![]() He has been admitted in the past for a heart condition. His vital signs are blood pressure 85/50 mm Hg, pulse 50/min, and respiratory rate 10/min. The findings are most consistent with which diagnosis?Ī 65-year-old man is brought to the emergency department after losing consciousness. Further evaluation revealed parasitemia and a few schistocytes, poikilocytes, and merozoites in tetrad formation. The peripheral blood smear showed basophilic ring- and pear-shaped structures inside many red cells and extracellular basophilic rings on Wright-Giemsa staining. Laboratory testing revealed the following: Hemoglobin His symptoms started a few days after he returned home. He traveled to the Netherlands for 4 days a month ago. He has drenching night sweats and has had 2 episodes of non-bilious vomiting over the past few days. He adds that he is fatigued all the time and has a generalized weakness. Students: Educators’ Pro Tips for Tough TopicsĪ 50-year-old man presents to the office with complaints of fever and chills for 4 weeks.Fundamentals of Nursing: Clinical Skills.
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