pt 36 yr
travel hawai and mexico
fever intermittent 5 weeks
cough dry 3 month
wt loss 6 pound
S alp 560
treated before for bronchitis with antibiotic but not improved....
ppd negative
cbc shows hb 9 hct 36 and mcv 80
cxr wnl
persistent fever and cough
suspect him for swine flu.
respiratory swab for H1N1 influenza.
since symptomatic for 5 wks, so only supportive management now.
??
WHAT are PR findings? any clues?
soryy for the typo... not PR, it is PE
p/e vesicuykar breath sound
weakness
cough
temoperature
other is normal
do HIV testing, also CD4 counts??
HIV NEGATIVE, CT ABDOMEN SO CYST IN LIVER AND KIDENY..NOT SIGNIFICANT.....DOCOTS NOW TREATING AS A FUO....NOW HOE U APPROACH...PT IS STILL IN HOSPITAL
suspect fungal, mycoplasma
HIV need P24, sometimes ELISA can be negative in early stage
malignancy, like lymphoma but less likely