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  #1  
Old 08-01-2011
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Default Haiti

An 8 yo boy who recently emigrated from Haiti is brought to the physician 's office because he has had reccuring episodes of high fever every third day for the past 2 weeks . He is complainning of headache , generalized achiness and abdominal pain . Temp is 48o C HR 140 X " BP : 90 / 50 mm Hg . He is ill appearing and jaindiced . He has no nuchal rigidity . Abdominal distention is significant for a large , tender , spleen .

Lab studies shows now :

Hb : 7. 5 g / dl

Htc : 22 %

leucocyte count : 3500 mm3

segmented neutrofils : 35 %

lymphocytes : 20 %

monocytes : 45 %

platelet count : 350 000

total billirubin : 10 mg / dl

direct billirubin : 1.5 mg / dl

Which of the following Lab studies will most likely reveal the diagnosis ?


a ) bacterial blood culture

b ) blood smear

c ) Bone marrow aspiration

d ) liver biopsy

e ) viral serology
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  #2  
Old 08-01-2011
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I think pt have malaria . emigrated from country where malaria is common. periodic spiking fever, anemia , Jaundice ..


So, answer might be ' blood smear'
Not sure......
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  #3  
Old 08-01-2011
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I think its b....Blood Smear.

Last edited by Ace3; 08-01-2011 at 03:35 PM.
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  #4  
Old 08-01-2011
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b ) blood smear
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