shirish_sss
Forum Senior
Topics: 32
Posts: 134
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A YOUNG MAN OF 30 YEARS OLD CAME TO THE EMERGENCY DEPARTMENT WITH A HISTORY OF ANXIETY , PALPITATIONS AND HYPERSALIVATION. THE PATIENT WAS VERY WELL ORIENTED TO THE PERSON, PLACE AND TIME. HE ANSWERED ALL THE QUESTIONS BY PHYSICIANS SATISFACTORILY. THE PATIENT SUDDENLY DIED AFTER 2 HOURS OF ADMISSION DUE TO CARDIORESPITARY ARREST.
WHAT WILL THE BRAIN BIOPSY OF THIS PATIENT REVEAL...?
1) INTRACELLULAR EIOSINOPHILIC INCLUSION BODIES
2) INTRANUCLEAR BASOPHILIC INCLUSION BODIES
3) GIANT CELLS WITH BIZZARE NUCLEI
4) MULTINUCLEATED GIANT CELLS
5) MULTIPLE VASCULAR HEMORRHAGIC SPOTS
WHAT IS THE VECTOR MOST LIKELY RESPONSIBLE FOR THIS PATIENT'S DISEASE...?
1) DOG
2) BATS
3) BIRDS
4) MOSQUITO
5) SKUNK
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| smitha
Forum Elite
Topics: 53
Posts: 236
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Is this a case of RABIES, shirish?Coz, this early/drastic involvement of brain stem and leading to cardiorespiratory arrest.......this is wat actually distinguishes it from other viral encephalitides........ 
If so, then i'd go for........A...intracellular eosinophilic inclusion bodies/Negri bodies, which r bullet shaped .......found in neurons infected by rabies virus.
And the vector.........I'd go for 5......skunk, coz that's more common in USA than dog bites......... :roll: :roll:
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| shirish_sss
Forum Senior
Topics: 32
Posts: 134
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WONDERFUL ANSWER SMITHA..... :lol: :lol: :lol: :lol:
IT'S DEFINITELY RABIES...
AND SKUNKS ARE THE COMMONEST ETIOLOGY IN THIS COUNTRY....
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