Question

Carlos Mancia, a 48-year-old Spanish-speaking migrant worker with no known past medical history, is being evaluated for possible tuberculosis. His vital signs are as follows: Temperature 99.1°F, Blood Pressure 124/62 mmHg, Pulse 77 beats per minute, Respiratory Rate 20 breaths per minute, and Oxygen Saturation 91

1) Pneumonia
2) Asthma
3) Tuberculosis
4) Bronchitis

Answer 1

Based on the symptoms and history provided, the patient may have tuberculosis (TB). Further diagnostic tests are needed to confirm the diagnosis.

Step-by-step explanation:

This patient may have tuberculosis (TB) based on the symptoms and history provided. Marsha, a 20-year-old student who recently returned from Nigeria, is experiencing fatigue, coughing, night sweats, loss of appetite, and a low-grade fever. These symptoms are consistent with TB, which is still common in many parts of the world, including Nigeria.

The fact that Marsha worked in a medical lab in Nigeria further increases her risk of exposure to Mycobacterium tuberculosis, the bacterium that causes TB. It is important for her doctor to order further diagnostic tests, such as sputum cultures, chest radiographs, and tuberculin skin tests, to confirm the diagnosis.