A 19 years female recruit In the US Army was seen in the inf

A 19 years female recruit In the US Army was seen in the infirmary with a 3 day history of a \"sore throat\", malaise and headache of progressing severity. On examination her throat was erythematous without the presence of pustular or vesicular lesions. She had mild cervical lymphadenopathy and her temperature was 101F. No history of medication or other allergies was reported. What is your diagnosis at this time? _______ What lab tests, if any, would you perform at this time? ______ What is your treatment at this time? _______ Two days later the patient reports to the infirmary with a severe headache, \"stiff neck\", nausea and a temperature of 103.5F. What is your diagnosis at this time? (BE SPECIFIC!) What procedure needs to be performed at this point? ______ What 2 lab tests need to be performed in conjunction with your answer to #5? ______ ______ What is the MOST LIKELY pathogen involved here? _______ What is the DRUG OF CHOICE for the patient at this time? ______

Solution

1. diagnosis might be influenza

2.test referred are as follows flu tests, antigen dtection and viral culture test

3.antiviral medication suggested for patients with high risk

4.once diagnosed antibiotics are given for bacterial infections and a sopecific antiviral agent which is a neuraminidase inhibitor is suggested

5.patients need to be hospitalised at theis stage

6.RSV test

7. Strep test

8.orthohmoxyvirus affects the body which is transmitted through respiration.

9.zanamavir or oseltamivir is recommended to patients once tehy are hospitalised to treat them for this disease