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1、CaseStudyCaseStudy2-1:HealthProblemsonReturnFromtheRainForestE.G.,a39-year-oldarchaeologistanduniversityprofessor,returnedfroma6-monthexpeditionintherainforestofSouthAmericasufferingfromacombinationofphysicalsymptomsandconditionsthatwouldnotsubsideontheirown.Hewasfatigued,yetunabletosle
2、epthroughthenight.Healsohadamildfever,nightsweats,occasionaldizziness,doublevision,andmildcrampyabdominalpainaccompaniedbyintermittentdiarrhea.Inaddition,hehadanonhealingwoundonhisanklefromaninsectbite.Hemadeanappointmentwithhisfamilydoctor,aninternist.Onexamination,E.G.wasfebrile(fever
3、ish)withatemperatureof101°F.Hisheartandlungswerenormal,withaslightlyelevatedheartrate.Hisabdomenwastendertopalpation(touch),andhisbowelsoundswereactiveandgurglingtoauscultation(listeningwithastethoscope).Hisskinwasdryandwarm.Hehadsymmetricalareasofedema(swelling)aroundbothkneesandtender
4、nessoverbothpatellae(kneecaps).Theulcerationonhisleftlateralanklehadaringofnecrosis(tissuedeath)surroundinganareaofgranulationtissue.Therewasasmallamountofpurulent(pus-containing)drainage.E.G.’sdoctororderedaseriesofhematologylabstudiesandstoolculturesforovaandparasites.Thedoctorsuspect
5、edaviraldisease,possiblycarriedbymosquitoes,indigenoustotropicalrainforests.Healsosuspectedaformofdysenterytypicallycausedbyprotozoa.E.G.wasalsopossiblyanemic,dehydrated,andseptic(infected).Thedoctorwasconfidentthatafterdefinitivediagnosisandtreatment,E.G.wouldgainrelieffromhisinsomnia,
6、diplopia(doublevision),anddizziness.CASESTUDYQUESTIONSMultiplechoice:Selectthebestanswerandwritetheletterofyourchoicetotheleftofeachnumber._____1.Diplopia,theconditionofhavingdoublevision,hasthesuffix:a.lopiab.opiac.iad.piae.plopia_____2.Theadjectivesepticisformedfromthenoun:a.sepsisb.s
7、eptosisc.septemiad.septerye.anemia_____3.E.G.wassuspectedofhavinganemia(diminishedhemoglobin).Theadjectiveformofthenounanemiais_____________,andthefieldofhealthsciencedevotedtothestudyofbloodiscalled_______________.a.anemic;hematologyb.hematosis;hematismc.dehemia;hematomegalyd.
