Question

Case Study #9 Patient had unprotected sex within the past two weeks and is experiencing a rash on his body and urethral discharge. His tests for chlamydia, gonorrhea, syphilis, Hepatitis B and C and HIV, and Rocky Mountain Spotted Fever were all negative. He was treated for chlamydia, gonorrhea, and Rocky Mountain Spotted Fever. Two weeks later the patient returns with a fever, headache, and weight loss. His liver function enzyme tests are elevated. 1. What is the most likely diagnosis for this patient? 2. What laboratory tests would you like to repeat? 3. What test could have been ordered on his first visit that would have provided a faster diagnosis? 4. How would you confirm a Positive HIV screening test? 5. What tests are used to monitor a HIV positive patient? 6. What treatments are currently being used?

          Case Study #9
Patient had unprotected sex within the past two weeks and is experiencing a rash on his body
and urethral discharge. His tests for chlamydia, gonorrhea, syphilis, Hepatitis B and C and HIV,
and Rocky Mountain Spotted Fever were all negative. He was treated for chlamydia,
gonorrhea, and Rocky Mountain Spotted Fever. Two weeks later the patient returns with a
fever, headache, and weight loss. His liver function enzyme tests are elevated.
1. What is the most likely diagnosis for this patient?
2. What laboratory tests would you like to repeat?
3. What test could have been ordered on his first visit that would have provided a faster
diagnosis?
4. How would you confirm a Positive HIV screening test?
5. What tests are used to monitor a HIV positive patient?
6. What treatments are currently being used?

Case Study #9
Patient had unprotected sex within the past two weeks and is experiencing a rash on his body
and urethral discharge. His tests for chlamydia, gonorrhea, syphilis, Hepatitis B and C and HIV,
and Rocky Mountain Spotted Fever were all negative. He was treated for chlamydia,
gonorrhea, and Rocky Mountain Spotted Fever. Two weeks later the patient returns with a
fever, headache, and weight loss. His liver function enzyme tests are elevated.
1. What is the most likely diagnosis for this patient?
2. What laboratory tests would you like to repeat?
3. What test could have been ordered on his first visit that would have provided a faster
diagnosis?
4. How would you confirm a Positive HIV screening test?
5. What tests are used to monitor a HIV positive patient?
6. What treatments are currently being used?

Added by Benjamin P.

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