1. Case History: A 45-year-man presents to the emergency department with hemopty
ID: 3511508 • Letter: 1
Question
1. Case History: A 45-year-man presents to the emergency department with hemoptysis. He states to you that he took a trip to Thailand for missionary work and he stayed for last six months. His medical history reveals that he has lost 15 pounds over the last 2 months and fever, cough, and chills. Chest x-ray shows a lesion in his apical right lung. He is able to cough up green mucous coated with blood. You end the sample off for staining and culture. The sample reveals acid-fast bacilli and you decide to admit this patient to isolation and begin treatment Answer the following questions with the information from the case histo ry: a) Name (full name) the causative bacteria for this disorder (1 point) b) Describe the pathogenesis in detail of this particular category for this disorder. Include the name of the particular lesion which is seen in the x-ray and the type of necrosis presen in your description. (4 points)Explanation / Answer
Answer a. According to the report in the hemoptysis, the person must have been infected with Tuberculosis. Full causative organism for this disorder is Mycobacterium tuberculosis.
Answer b.
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