Question

In: Nursing

A 49-year-old male presented in the ER with a severe headache and a stiff neck. A...

A 49-year-old male presented in the ER with a severe headache and a stiff neck. A spinal puncture was performed and the fluid obtained was cloudy. The WBC count was 854/ mm3. On the Cytospin slide, the majority of the cells seen were lymphocytes and several plasmacytes. What is the diagnosis?

Solutions

Expert Solution

The clinical signs and the diagnostic values suggest that the patient may suffer from tuberculosis meningitis. As in this condition CSF is characterized by a predominantly lymphocytic pleocytosis and appears cloudy

Nightingale answered 2 years ago
Next > < Previous

Related Solutions

A 50 year old male presents to the ER complaining of severe pain in his left...
A 50 year old male presents to the ER complaining of severe pain in his left toe. The pain was sudden in onset and he describes the pain as sharp and non radiating. He is having difficulty bearing weight on his foot. His past medical history is significant for essential hypertension which is well controlled with an Ace inhibitor. Examination is significant for an inflamed first metatarsal phalangeal joint. In passing, he states that he enjoys a good meal, like...
Summary: Mr. Hayato is a 65 year old male brought to ER with severe SOB resp...
Summary: Mr. Hayato is a 65 year old male brought to ER with severe SOB resp rate 40 pulse ox 93%. Past History of emphysema and longstanding chronic obstruction pulmonary disease (COPD) secondary to tobacco use and still smokes 2 PPD (packs per day) for 50 years. Acute respiratory distress COPD Peripheral vascular disease Hospital Stay: ABG’s ph 7.32 PCO2 60.6 PO2 56.2 In ER, endotracheal intubation with a # 8 endotracheal tube occurred and patient was placed on ventilator...
A 34-year-old male patient presents to the ER with severe flank pain. He has just returned...
A 34-year-old male patient presents to the ER with severe flank pain. He has just returned from being on a trek through Nepal for the past month. A skin pinch test has very slow rebound of the skin. The patient complains of thirst and difficulty in urinating. a. What is the most likely diagnosis of the patient? b. Explain the pathophysiology of the condition listed in (a) c. How would this condition be treated? d. What is your first priority...
1. A 32-year-old woman is seen in the emergency department complaining of a severe headache and...
1. A 32-year-old woman is seen in the emergency department complaining of a severe headache and nausea. She reports a history of headaches off and on for the past several months, typically unilaterally and without warning. In addition, she reports that the headaches occur at varying times of the day. A. Based on this brief history, the physician suspects that the woman may suffer from: A. CPH B. Tension type headaches (TTHs) C. Migraine headaches D. Cluster headaches 2. A...
A 65-year-old male presented with severe pain in his left thumb and right big toe, which...
A 65-year-old male presented with severe pain in his left thumb and right big toe, which was accompanied by inflammation and erythema of the joints. The client had previously been diagnosed with acute gouty arthritis approximately 5 years ago but had not experienced another acute attack since his original diagnosis. The patient had been steadily gaining weight over the last few years and was now about 50 lbs overweight. He stated that he drinks about a six-pack of beer every...
A 65 year old patient enter the ER with exaggerated coldlike symptoms including headache, chills, high...
A 65 year old patient enter the ER with exaggerated coldlike symptoms including headache, chills, high fever, sore throat, myalgia, and a cough. Answer the following questions related to this patient case: What disease does this patient likely have? Molecular testing is performed on the patients sputum sample and they are able to identify RNA fragments coding for hemagglutinin and neuraminidase. Explain the role of hemagglutinin and neuraminidase in this viruses' infection cycle. The testing identifies that this particular viral...
Jean is a 45-year-old male who presents to the emergency department complaining of a headache and...
Jean is a 45-year-old male who presents to the emergency department complaining of a headache and mild chest pain. He has no SOB or diaphoresis. The triage nurse takes his blood pressure and gets a value of 140/120. What is his pulse pressure and MAP? Are these values normal? If not, what is considered the normal range? What are some possible consequences if this is not corrected?
A 60 year old obese female has come into the ER due to severe RUQ pain...
A 60 year old obese female has come into the ER due to severe RUQ pain for the past two hours. Patient also reports increasing nausea but denies emesis. Patient states she has been told she has cholelithiasis by her family physician following a milder episode of this pain two years ago. In addition to server pain, patient displays a moderate degree of scleral jaundice. Abdominal ultrasound identified acute cholecystectomy to remove the gallbladder and all gallstones. She recovered without...
Missy Saul, a 22-year-old female client, is experiencing a severe headache, photophobia, and has nuchal rigidity....
Missy Saul, a 22-year-old female client, is experiencing a severe headache, photophobia, and has nuchal rigidity. The client has positive Kerning’s sign and Brudzinski’s s sign, which further supports the medical diagnosis of meningitis. The vital signs are T, 102°F; BP, 100/70 mm Hg; HR, 122 beats/minute; RR, 28 breaths/minute. The client is in droplet precautions because the nasal and oral secretions are infectious. The LPN/LVN needs to assist the neurologist during a lumbar puncture and send specimens to the...
Missy Saul, a 22-year-old female client, is experiencing a severe headache, photophobia, and has nuchal rigidity....
Missy Saul, a 22-year-old female client, is experiencing a severe headache, photophobia, and has nuchal rigidity. The client has positive Kerning’s sign and Brudzinski’s s sign, which further supports the medical diagnosis of meningitis. The vital signs are T, 102°F; BP, 100/70 mm Hg; HR, 122 beats/minute; RR, 28 breaths/minute. The client is in droplet precautions because the nasal and oral secretions are infectious. The LPN/LVN needs to assist the neurologist during a lumbar puncture and send specimens to the...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT