25 Jul WHAT DISORDER DO YOU THINK HER PHYSICIAN MIGHT SUSPECT?
Zach is a 28-year-old graduate student working in a laboratory that studies the genetics of the huma Show more Zach is a 28-year-old graduate student working in a laboratory that studies the genetics of the human immunodeficiency virus (HIV). He has recently noticed that he is losing weight his lymph nodes are swollen and he has been experiencing night sweats. He also seems to be scratching more often than normal. Zach is concerned that he may have contracted HIV through his research project. Zach is married monogamous and has never received a blood transfusion or used intravenous drugs. Physical examination reveals pallor lymphadenopathy splenomegaly and an abnormal mass in his abdomen. Zachs heart and respiratory sounds are normal but his body temperature is slightly elevated (99F). Blood analysis is done with the following results. Hematocrit (Hct) = 35% Hemoglobin (Hb) = 9.5 g/dL RBC count = 3.5 x 106 /mL WBC count = 22000/mL Platelet count = 450000/mL Alkaline phosphatase = 120 IU/L HIV antibodies = Negative IgA = 300 mg/dL IgG = 1500 mg/dL IgM = 65 mg/dL Erythrocyte sedimentation rate = 23 mm/hr Differential WBC count: Neutrophils = 65% Eosinophils = <1% Basophils = 1% Lymphocytes = 30% Monocytes = 3% Suspecting a lymphoma the physician suggests a lymph node biopsy. Results of the biopsy show fibrosis few lymphocytes and the presence of ReedSternberg cells. These results confirm a diagnosis of Hodgkin disease. 1. Other than his occupation what symptoms lead Zach to suspect HIV infection? 2. What signs symptoms and test results lead his physician to suspect a lymphoma? 3. Why is Zach diagnosed specifically with the Hodgkin form of lymphoma? 4. What treatment will likely be prescribed for Zach? What is his prognosis? 5. Marcy has been diagnosed with renal failure and is admitted to the hospital for a kidney transplant. What postsurgical treatment should be initiated to prevent rejection of the organ? 6. What complication of the postsurgical treatment in the previous question would be of greatest concern to Marcy? 7. Why is infectious mononucleosis more prevalent in adolescents and young adults than in other age groups? 8. Suppose a man had an autoimmune disease in which his body produced autoantibodies against sperm cells. What would you expect to be the chief complaint? 9. Sandra presents to her physician complaining of fever headache and painful swellings in her armpits. During the physical examination the doctor notices that her hands are covered with scratches. He asks about these and Sandra says theyre from a kitten that she found wandering along a country road 2 weeks earlier and adopted as a pet. What disorder do you think her physician might suspect? 10.Why are antibiotics prescribed for bacterial tonsillitis but not for viral tonsillitis? Full points and best answer is awarded to the most clear and detailed answers!!! Show less
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