada syndrome (B) Chagas disease (C) Hypertrophic cardiomyopathy (D) Lyme disease (E) Third-degree heart block
- Lin, a 5-year-11-month-boy. He-had a fever 20 days ago with no obvious trigger and reached the highest oral- temperature of- 40°C, no obvious cough, runny nose, vomiting, headache, dizziness, melena, urinary frequency, urgency, and dysuria but had nose bleeding. He visited a local hospital and-underwent a blood routine test: WBC=8.7X10°L, N=21%, RBC= 3.36X10%/L, BPC=75X 10°/L, Hb=109g/L; peripheral -blood smear shows: atypical cells 29%. The local hospital suspected "infectious mononucleosis", thus intravenous ganciclovir was given and his blood was extracted to check for anti-EBV antibody simultaneously. After 6-days of intravenous ganciclovir, his body temperature still fluctuated at around: 38°C. Anti-EBVVCA-IgM(-), anti-VCA-IgG(+) 1. Do you think the doctor's diagnosis is correct? And what do you think the next step would the doctor take? 2. How long does a normal fever and infectious fever last?A 3-week-old neonate develops severe eczema after being givenpenicillin therapy for the first time. Explain what probably has happened.Lin, a 5-year-11-month-boy. He-had a fever 20 days ago with no obvious trigger and reached the highest oral- temperature of- 40°C, no obvious cough, runny nose, vomiting, headache, dizziness, melena, urinary frequency, urgency, and dysuria but had nose bleeding. In the first hospital, he was suspected to have EBV infection and "infectious mononucleosis". He was given intravenous ganciclovir at first. However, Lin's oral temperature still fluctuated at around 38.5°C after the regimen and complained of weakness, significant headache, and bilateral elbow joints pain. He then visited another outpatient clinic of a pediatric hospital, and physical examination in the department shows: well physical development, conscious, steady breathing, well mental response, no anaemic face, temperature 37.5°C. No superficial lymph nodes were obviously enlarged. Skin rash (-). No neck stiffness, Kernig's sign (-), Brudzinski's sign (-), Babinski's sign (-). All joints had no swollen and tenderness but…