YOUR DIAGNOSIS, PLEASE

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PANAHI M.

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Journal Paper

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Journal: Medical Journal of Mashhad University of Medical Sciences Year:2003 | Volume:46 | Issue:79 Page(s): 71-71

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Information Journal Paper

Title

YOUR DIAGNOSIS, PLEASE

Author(s)

PANAHI M. | Issue Writer Certificate

Keywords

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Abstract

A Six-year-old boy was admitted to the infectious ward (Emam Reza Hospital) because of sever gingivostomatitis, headache and fever.The patient had episodes of infection in lungs (pneumonia) last year and knee joint infection (Septic Arthritis) two years ago. And several infectious complications began in infancy and recur throughout his childhood. All these infectious episodes did not come to medical attention by his pediatrician.The patient was born in Mashhad City and has a brother and a sister. His brother had liver abscess 5 years ago, which treated by antibiotics and surgical drainage of abscess.His sister and parents are in a normal condition. His vaccination programme is complete.On admission, his temperature was 38.5 C, heartbeats 89, and respiration rate 20, with blood pressure 90/50. Some enlarged lymphnodes was palpable in submaxillary region, at the left side of his neck. Ears at otoscopy were normal. A bad smelling breath with sever infection and exudate was seen over .the tonsils and a coated tongue and poor dentition. On physical examination of trunk and extremities, there was no rash, discoloration of skin, jaundice and no lymphadenopathies and hepatomegaly, but spleen was felt on deep palpation. Chin-to-chest sign was negative, No vomiting, no abnormality on lung auscultation and heart sounds.Hematologic tests and blood chemical values, on admission were: WBC= 15500 /mm3, Neut 75%, lymph 15%, mono 5%, band cells 5%, Platelets 210000/ mm3, RBC 5000000/ mm3, with nearly normal blood indices, MPXI +8, blood glucose 110, creatinine 0.8, Na 140, K 4, and a normal urinalysis. On chest X. ray the lungs were clear and heart size was normal. Costodiaphragmatic and cardiodiaphragmatic angles were sharp. A blood culture and throat exudate culture was done with positive results of staphylococcus aurous in both cultures.Cephalotin IV, started and some new tests requested.

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APA: Copy

PANAHI, M.. (2003). YOUR DIAGNOSIS, PLEASE. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 46(79), 71-71. SID. https://sid.ir/paper/52232/en

Vancouver: Copy

PANAHI M.. YOUR DIAGNOSIS, PLEASE. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2003;46(79):71-71. Available from: https://sid.ir/paper/52232/en

IEEE: Copy

M. PANAHI, “YOUR DIAGNOSIS, PLEASE,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 46, no. 79, pp. 71–71, 2003, [Online]. Available: https://sid.ir/paper/52232/en

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