A 25-year-old man has 2 weeks history of fever, headache, generalized malaise and abdominal pain. 5 days ago, he returned from a trip from Africa. He looks ill with yellow sclera. Temp 39, HR 110/min, BP 110/60. Cardiopulmonary exam is normal, abdominal exam reveals generalized tenderness and splenomegaly What is the most likely diagnosis for this presentation?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
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الإجابة: D. Malaria
High fever, headache, malaise and abdominal pain, with jaundice and splenomegaly, after recent travel to Africa (within the 7–42 day incubation period) is malaria until proven otherwise. Most cases come from tropical Africa, and the liver/spleen involvement causes hepatosplenomegaly and jaundice.
- Brucellosis is linked to animal/dairy exposure, which this patient doesn't have.
- Cholecystitis doesn't cause splenomegaly.
ليش كل خيار صح أو غلط
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A
ليش غلط
Brucellosis comes from infected animal products or contact with infected animals. This patient's story is recent travel to Africa, not animal or dairy exposure.
✓ Inefctious Diseases 🦠.pdf · p. 7 -
D
ليش صح
Malaria has a 7-42 day incubation and most cases are in tropical Africa. Flu-like illness, abdominal pain, hepatosplenomegaly and jaundice are its features.
✓ Inefctious Diseases 🦠.pdf · p. 8
- المصدر
- Inefctious Diseases 🦠.pdf · p. 8
- المحاضرة
- Endemic Infections (Malaria, Brucellosis) · Infectious Diseases · Module B
- ظهر في
- ID bank