condition often develop ulcers in the mouth and inflammation of the throat and gums just like the boy in the case scenario.
condition often develop ulcers in the mouth and inflammation of the throat and gums just like the boy in the case scenario.
HISTORY OF PRESENT ILLNESS: This patient is a 57-year-old Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many years. Approximately 2 weeks ago she developed a respiratory infection for which she received antibiotics and completed that course of antibiotics. She developed some ulcerations of her mouth and was instructed to discontinue the methotrexate approximately 10 days ago. She showed some initial improvement but over the last 3 to 5 days has had malaise, a low-grade fever, and severe oral ulcerations with difficulty in swallowing although she can drink liquids with less difficulty. Patient denies any other problems at this point except for a flare of arthritis since discontinuing the methotrexate. She has rather diffuse pain involving both large and small joints. This has caused her some anxiety.…
His vital signs are as follows: BP 172/100, heart rate 92 beats per minute, and a temperature of 102.2 F. There have been some labs done. His red blood count is 3.1 million cells, white blood count is 22,000 cells, potassium is 5.4 mEq/L, calcium is 6.8 mg/dL, phosphate is 4.3 mEq/L, urea is 37 mg/dL, creatinine 2.0 mg/dL, albumin is 2.9 mg/dL, and pH is 7.29. With labs like these, more testing was done. A chemistry panel which showed protein 1.7 gm/24 hours, glomerular filtration rate of less than 30 ml/minute, and his urine sediment showed presence of gram negative bacilli, presence of white blood cells, presence of red blood cells, and granular and waxy casts.…
A blood work-up was ordered and the CBC showed mild anemia. The erythrocyte sedimentation rate was slightly elevated. Swabs were taken from the skin patches and they revealed numerous acid-fast bacilli on modified ZN staining.…
White blood cells play an important role in the body’s defence system against infections. As a result, completing a white blood cell count for Adi will provide a good indication of the presence of infection. There are five types of white blood cells; neutrophils, basophils, lymphocytes, monocytes, and eosinophils. In particular, high white blood cell count known as leukocytosis is an indicator for infection (most commonly bacterial/viral). Although WBC count cannot determine the exact underlying cause, it can help diagnose infection or the inflammatory process.…
Thrombocytopenia is a blood disease characterized by an abnormally low number of platelets in the bloodstream. Abnormal reductions in the number of platelets are caused when abnormalities occur in any of the following three processes: decreased platelet production by the bone marrow; increased trapping of platelets by the spleen; or a more rapid than normal destruction of platelets. People with this condition easily bruise and can have episodes of excess bleeding.…
A 4 year old boy presents to the Pediatrician’s office with pain and swelling of multiple large joints. He first developed pain over his right elbow, then right knee and both shoulders. The pain progressed, became associated with low grade fever and his mother also noticed swelling of the affected joints. By the end of day 2, the boy refused to bear weight and had to be carried to the clinic.…
5. There are several different types of anemia. Harold is suffering from Vitamin deficiency anemia. Beginning with the peripheral blood smear we can describe the key pieces of evidence used to draw this conclusion. Harold’s blood smear we can see an increase area of pale appearance and also the irregular shape in RBC’s. The symptoms Harold was having are associated with Vitamin deficiency anemia. For example, extreme fatigue, headaches, shortness of breath, fast heartbeat (tachycardia) and difficulty sleeping are all symptoms Harold was having and also are symptoms of…
| impaired formation of red blood cells, weakness, irritability, headache, palpitations, inflammation of mouth, neural tube defects in fetus…
Mercer Mayer was born in 1943, and has been writing and illustrating children’s books for almost forty years. As a child Mayor moved all the country with his family, because his father was in the Navy. I believe that this was an influential factor in determining his success. His pictures are drawn without signifying any particular region, which helps children to create an emotional attachment to the story.…
Should the symptoms include fatigue and fever, it is recommended that the student stay home…
Patient 1,2,3 and ,4 have normal % of neutrohpils in the blood but not patient 5. Patient 1,2,3,4 and 5 have normal % of lymphocyte in the blood. All patients have normal range of monocytes in the blood. Patient 1,3,4, and 5 have normal ensinophils in the blood but not #2.…
Previous high fevers, cause, and treatment? 5. History of abnormal pulse? 6. History of abnormal respiratory rate or character?…
Common in older adults and people who have weak immune systems because of stress, injury, certain medicines, or other reasons.…
Over a year ago I was "diagnosed" with pseudo-gout and my rheumatologist suggested that I wear a 700 dollar knee brace. Of all the research I've done online I've never read that people with pseudo-gout were wearing a brace. Do I have something else that the doctors are not telling me. And to top it off the Colchicine and Prednisone that was prescribed have never really helped. The only relief I've ever had was having my knee drained. Any help will do. Thank you.…
Wiskott-Aldrich syndrome is an X-linked recessive immunodeficiency disorder usually inherited by males from their mother. This syndrome involves both T- and B-lymphocytes characterized in one third of patients by the triad of recurrent bacterial sinopulmonary infections, eczema (atopiclike dermatitis), and a bleeding diathesis caused by thrombocytopenia and platelet dysfunction. The characteristic triad of bleeding, eczema, and recurrent infections in Wiskott-Aldrich syndrome generally become evident during the first year of life, with petechiae and ecchymoses of the skin and oral mucosa and bloody diarrhea being the first clinical signs. Bone marrow transplant improves prognosis of Wiskott-Aldrich syndrome. Investigators reported that before hematopoietic stem cell transplantation, cutaneous manifestations occurred frequently, with the most common lesion being eczema similar to atopic dermatitis (71%), followed by petechiae and/or ecchymosis (58%) and cutaneous infections (17%). The classic triad of symptoms was seen in 46% of the boys, who were later treated with hematopoietic stem cell transplantation.…