Patient A is a 30-year-old male who was admitted to the hospital from home after 1 week of cough, profuse nocturnal sweating, loss of appetite, and hyposomnia. He was seen by an emergency room physician who noted signs of depression. The patient has a history of intravenous drug abuse and hepatitis B.
Tmax: 38.0ÂșC
Heart Rate: 110 beats per minute
Respiratory Rate: 20 breaths per minute
Blood Pressure: 130/76
Oxygen Saturation: 98% on room air
General: Young male, looks older than stated age
HEENT: Depressed, pupils equally round and reactive to light and accommodation
Neck: Supple
Resp: Unilateral (left side) crepitation
Card: Regular rate and rhythm, no murmurs, rubs, or gallops
Abd: Slightly distended
Ext: No edema
Skin: Excoriated, otherwise normal
Neuro: Slightly altered, but baseline
Na: 133
Creatinine: 1.8
K: 4.1
WBC: 9.48 x 10^9/L
Cl: 96
Hgb: 11.4 g/dL (114 g/L)
Platelets: 149 x 10^9/L
HIV test: Negative
Radiology: Chest X-ray showed infiltrate in the middle of the left lung with a diameter of 1.7 cm with signs of cavitation.
Blood Culture: No growth at 5 days
Sputum Smear Gram Stain: 4+ squamous epithelial cells, 1+ segmented neutrophils, no organisms
AFS (acid-fast stain): No organisms
Sputum Culture: No growth at 48 hrs
MGIT (mycobacteria growth indicator tube): Negative
Q1. Explain the steps in which the specimen is collected, handled, and how the specimen is analyzed.
Q2. Evaluate and explain the patient's lab results.
Q3. Explain the lab tests and methods that you will carry out and use in order to diagnose the patient.
Q4. Explain how you would determine the acceptability of quality control test result data.