You be the doctor--Diagnose this?!
Question: Here's a chance for non-doctors to play doctor without killing any patients. Real doctors please don't answer unless it's been a day or so and no one else has.
A patient comes in because he has had a high fever for several days now and yesterday developed a cough. He had asthma as a child, has seasonal allergies, and a mild heart murmur. When you are listening to his heart (there's that murmur) you notice tiny freckle-like bruising on his chest. He raises his hand to scratch his forehead and you spot a bruiselike spot on his palm. When questioned he says it does not hurt and he's not sure what caused it. As you examine his hand you notice a few tiny red lines running down several of his nails. You ask him to take off his shoes and socks and sure enough, there are more of those painless red blotches on his soles. You immediately send him to the hospital for tests for...?
For best answer name the blotches and say what the first two tests will be.
Answers: Here's a chance for non-doctors to play doctor without killing any patients. Real doctors please don't answer unless it's been a day or so and no one else has.
A patient comes in because he has had a high fever for several days now and yesterday developed a cough. He had asthma as a child, has seasonal allergies, and a mild heart murmur. When you are listening to his heart (there's that murmur) you notice tiny freckle-like bruising on his chest. He raises his hand to scratch his forehead and you spot a bruiselike spot on his palm. When questioned he says it does not hurt and he's not sure what caused it. As you examine his hand you notice a few tiny red lines running down several of his nails. You ask him to take off his shoes and socks and sure enough, there are more of those painless red blotches on his soles. You immediately send him to the hospital for tests for...?
For best answer name the blotches and say what the first two tests will be.
Certain infections, especially of the heart valve, cause splinter hemorrhages.
The palms and soles are featuring Janeway lesions.
Infective endocarditis?
Repeated blood culture and sensitivity.
Allergic reaction to Fabric Softeners.
You need to do your own homework -
Systemic Lupus Erythematosus
small pox
cbc and immunities
his liver. that is purpora and it is caused by liver damage.
Meningitis and probably a spinal tap or something....I'm a phd doctor not a md doctor! LOL
a full blood count
and oxygen level
Blood poisoning?
Lupis?
I would have blood count taken and test him for poisoning... Don't have a lot of time to put into this ? but that is my fist quick guess...
Serious lack of calcium.
Heavy metals poisoning. Is this the question you missed?
the blotches on his chest? petechia?
first two tests...CBC and urine
MRSA staph infection
skin disease