vyseerx
Forum Guru
Topics: 165
Posts: 378
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linda goodman, 45 years old female came with compliants of head ache of few months. she tells that it has been progressive, and has worsened over last couple of weeks.she has voimitted today, and experienced visual disturbances ,and thus decided to seek medical advice. on examination, her BP is 160/110mm of hg. and HR is 58/mt, and temperature is 98.6 F , RR is 18/mt. her personal history includes that she has a couple of cats at her home and she has always taken care of their hygiene herself. she is a smoker, and an occasional alcohoic. she denied drug abuse and sick contacts. her HIV status which was tested a couple of weeks ago, was negative. she remembers having a urinary tract infection and was told that she was allergic to sulfadrugs. she never had prior hypertension, and diabetes. family histrory is nil relavent. an emergency CT taken in ER has shown a mass lesion in brain.a diagnosis of TOXOPLASMOSIS is made and physician wants to start her on treatment. which one of the following is the correct combination in this patient?
a. sulfadiazene+pyrimethamine
b.sulfamethoxazole+trimethoprim
c.sulfadiazene+clavulinic acid
d.pyrimethamine+clindamycin
e.pyrimethamine+penicillin
f.sulfadaizene+penicllin
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vyseerx
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| TONY PAUL
Forum Junior
Topics: 0
Posts: 58
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d.pyrimethamine+clindamycin
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| medvishu22
Forum Junior
Topics: 3
Posts: 45
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treatment of choice in nonimmunocompromised pt is pyramithamine and sulfa drug ,as pt is allergic to sulfa drug so clindamycin is safe alternative .in case of pregnant women spiromycin is tretment of choice in first trimester,because spiromycin doesnot cross placenta
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i m doctor from india immigrated to usa preparing for step -2
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