doc_clotaire Forum Guru

Topics: 159 Posts: 1,245
| | 02/12/07 - 04:26 PM  
 
   
 
|   #1 |
An 8 yo boy who recently emigrated from Haiti is brought to the physician 's office because he has had reccuring episodes of high fever every third day for the past 2 weeks . He is complainning of headache , generalized achiness and abdominal pain . Temp is 48o C HR 140 X " BP : 90 / 50 mm Hg . He is ill appearing and jaindiced . He has no nuchal rigidity . Abdominal distention is significant for a large , tender , spleen . Lab studies shows now : Hb : 7. 5 g / dl Htc : 22 % leucocyte count : 3500 mm3 segmented neutrofils : 35 % lymphocytes : 20 % monocytes : 45 % platelet count : 350 000 total billirubin : 10 mg / dl direct billirubin : 1.5 mg / dl Which of the following Lab studies will most likely reveal the diagnosis ? a ) bacterial blood culture b ) blood smear c ) Bone marrow aspiration d ) liver biopsy e ) viral serology
___________________ The elevator to succes is broke ,you must take the stairs
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| mjl1717 Forum Hero

Topics: 955 Posts: 5,451
| | 02/12/07 - 04:28 PM  
 
   
 
|   #2 |
blood smear--- p. falciparum
___________________ Smell the coffee! "Is That an Osler move??"
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| fox Forum Guru

Topics: 70 Posts: 727
| | 02/12/07 - 04:42 PM  
 
   
 
|   #3 |

___________________ Aim High
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| paviraj Forum Senior
Topics: 1 Posts: 59
| | 02/15/07 - 04:29 AM  
 
   
 
|   #4 |
Malaria - Hemolytic anemia.Jaundice.
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| mjl1717 Forum Hero

Topics: 955 Posts: 5,451
| | 02/16/07 - 12:18 PM  
 
   
 
|   #5 |
also weakness, splenomegaly, and ironically possibly herpes labialis! any one want to comment on the prophylactic Rx!
___________________ Smell the coffee! "Is That an Osler move??"
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| doc_clotaire Forum Guru

Topics: 159 Posts: 1,245
| | 02/26/07 - 05:40 PM  
 
   
 
|   #6 |
RIGHT GUYS
___________________ The elevator to succes is broke ,you must take the stairs
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