The 21 year old sick femae nursing student

[Talo alle udaa]

A 21-year old female nursing student developed low grade fever, sore throat, malaise, and fatigue that lasted several days. Physical examination reveleated swollen lymph nodes and discomfort in the left upper quadrant of the abdomen. Examination of peripheral blood smear revealed 50% of atypical lymphocytes of the total white cells. Result for heterophile antibody test was positive. What is the most probable cause of infection?

A. Cytomegalovirus
B. Respiratory syncytial virus
C. Influenza virus
D. Esptein-Barr virus
E. Varicella Zoster virus

I love doing case problems like these. Take a crack it and guess if you don't have a clue. The biggest give away is the 50% atypical lymphocytes and the antibody test result (sheep blood).

[Talo alle udaa]

49 views and no luck, where is Avicenna?

[Tuushi]

Maybe not too many med students around here.

[greenday]

My guess would be the person has shingles and the virus that caused it would be the varicella zoster virus, haye how is my diagnosis

[Tuushi]

My guess would be the person has shingles and the virus that caused it would be the varicella zoster virus, haye how is my diagnosis

I thought shingles was for the seniors?

[greenday]

My guess would be the person has shingles and the virus that caused it would be the varicella zoster virus, haye how is my diagnosis

I thought shingles was for the seniors?

Who said that? waa bahal ku gadaayo as soon as your immune system is down baam

[Tuushi]

My guess would be the person has shingles and the virus that caused it would be the varicella zoster virus, haye how is my diagnosis

I thought shingles was for the seniors?

Who said that? waa bahal ku gadaayo as soon as your immune system is down baam

Waxaas naga daa.It is most common in people over 50 and chances get higher the older someone gets.Maybe sheekada UKda ayaa badalan.

[greenday]

Well its basically chicken pox so laabte and it would be more common in old people because the older you get the weaker you immune system. Horta maxa ka hadlooya i just thought those symptoms sound like shingles and since the virus that causes it is on there i just put 1+1

[Tuushi]

Oo maxaan ka aqanaa. Igaarkaan cidlada dishey ayaan qabaaro kiil oga digaayey.

Waa runtaa,waa same virus.

[Alphanumeric]

A. Cytomegalovirus

[greenday]

Waa iska sugeyna into jawaabta naga siiyo

[Tuushi]

Waa saas green

Heedhe Alpha,why aad A u choice gareyse?

[Talo alle udaa]

Greenday, Thanks for the attempt, however, a common denominator between chicken pox and shingles, which is both caused by the VZV virus are skin blisters (ie rash) of some kind. Shingles is a reactivation of the dormant VZV virus that has been hiding in the sensory neurons of those it infects. typically during old age, due to some unforseen reason. the virus leaves its neurons and attacks the dermatomes (sensory field) of those neurons.

Our patient is a young adult, 21 yrs of age and is in college. what kind of a diseases/illnesses is a 21 yr old girl in college most prone to?

Alpha, your answer is close. Cytomegalovirus, does infect WBCs, causing them to appear atypical. however, one test that was given excludes this possibility. also cytomegalovirus usually affects people with weak immune systems, such as those with HIV, immuno suppressed, etc,

[Alphanumeric]

My guess would be the person has shingles and the virus that caused it would be the varicella zoster virus, haye how is my diagnosis

Thanks for the attempt, however, a common denominator between chicken pox and shingles, which is both caused by the VZV virus are skin blisters (ie rash) of some kind. Shingles is a reactivation of the dormant VZV virus that has been hiding in the sensory neurons of those it infects. during old age, the virus leaves its neurons and attacks the dermatomes (sensory field) of those neurons.

Our patient is a young adult, 21 yrs of age and is in college. what kind of a diseases/illnesses is a 21 yr old girl in college most prone to?

Herpes.

Thus, cytomegalovirus.


Oh, i see.

[Talo alle udaa]

See my post above. One more attempt each and then ill give answer.