Introduction
Case1:
Vomiting
Case 2:
Cough & fever
Case 3: Bruising
Case 4: Sore
throat
Case 5: Jaundice
Case 6: Flu & fever
Case 7: Diarrhea
Case 8: Black
Robe
Case 9: Back Pain Catching the
beast
Thanks to
Quiz
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Dr. BS is a 54
year-old physician who complains of extreme lethargy, high fever, flu-like
symtoms and joint pains.
- Dr. BS is a general surgeon who claims he
is so tired he can hardly get around.
- He has intermittent fevers and
night sweats.
- Six weeks ago he returned from
Southeast Asia, where he had been volunteering time in a rural health
center.
- He indicates while he was there, he
religiously took his malaria prophylaxis, and never missed
a single pill.
- He was healthy when he returned, and his
symptoms are only a few days old.
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- The village he worked in was in a malaria
endemic area, and he had even treated several patients for the disease.
- His exam includes:
- Temp of 103.8
- Clear chest to auscultation. No reddening
of the throat.
- Enlarged and somewhat tender liver and
spleen.
- Mild generalized lymphadenopathy.
- Lab work up:
What do you think?
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