36 years old man from Eastern Sudan presented complain of 3 months history of fever of low grade, mild weight loss and cough, on further questioning he demonstrated that his grandfather who lives with his has also suffered from this chronic cough, what is most likely diagnosis: Lung cancer Tuberculosis Pneumonia Bronchiectasis Asthma
Added by Christopher H.
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The patient has a 3-month history of low-grade fever, mild weight loss, and cough. These symptoms are not specific but could indicate an ongoing infection or chronic inflammatory condition. Show more…
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Mr. Fox (age 46) has had a persistent unproductive cough for several months that did not respond to cough medications. Recently he has developed a productive cough accompanied by fatigue, anorexia and night sweats. Examination indicated abnormal chest sounds and weight loss. A chest radiograph showed a small cavity and infiltrate; the tuberculin test was positive. What has likely happened to Mr. Fox? How can you confirm the diagnosis? Explain the pathophysiology that resulted in his diagnosis.
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A 68-year old patient with Alzheimer disease was brought to the emergency room by the staff of a local nursing home. He presented as lethargic with a sallow complexion. He had an admission temperature of 102.4F and a respiratory rate of 33/minute. During respiration, the right side of his chest moved better than the left. He showed dense consolidation of the lower lobe of the left lung on physical. A sputum sample revealed blood and a greenish color. A chest x-ray showed tight consolidation of the left lung with evidence of formation of cavities in the lung tissue from cytotoxic damage. The patient complained of chills in the room, combined with his fever. A smear of his sputum demonstrated no acid-fast bacteria. What is your presumptive diagnosis for this case? What evidence could the sputum give for this case? Is the reduced respiration rate and unequal chest movement indicative of the pathology? Is this a bacterial or viral disease?
Krishna G.
Case 6A: 75-year-old patient with Alzheimer's disease was brought to the emergency room of South Shore Hospital by the staff of a local nursing home. He presented as lethargic with a sallow complexion. He had an admission temperature of 102.4°F and a respiratory rate of 33/minute. During respiration, the right side of his chest moved better than the left. He showed dense consolidation of the lower lobe of the left lung on physical exam. A sputum sample revealed blood and a greenish color. A chest x-ray showed tight consolidation of the left lung with evidence of formation of cavities in the lung tissue from cytotoxic damage. The patient complained of chills in the exam room, combined with his fever. A smear of his sputum demonstrated no acid-fast bacteria. What is your presumptive diagnosis for this case? What evidence could the sputum give for this case? Is the increased respiration rate and unequal chest movement indicative of the pathology? Is this a bacterial or viral disease?
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