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  • Clinical Case10

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    Beni Kelner
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    The 24-year old patient was hospitalized in serious condition with a fever of 38.7C, bilateral pneumonia, and oxygen saturation of 92%. She has a history of type 1 diabetes since age 16 and was in a pre-coma diabetic state. Relatives report she had recently returned from Bulgaria and those she was in contact with remained healthy. She fell ill on January 5th with general weakness, fever, cough, dyspnea, and vomiting and did not receive treatment until being hospitalized on January 11th. The presumptive diagnosis is diphtheria based on her symptoms of fever, vomiting, asthenia, tachycardia, hypertension and ulceronecrotic angina.

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    The 24-year old patient was hospitalized in serious condition with a fever of 38.7C, bilateral pneumonia, and oxygen saturation of 92%. She has a history of type 1 diabetes since age 16 and was in a pre-coma diabetic state. Relatives report she had recently returned from Bulgaria and those she was in contact with remained healthy. She fell ill on January 5th with general weakness, fever, cough, dyspnea, and vomiting and did not receive treatment until being hospitalized on January 11th. The presumptive diagnosis is diphtheria based on her symptoms of fever, vomiting, asthenia, tachycardia, hypertension and ulceronecrotic angina.

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    9 views2 pages

    Clinical Case10

    Uploaded by

    Beni Kelner
    The 24-year old patient was hospitalized in serious condition with a fever of 38.7C, bilateral pneumonia, and oxygen saturation of 92%. She has a history of type 1 diabetes since age 16 and was in a pre-coma diabetic state. Relatives report she had recently returned from Bulgaria and those she was in contact with remained healthy. She fell ill on January 5th with general weakness, fever, cough, dyspnea, and vomiting and did not receive treatment until being hospitalized on January 11th. The presumptive diagnosis is diphtheria based on her symptoms of fever, vomiting, asthenia, tachycardia, hypertension and ulceronecrotic angina.

    Copyright:

    © All Rights Reserved
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    of 2

    Clinical case

    The 24-year-old patient, resident of Chisinau, was hospitalized at SCR. She was
    brought by occasional transport by her parents. Admitted in serious condition, FR-
    22 per min. At auscultation in the bilaterally diminished inferior region. TA =
    100/60 mm, FCC-98 rpm. From the anamnesis: from the age of 16 he administers
    insulin. Preventive diagnosis at hospitalization "Diabetes mellitus, type I, diabetic
    precoma, bilateral pneumonia?"
    The body temperature at that time was 38.7.C. Auscultation: bilateral shortness of
    breath, rales throughout the lung area; basal bilateral snoring rales. SpO2-92%.
    Relatives find that the patient arrived from Bulgaria and that all the people she
    came in contact with were and remained apparently healthy.
    From the anamnesis: he fell ill on 5.01.11 after a long hypothermia - general
    weakness, fever, cough, dyspnea, vomiting. From 5.01 to 11.01 he did not receive
    treatment.
    What is the presumptive diagnosis, argue?
    1. General signs of toxemia in diphteria include:
    a. fever 38-39
    b. vomiting, nausea
    c. intensive asthenia
    d. tachycardia
    e. hypertension
    2. The most common localizations of diphtheria are:
    a. laryngeal diptheria
    b. pharyngeal diptheria
    c. nasal diphteria
    d. genital diphteria
    e. cutaneous diphteria
    3. Ulceronecrotic angina are:
    a. angina in Hiv infection
    b. angina in herpes infection (with Herpes simplex)
    c. Angina Simanovschi-Vincent
    d. Angina in adenovirus infection
    e. Angina in diphteria
    4. Desquamation of skin with flaps of is characteristic for:
    a. measles
    b. scarlet fever
    c. rubella
    d. varicella
    e. herpetic infection
    5. In toxic form of scarlet fever are noticed:
    a. necrotic angina
    b. convulsions
    c. maculopapular rash
    d. shock poisoning (toxic infectious)
    e. myocarditis
    6. Eruption in scarlet fever may be:
    a. maculopapular confluent
    b. miliary
    c. haemmorrhagic
    d. papular vesicles
    e. rozeole point
    7. The eruptive period in measles is manifested by:
    A. Fever
    B. The progress of catarrhal signs

    C. Maculopapular rash
    D. Hepatosplenomegaly
    E.Generalized lymphadenopathy
    8. Rubella will not be accompanied by:
    A. Angina with membranous deposits
    B. moderate fever
    C. Pharyngitis easy
    D. exanthema
    E. Poli-adenopathy

    9. Choose the common signs for measles and rubella:


    A. Pharyngitis erythematous
    B. enanthema
    C. exanthema
    D. Hepatosplenomegaly
    E. Poli-adenopathy

    10. Specify which clinical manifestations are detected, usually in infectious mononucleosis
    A. eruption rubeoliformă
    B. eyelid edema
    C. Jaundice sclero-tegumentary
    D. angina, lymphadenopathy, hepatosplenomegaly
    E. Hematuria

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