Question

case study: Patient A is a 30-year-old male was admitted to the hospital from home after 1 week of cough, profuse nocturnal sweating, loss of appetite, and hyposomnia. He was seen by an emergency room physician who noted signs of depression. The patient has a history of intravenous drug abuse and hepatitis B.

Tmax	38.0ºC
Heart Rate	110 beats per minute
Respiratory Rate	20 breaths per minute
Blood Pressure	130/76
Oxygen Saturation	98% on room air
General	Young male, looks older then stated age
HEENT	Depressed, pupils equally round and reactive to light and accommodation
Neck	Supple
Resp	Unilateral (left side) crepitation
Card	Regular rate and rhythm, no murmurs, rubs, or gallops
Abd	Slightly distended
Ext	No edema
Skin	Excoriated, otherwise normal
Neuro	Slightly altered, but baseline

Na: 133	Creatinine: 1.8
K: 4.1	WBC: 9.48 x 109/L
Cl: 96	Hgb: 11.4 g/dL (114 g/L)
Platelets: 149 109/L	HIV test: Negative

Radiology

Chest X-ray showed infiltrate in the middle of left lung with diameter of 1.7 cm with signs of cavitation.

Blood Culture	No growth at 5 days
Sputum Smear Gram Stain	4+ squamous epithelial cells, 1+ segmented neutrophils, no organisms
AFS (acid fast stain)	No organisms
Sputum Culture	No growth at 48 hrs
MGIT (mycobacteria growth indicator tube)	Negative

Q2. Evaluate and explain the patient’s lab results.

Q3. Explain the lab tests and methods that you will carry out and use in order to diagnose the patient.

Q4. Explain how you would determine the acceptability of quality control test result data.

please answer

Answer 1

2)* Na_133( normal 135_145 meq/L) - MILD HYPONATREMEA * Pottasium-4. 1( normal 3.6-5.2) * Chloride-96( normal 96-106) * creatine1.8( normal 0.6-1.2) * wbc-9. 48×10^9( normal 4.5-11.0×10^9) * Hgb-11. 4 g/ dl ( normal 13.8-17.2) - ANAEMIA * platelets-149×10^9 ( normal 150-350×10^9) - THROMBOCYTOPENIA * Human immuno Deficiency virus - Negative * Chest X ray shows Infiltrate in the middle of left lung with diameter of 1.7 CM with signs of cavitations - THIS IS HELPS TO DIAGNOSED WITH " INFILTRATIVE TB OF LEFT LUNG WITH CAVITATIONS WITHOUT MTB SCHEDDING. * BLOOD CULTURE: NO GROWTH OF ANY ORGASNISAM * SPUTUM SMEAR- 4 + squamous epithelial cells 1+ segmented neutrophil, no organissm (normal neutrophil segment 0-5) Squamous epithelial cells shows Oropharyngeal contamination. 3) HAEMOGLOBIN- 11.4 - PATIENT IS ANEMIC , REDUCED PLATELETS Count THROMBOCYTOPENIA-149× 10^9 CHEST X RAY SHOWS INFILTRATE IN THE MIDDLE OF LEFT LUNG WITH DIAMETER OF 1.7 CM WITH SIGN'S OF CAVITATIONS. THESE ARE USED TO DIAGNOSIS " INFILTRATIVE TB OF LEFT LUNG WITH CAVITATIONS WITHOUT MTB SCHEDDING. 4) *MAKING SURE THAT THE PRODUCT APPROPRIATE FOR THE REQUIREMENTS BEFORE RELEASING. * SHOULD DEVELOP VERIFICATION PROCESS * DETECTIVE THE SOFTWARE ERRORS AND SOLVE IT. * FIND MISTAKES BY A SPECIFIC TEAM. * VALIDATION SHOULD DONE FOR THE QUALITY OF RESULTS.