We had a great time at #TNP2014 this past weekend! Heres your Monday Challenger: A 38-year -old man presents to the Nurse Practitioner with symptoms of headache, sore throat, and temperature of 101. He states the headache began about 3 days ago with a sore throat, but the fever began yesterday along with generalized muscle aches and general malaise. This morning he experienced 3 episodes of diarrhea. He denies nausea but states he has occasional stomach cramps and noticed a faint rash on his arms, but denies itching. Past medical history non-contributory. His takes a vitamin supplement, exercises at the gym routinely and is mindful of a healthy diet. He is a project manager for a major transportation company and travels all over the continent. He also belongs to a missionary group and travels 3-6 weeks a year to underdeveloped countries. Examination: Patient appears somewhat pale and tired; Weight 175 pounds and height 69 inches; B/P 142/76, Heart rate 88, respirations 22, temperature 101.6 °F. Eyes – bilateral conjunctival injection; erythematous throat without exudate; nasal turbinates swollen and pale without discharge; bilateral cervical glands 2 cm and tender; Heart – RRR; Lungs clear bilaterally; erythematous maculopapular rash noted on both arms and upper chest with some desquamation noted on the arms; abdomen soft, mild hepatomegaly noted; remainder of exam WNL. Tests: Stool: Occult blood positive CBC: Leukopenia; Decreased H/H; Platelet count decreased Sedimentation rate elevated Amylase elevated Hepatic transaminases elevated Urine: Proteinuria Prothrobin (PT) and Partial Thromboplastin times (PTT) prolonged Based on the history, findings, and lab results, what should be included in the differential diagnoses? Select all that apply. A. Malaria B. Strep throat/Scarlet fever C. Acute gastroenteritis D. Cholera E. Dengue fever F. Ebola G. Systemic Lupus Erythematous
Posted on: Mon, 08 Sep 2014 18:12:39 +0000
Trending Topics
Recently Viewed Topics
© 2015