Hepatitis B Case Study
Case Stem:
The patient is a 42 year old Latino homosexual male. Patient presented himself at the ER with his male “life partner”. Patient complains of having a persistent productive cough with blood for several weeks, body aches, fever, fatigue, profuse nocturnal sweating, decreased appetite and insomnia. Patient has a history of depression, smoking cigarettes, alcohol use, Hepatitis B and intravenous drug use. Patient admitted to recent HIV screening which he tested positive. A head-to-toe assessment was performed and the results were as follows:
Temperature: 39 Degrees Celsius or 102.2 Degrees Fahrenheit
Heart Rate: 115 (Supine)
Respirations: 22
Blood Pressure: 141/89
O2 Saturation: 97% Room Air
HEENT: Expressed, pupils equally round …show more content…
Viral – because acid-fast test were negative.
d. Bacterial – because broad-spectrum antibiotics were prescribed.
Explanation:
1. Does the patient have a bacterial or viral infection?
a. False. The onset of symptoms has nothing to do with the etiology of the infection.
b. True. The acid-fast test was positive.
c. False. Bacteria was found. It is not viral.
d. False. Broad-spectrum antibiotics were not prescribed initially to treat the patient in the event that it was a bacterial infection.
Question:
2. The patient was admitted to the hospital for an infection. What was the eventual diagnosis that caused so much initial concern?
a. It was the common flu. He was experiencing a fever, body aches, productive cough, fatigue, night sweats, decreased appetite, and insomnia.
b. It was pneumonia. He was recently diagnosed with HIV/AIDS and patients commonly acquire pneumonia along with HIV/AIDs
c. Tuberculosis. He has experienced a prolonged cough for several weeks, fever, body aches, fatigue, night sweats, decreased appetite, unexplained weight loss, and insomnia.
d. Lung cancer. Patient has not felt well for several weeks, coughing up blood, unexplained weight loss, fatigue, night sweats, decreased appetite, and insomnia.
The patient is a 42 year old Latino homosexual male. Patient presented himself at the ER with his male “life partner”. Patient complains of having a persistent productive cough with blood for several weeks, body aches, fever, fatigue, profuse nocturnal sweating, decreased appetite and insomnia. Patient has a history of depression, smoking cigarettes, alcohol use, Hepatitis B and intravenous drug use. Patient admitted to recent HIV screening which he tested positive. A head-to-toe assessment was performed and the results were as follows:
Temperature: 39 Degrees Celsius or 102.2 Degrees Fahrenheit
Heart Rate: 115 (Supine)
Respirations: 22
Blood Pressure: 141/89
O2 Saturation: 97% Room Air
HEENT: Expressed, pupils equally round …show more content…
Viral – because acid-fast test were negative.
d. Bacterial – because broad-spectrum antibiotics were prescribed.
Explanation:
1. Does the patient have a bacterial or viral infection?
a. False. The onset of symptoms has nothing to do with the etiology of the infection.
b. True. The acid-fast test was positive.
c. False. Bacteria was found. It is not viral.
d. False. Broad-spectrum antibiotics were not prescribed initially to treat the patient in the event that it was a bacterial infection.
Question:
2. The patient was admitted to the hospital for an infection. What was the eventual diagnosis that caused so much initial concern?
a. It was the common flu. He was experiencing a fever, body aches, productive cough, fatigue, night sweats, decreased appetite, and insomnia.
b. It was pneumonia. He was recently diagnosed with HIV/AIDS and patients commonly acquire pneumonia along with HIV/AIDs
c. Tuberculosis. He has experienced a prolonged cough for several weeks, fever, body aches, fatigue, night sweats, decreased appetite, unexplained weight loss, and insomnia.
d. Lung cancer. Patient has not felt well for several weeks, coughing up blood, unexplained weight loss, fatigue, night sweats, decreased appetite, and insomnia.