Reference no: EM133560370

Patient: Hispanic 34y/o with severe dyspnea that started 2 weeks ago and progressively worsening. BP 110/60, HR 120, Temp 101, RR 40, O2 88% on room air, temp of 101. O2 at 4L/NC improved to 92%. Symptoms include: fever, chills, weight loss, malaise/fatigue, diaphoresis, cough, dyspnea, weakness, swelling in lower extremities, feeling of abdominal fullness. Social hx includes: Bisexual, IV drug use in past, and heavy drinking in the past. Denies current smoking/drug use.

Physical assessment shows white patches on tongue and buccal mucosa bilaterally, dyspnea, lungs have rales in all fields, hepatosplenomegaly with shifting dullness, wide spread lymphadenopathy, with a line of vesicles on left thorax that extends from anterior to posterior thorax.

1. Based on information available, what diagnosis do you believe patient has? While still needing confirmation should have enough information to know what is wrong.

2. What labs and/or diagnostic tests do you need to confirm diagnosis?

3. Describe pathogenesis which explains patient's condition.

4. What education is important to provide to patient.