USMLE Question: Clinical Case

USMLE Question: Clinical Case - 13

A patient of 16-year-old presented to the emergency department of your hospital in a severely dehydrated state. He had been suffering from fever since last two weeks. The pattern of temperature was variable during the first week but became continuous during the second week and temperature usually raised in the afternoon. Temperature sometimes reached to 104-105 F. His tongue was coated at the periphery. His abdomen was distended and tender in the right lower quadrant. He had constipation during the first week but in the second week he started complaining of diarrhea. He lost significant weight and he looked dull. On auscultation of chest, basal crepitations were heard. His abdominal ultrasound revealed hepatomegaly and splenomegaly. Complete Blood count Showed the following picture.
RBCs: 5.8 x 10⁶
WBCs: 5994 (reference range = 5000 – 11000)
Platelets: 100 x 10³ (reference range = 150x10³ – 350 x 10³)
Hb: 15 g%
Blood Sugar: 90mg/dl
Blood pressure: 100/60 mm of Hg
Pulse: 80 bpm
Temperature: 102 F
Respiratory Rate (RR): 22 per minute.
Answer the following questions. After answering a question click next. Some questions may have more than one correct answer so pay attention to the directions. In the end, you will get your score instantly.

If the question doesn’t appear please comment below. Kindly like us on facebook, twitter or follow us via email to get future updates and posts.

Comments

Cryoglobulinemia, Cryoglobulinemia Causes, Symptoms & Treatment

Cryoglobulinemia causes Hep C Myeloma, Waldenstrom’s macroglobulinemia, SLE, Rheumatoid arthritis, Sjogren’s syndrome, Symptoms, Immunoglobulins precipitate when cooled under skin, ulcers, rashes, gangrene, Raynaud’s phenomenon. Treatment. Plasma exchange, Chemotherapy, Treat the cause.

Human Parasites, Types of Parasites, and Classification

Parasite: A parasite is a living organism which gets nutrition and protection from another organism where it lives. Parasites enter into the human body through mouth, skin and genitalia. In this article, we will generally discuss the types and classification of parasites. It is important from an academic point of view. Those parasites are harmful, which derives their nutrition and other benefits from the host and host get nothing in return but suffers from some injury. Types of Parasites Ecto-parasite: An ectoparasite lives outside on the surface of the body of the host. Endo-parasite: An endo-parasite lives inside the body of the host, it lives in the blood, tissues, body cavities, digestive tract or other organs. Temporary parasite: A temporary parasite visits its host for a short period of time. Permanent parasite: Permanent parasite lives its whole life in the host. Facultative parasite: A facultative parasite can live both independently and dependently. It lives in the

How to taper off, wean off beta blocker, atenolol, Propranolol, Metoprolol

Beta blockers include, atenolol (Tenormin), propranolol (Inderal ) and metoprolol (Lopressor) and are used to treat high blood pressure, certain cardiac problems, migraine and few other conditions. People usually take atenolol, propranolol or metoprolol for many years as a treatment of high blood pressure or after having an episode of heart attack . Sometimes, it becomes necessary to withdraw these beta blockers due to their potential side effects that trouble the patients or sometimes doctor wants to change the drug and shift the patient to some other anti-hypertensive medicine. No matter whatever the cause is, whenever, a patient who has been using a beta blocker for a long period of time, and he needs to be stopped from further usage of that beta blocker, must not stop taking it. One should taper off the dose of a beta blocker. Now a question arises how to wean off or taper off a beta blocker? The method of tapering off beta blocker varies from individual to individual. Allow you

MedicoTips.Com

Search This Blog