HELP: Case Study

Phyllis Williams pwilliam at SINCLAIR.EDU
Wed Oct 29 07:50:09 EST 1997

I think this is another "case" of a student asking someone else to do
his/her homework!  
Phyllis Williams
Biology Dept. Chair
Sinclair Community College
Dayton, OH

On Tue, 28 Oct 1997, MLW618 wrote:

> I need some help with this case study.  Can anyone help?
> The patient was a 21-year-old male who has compalints of nausea,vomiting,
>  diffuse body ached, productive cough, fever, and loose watery diarrhea.  He
>  had not urinated in the past 24 hrs. and complained of dizziness on standing. 
>  He denied headache or abdominal pain.  His past medical history was
>  significant for sore throat 3 wks. previously.  He also reported that he had a
>  urinary tract infection "a month or two" ago.  He received IV fluids, and a
>  fecal specimen was positive for Entamoeba histolytica.  On physical exam by
>  the infectious disease service, the fatient was found to have a fever of 39.1
>  C, a heart rate of 104/min, and b/p or 134/84 mm Hg.  It also revealed
>  enlarged tonsils but no cervical, axillary, or inguinal adenopathy.  No
>  hepatosplenomegaly was noted.  Bowel sounds were normal.  Chest was clear on
>  auscultation and by chest radiograph.  The patient was from NC, had no recent
>  travel, did drink alcohol, and denied sexual contact.  Lab studies were
>  significant for white blood cell cound of 2,200 with 57% polymorphonuclear
>  lymphocytes, 33% lymphocytes, and 6% atypical lymphocytes.  Hepatitis A, B,
>  and C virus and HIV serologies were negative.  The etiologic agent of his
>  illness was detected by culture, positive antigen test, and PCR.
> MLW618 at aol.com

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