PHYSICAL EXAM AND LABORATORY RESULTS

Physical Exam: The patient is of a slightly muscular build and tends to avoid eye contact. The hed and neck exam is unremarkable. Lungs are clear to auscultation and the heart has a regular rate and rhythm with no murmurs. The neurological exam reveals an exaggerated left knee jerk reflex. No other abnormalities are noted.

Laboratory: SMAC-20, CBC, VDRL, phenytoin and carbamazepine levels are within normal limits. A PPD skin test is positive at 20mm. The CXR is normal. Review the stool exam and CAT scan of the hea d.

With image of stool specimen, Can you identify the organism?

With image of CAT scan, What is the likely diagnosis in this patient?

Assignment

  1. Develop a comprehensive list of problems to be addressed in the patient management and counseling plan.

    Clinical Students Only:How important do you think compliance with prescribed treatment will be in this case? What special provisions should be made to maximize compliance?

  2. Review the diagnosis and management plan.