ID q series-1 - harry206

[ArchivalUser]

1. Pt with recurrent gonococcal bacteremia ---> next test in diagnosis

2. Pt worked up for dementia ---> VDRL + ---> next test in diagnosis

[ArchivalUser]

1. complement levels
2. fta abs

[ArchivalUser]

1. Complement levels ... especially late complements C56789 MAC
2. CSF VDRL? TPHA?

[ArchivalUser]

1 ch50 work up
2 fta/tppa test for confirmation

[ArchivalUser]

ANSWER:

1. CH50 is next step ---> if low ---> check terminal complement level (C5, 6, 8)

2. lumbar puncture ---> send CSF fluid for VDRL (neurosyphilis)

[ArchivalUser]

thanks