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Joe, an 18-month-old Japanese male, presented at the ER with fever (persistent even after receiving antibiotic treatment for Mycoplasma pneumoniae), vomiting, cough, diarrhea, and rhinorrhea. Mom mentioned he refuses to take anything orally. Bloodwork ordered and showed elevated WBC and platelets, anemia, elevated liver enzymes and bilirubin. Urinalysis showed positive for WBC’s and proteinuria. EKG done and showed tachycardia, prolonged PR internal, ST-T wave changes and delayed R waves. Immediately ordered an ESR, CRP and alpha-1 antitriptin which showed elevated. Was becoming concerned, ordered a CT and confirmed a coronary artery aneurysm.

This disease is caused by and infectious agent like rotavirus, pneumonia, or the measles. It is more common in Asian male children, especially those of Japanese descent. Children, 10 years and under are mostly affected with the highest cases between 18 and 24 months of age. Swelling can develop in arterial and muscle walls and there can be fluid buildup. This increases the risk for an aneurysm to develop thus causing a myocardial infarction. There is no specific test to diagnose, but a combination of test like CBC, CMP, ESR, CRP, CT or MRI and ECG.

What disease did Dr is  talking about?

 

A 32-year-old transgender male presented to the emergency department with a fever of 101.9F, night sweats, and fatigue. During the physical exam, a swollen lymph node was noted under the right armpit and groin area; the patient denies any pain. The patient claims she has had significant weight loss by not trying to lose weight and was positive for Epstein-Barr a few months ago. The healthcare provider informed the patient that he would order some blood test which involves a complete blood count, comprehensive metabolic panel, and erythrocyte sedimentation rate (ESR), along with Cat Scan and a biopsy (procedure to remove the lymph nodes). Depending on the results, aspiration of bone marrow from the hip area may be warranted. The patient expressed concerns to the healthcare provider that her aunt on her mother’s side had the same symptoms about 20 years ago. The healthcare provider tried to put the patient at ease by informing her that the survival rates have improved over the past decades, mainly due to advances in treatment.

What is the patient diagnosis?

SCIENCE
HEALTH SCIENCE
NURSING
HCR 240