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The 21 year old sick femae nursing student

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Tuushi
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Re: The 21 year old sick femae nursing student

Postby Tuushi » Wed May 09, 2012 6:59 pm

E.?

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Re: The 21 year old sick femae nursing student

Postby greenday » Wed May 09, 2012 7:04 pm

Talo alle udaa wrote:
greenday wrote:My guess would be the person has shingles and the virus that caused it would be the varicella zoster virus, haye how is my diagnosis :lol:


Thanks for the attempt, however, a common denominator between chicken pox and shingles, which is both caused by the VZV virus are skin blisters (ie rash) of some kind. Shingles is a reactivation of the dormant VZV virus that has been hiding in the sensory neurons of those it infects. during old age, the virus leaves its neurons and attacks the dermatomes (sensory field) of those neurons.

Our patient is a young adult, 21 yrs of age and is in college. what kind of a diseases/illnesses is a 21 yr old girl in college most prone to?



It doesnt always effect the old though :| and the symptoms you put there are ones you might experience when you get shingles before the rash appears lakiin nothing about this so..

Its not E and A and C is flu :lol: am going with D because am guessing B effects the respiratory system :lol:

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Re: The 21 year old sick femae nursing student

Postby Tuushi » Wed May 09, 2012 7:05 pm

green.Waxaad shingles ugu waalatay ? :lol: First sign of shingles waa rash.

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Re: The 21 year old sick femae nursing student

Postby greenday » Wed May 09, 2012 7:07 pm

Its not a rush man, pain comes first around the area effected :lol:

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Re: The 21 year old sick femae nursing student

Postby Talo alle udaa » Wed May 09, 2012 7:31 pm

Talo alle udaa wrote:A 21-year old female nursing student developed low grade fever, sore throat, malaise, and fatigue that lasted several days. Physical examination reveleated swollen lymph nodes and discomfort in the left upper quadrant of the abdomen. Examination of peripheral blood smear revealed 50% of atypical lymphocytes of the total white cells. Result for heterophile antibody test was positive. What is the most probable cause of infection?

A. Cytomegalovirus
B. Respiratory syncytial virus
C. Influenza virus
D. Esptein-Barr virus
E. Varicella Zoster virus

I love doing case problems like these. Take a crack it and guess if you don't have a clue. The biggest give away is the 50% atypical lymphocytes and the antibody test result (sheep blood).


Here are the symptoms of shingles, Copy-n-pasted from uptodate.com

Varicella-zoster virus (VZV) infection causes two clinically distinct forms of disease. Primary infection with VZV results in varicella (chickenpox), characterized by vesicular lesions in different stages of development on the face, trunk, and extremities. Herpes zoster, also known as shingles, results from reactivation of endogenous latent VZV infection within the sensory ganglia. This clinical form of the disease is characterized by a painful, unilateral vesicular eruption, which usually occurs in a restricted dermatomal distribution.

The answer to the question is D, Epstein-Barr Virus. The girls is suffering from Infectious mononucleosis, the so-called "Kissing" disease. Both Epstein-Barr Virus and the Cytomegalovirus elicit a large T-cell response, resulting in mononucleosis syndrome. The infection of B-lymphocytes by the EBV virus causes the production of heterophilic antibodies, and this is the basis of the "Monotest".

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Re: The 21 year old sick femae nursing student

Postby Talo alle udaa » Wed May 09, 2012 7:52 pm

Greenday you did awsome job in guesssing, on to the next case...

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Re: The 21 year old sick femae nursing student

Postby Masai » Wed May 09, 2012 8:24 pm

I'm new here and the answer is Epstein-Barr virus because clinical manifestation of this disease are fatigue and tender lympadenopathy, but the dead give away is Atypical lymphocyte and and the none specific serologic response to EBV which includes Heterophile antibodies.Hope this helps!

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Re: The 21 year old sick femae nursing student

Postby Carroll » Sat Mar 02, 2013 5:26 am

I ordered one awhile ago, and it worked for me, your working out your face why wouldn't it work? Face thin does work.








is facethin a scam


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