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Marsha Rhoades: Case Study 1. Presented by: Lynsie Kamppi, Del Marie Patton and Maureen Horsch. The Patient . 25 year old female Fatigue Unproductive cough Fever of 101 RBC count of 2.9 million/cc 3 Clouding in the lungs. Questions. Is the patient a smoker?
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Marsha Rhoades: Case Study 1 Presented by: Lynsie Kamppi, Del Marie Patton and Maureen Horsch
The Patient • 25 year old female • Fatigue • Unproductive cough • Fever of 101 • RBC count of 2.9 million/cc3 • Clouding in the lungs
Questions • Is the patient a smoker? • Is the patient sexually active and is there any possibility of pregnancy? • Does the patient have a normal menstrual cycle? • What is the patients occupation? • How long has these symptoms been occurring? • Has the patient had any extreme weight loss? • Does the patient have any family history of anemia or any other blood disorders? • Does the patient have any allergies? • Is the patient currently taking any medications?
Hypothesis • According to Marsha’s symptoms, we believe she is possibly anemic and could have valley fever. • She may have mononucleosis causing the flu like symptoms. • Another differential diagnoses could be the beginning symptoms of myoplasma pneumonia. • Marsha may have possibly come into contact with tuberculosis. • She may have also inhaled some highly toxic chemical, such as pulmonary anthrax.
Experiment • Marsha should have a hematocrit test to determine which type of anemia she has. • Another CBC test should be done to see if her infection is bacterial, fungal, or viral. • A differential blood test should be done which would show an increase in any of the white blood cells. • Another x-ray should be done to check the clouding in her lungs. • Also a TB test to rule out tuberculosis.
Ruling out Possibilities • Anthrax was ruled out because of lack of lesions and there has only been one case study reported in the U.S. • Tuberculosis was ruled out by no chest pain or weight loss. • Mononucleosis was also ruled out by the blood test results. • Myoplasm pneumonia was ruled out because the x-ray showed no congestion.
Conclusion • We have concluded that Marsha Rhoades has the early onset of Valley Fever and is anemic.
Works Cited Page • “Anemia.” Taber’s Cyclopedia Medical Dictionary. 1997 ed.19. • Bauman, Robert W. Ph.D. Microbiology: Alternate Edition with Diseases by Body System. San Francisco: Pearson, 2006 • Hrinda, Jack. Telephone interview. 08 February 2006.