She also mentions that he has been drinking alcohol for the past 30 years. His wife also reports that he has had occasional severe coughing spells with pinkish sputum production. He can only walk for a few minutes before he has to stop and rest. She says that she has noticed that he often has difficulty breathing and requires three pillows to sleep at night to avoid being short of breath. She has brought with her the test reports from previous medical visits over the last few months. His wife is unable to recall the name of the condition, but she does know that the doctor recommended some medications at that time in case his condition worsened. He has been admitted in the past for a heart condition. His vital signs are blood pressure 85/50 mm Hg, pulse 50/min, and respiratory rate 10/min. The findings are most consistent with which diagnosis?Ī 65-year-old man is brought to the emergency department after losing consciousness. Further evaluation revealed parasitemia and a few schistocytes, poikilocytes, and merozoites in tetrad formation. The peripheral blood smear showed basophilic ring- and pear-shaped structures inside many red cells and extracellular basophilic rings on Wright-Giemsa staining. Laboratory testing revealed the following: Hemoglobin His symptoms started a few days after he returned home. He traveled to the Netherlands for 4 days a month ago. He has drenching night sweats and has had 2 episodes of non-bilious vomiting over the past few days. He adds that he is fatigued all the time and has a generalized weakness.
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Students: Educators’ Pro Tips for Tough TopicsĪ 50-year-old man presents to the office with complaints of fever and chills for 4 weeks.Fundamentals of Nursing: Clinical Skills.
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