1) which of the lab results are abnormal?
2) based on the cd4 count, what is the patient’sdiagnosis?
3) based on physical exam, WBC and diff, what diagnoses maypertain to this patient? (at least 2)
4) what further testing should be ordered?
5) what pathogen is infecting this patient based on findingsof micro lab?
6) how is thus infection acquired?
7) why was this patient at increased risk for thisinfection?
Transcribed Image Text from this Question
A 45 y.o white homosexual man was brought by his partner to the ER presenting with fever, severe headache, nausea, vomiting, and mental status changes that had been progressive over the past two weeks. The patient had been diagnosed with HIV 2 years prior and was not currently on antiretroviral therapy. Physical Examination: Vital Signs: T 38.5°C, P 106/min, R 18/min, BP 100/62 mm Hg PE: The patient was lethargic and disoriented. On exam, nuchal rigidity was noted as well as a positive Kernig sign (flexion of the neck when the knee is flexed) Lab Studies: Hct 34% WBC 3100/uL Diff: 70% PMN 12% Lymph CD4+ cell count: 42/uL ABG: normal Serum chemistries: normal Chest x-ray and head CT scan were normal Mulae 0 10 10 0 Sanz. Het 20 Floral
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