SOLVED381

Mr. Frank Boland, 66 years old presents to his Primary Care Provider. Chief complaint is a persistent unproductive cough over the past several months which has not responded to over-the-counter cough medications. Recently, Mr. Boland explains he has developed a productive cough and is feeling very fatigued. Vital Signs: BP 138/82 P 78 R 24 T 99.8 F Provider Examination: Examination indicated abnormal chest sounds and weight loss. Mr. Boland indicates to his provider “I just don’t have much appetite since I returned from my trip.” Additionally, he states “And I feel hot all the time to the point of sweating, especially at night.” Provider orders chest x-ray, chemistry panel, and a sputum culture. Questions: What unknown information needs to be assessed with Mr. Boland? Diagnostic Results: Sputum sample reveals blood and acid-fast bacilli. Chest x-ray reveals a small cavity with infiltrates. Questions: Discuss the pathological changes occurring during the development of active tuberculosis. Discuss the transmission of TB and the conditions predisposing to the development of TB. Discuss the treatment of tuberculosis and the precautions involved for healthcare providers. What is the current status of tuberculosis in the US and globally? What is the appropriate follow-up for this patient?
SCIENCE
HEALTH SCIENCE
NURSING

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