Description
clinical question
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Case Study
Patient Background
Mr. A is a 45-year-old male with a known history of HIV/AIDS, which he has been managing with
antiretroviral therapy (ART) for the past five years. He was diagnosed with pulmonary
tuberculosis (TB) six months ago and has been undergoing treatment with a regimen of
isoniazid, rifampicin, pyrazinamide, and ethambutol. However, he has been experiencing
recurrent episodes of pneumonia despite completing several courses of antibiotics. He presents
to the emergency department with worsening dyspnea, productive cough with greenish
sputum, fever, chills, and confusion for the past 48 hours (about 2 days).
Clinical Presentation:
Upon assessment, Mr. A appears pale, diaphoretic, and in respiratory distress. His vital signs are
as follows: – Temperature: 39.5°C (103.1°F) – Heart rate: 130 bpm – Blood pressure: 80/50
mmHg – Respiratory rate: 28 breaths/min – Oxygen saturation: 88% on room air On auscultation,
coarse crackles are heard bilaterally, and percussion reveals dullness over the lower lung fields.
His mentation is altered, and his Glasgow Coma Scale (GCS) score is 12.
Do a Differential diagnosis on management of a patient with HIV/AIDS, Tuberculosis,
Pneumonia, Sepsis, and Septic Shock.
Differential Diagnoses must address all the clinical aspects presented in the case analysis.
Elaborate more on the Septic Shock diagnoses.
My tel
+ one Seven.One.Three. four.one.nine. nine.five.nine.six
Reference
Cook, C. E., & Décary, S. (2020). Higher order thinking about differential
diagnosis. Brazilian journal of physical therapy, 24(1), 1–7.
https://doi.org/10.1016/j.bjpt.2019.01.010
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