will try my best
Forum Elite
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Posts: 308
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38. A 37-year-old woman comes to the physician because of an itchy rash over her trunk for 2 weeks. She has not had fever, chills, shortness of breath, chest pain, or gastrointestinal symptoms. She has a history of recurrent urinary tract infections and has been taking trimethoprim-sulfamethoxazole prophylaxis for the past year. She is in mild distress. Her temperature is 37.5 C (99.5 F), blood pressure is 96/62 mm Hg, pulse is 78/min, and respirations are 14/min. Examination shows a maculopapular erythematous rash over the trunk. Laboratory studies show:
Leukocyte count 10,500/mm3
Segmented neutrophils 72%
Bands 1%
Eosinophils 15%
Lymphocytes 4%
Monocytes 8%
Serum
Urea nitrogen (BUN) 12 mg/dL
Creatinine 0.9 mg/dL
Urine
WBC 2/hpf
RBC 2/hpf
Which of the following is the most likely cause of these findings?
A
) Eczema
B
) Medication adverse effect
C
) Staphylococcal skin infection
D
) Streptococcal skin infection
E
) Urinary tract infection
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| will try my best
Forum Elite
Topics: 44
Posts: 308
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Is it eczema?
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| will try my best
Forum Elite
Topics: 44
Posts: 308
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Another doubt- can pulmonary manifestations of cystic fibrosis occur at an aga as young as 20 months?
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| hero
Forum Guru
Topics: 39
Posts: 523
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rash 2 wks, mild distress and BP 96/62 - i don't think it's eczema at age 37, not common age for manifestation, not h/o other allergic conditions, trunk is not common site for eczema
i would pick B
about CF - i think yes
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| mikky
Forum Elite
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Posts: 357
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i seclond hero in both the Qs  
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| dr19
Forum Senior
Topics: 12
Posts: 119
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it seems Erythema multiforme.
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| will try my best
Forum Elite
Topics: 44
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Thanks guys and gals.
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| drms
Forum Senior
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Posts: 443
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B
CF: yes
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