Jane presented to the ED with complaints of painful abdominal cramping and diarrhea. She has had about 10 watery stools today. Upon questioning, the ED physician noted that she had just returned from a trip to city in the Midwest that had a recent outbreak of cryptosporidium. Her symptoms mirrored those experienced by those reported in the newspaper, so a stool sample was obtained and was positive for the same protozoan. Jane was at high-risk to contract the disease since she is undergoing immunotherapy for scleroderma.
Dx: Cryptosporidium
First-listed diagnosis: ________
Second-listed diagnosis: ________
Fill in the blank with correct word.
Question 2
Patient is 22 years old and is seen in the ED complaining of fever, non-productive cough, SOB, weight loss and night sweats. CXR shows pulmonary infiltrates. The patient is HIV positive. Based on the clinical findings and his HIV status, he is diagnosed with pneumocystis jroveci pneumonia. He is admitted for IV antibiotics and steroids.
Dx: Pneumocystis jroveci pneumonia
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.