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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Lab Test Report Indicate?

•     General: Thin, ill appearing female with occasional productive cough.
•     Vital signs: Temperature = 101.2 degrees Fahrenheit (oral); heart rate = 110 beats/min; respiratory rate = 25 breaths/min; blood pressure = 117/70 mmHg; and oxygen saturation = 96% on room air.
•     Head and neck: Seborrhea around the nose, cheeks, and scalp. Pupils equal, round, reactive to light and accommodation (PERRLA); fundi without lesions. Nares and tympanic membranes without lesions. Pharynx reveals thick cheesy exudate on the soft palate and tongue. Palpable cervical adenopathy. Thyroid nonpalpable.
•     Chest and lungs: Lungs with dullness to percussion, increased tactile fremitus, inspiratory crackles and egophony over the right lower lobe. Cardiac rhythm regular without murmurs or gallops. No abdominal masses or tenderness.
•     Peripheral vascular and lymphatics: No pedal edema; pulses +2 throughout; palpable inguinal lymphadenopathy.
•     Neurologic: Alert and oriented; affect showing concern; cognition, interactions, and behavior appropriate.
•     Genital: Erythema and mild excoriation of the perineum. Thick white vaginal discharge.
Thu, 5 Nov 2015
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
The list provides the general physical examination and systemic examination.
On general physical examination, it is found that the female patient has fever.
The heart rate is higher than normal and respiratory rate is also high.
High heart rate can be seen in fever.
High respiratory rate can also occur with fever.
Blood pressure is normal and oxygen saturation is also normal.
The patient is having cough and along with that there is accumulation of cheesy exudate in the throat.
The chest examination reveals certain signs which suggest consolidation of the lungs.
Consolidation of lung can occur due to infection and inflammation.
On the face there is seborrhea.
Seborrhea is a disorder of skin characterized by scaly skin.
There is evidence of excoriation or itching on the external genitalia.
This could be due to some skin lesion similar to that on the case.

Thus, you need to be treated for fever, cheesy discharge in throat, lung infection / inflammation and for lesions on external genitalia.
I hope you are in contact with your primary healthcare provider for further management.

Thanks and take care
Dr Shailja Puri
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What Does My Lab Test Report Indicate?

Hello and welcome to HCM, The list provides the general physical examination and systemic examination. On general physical examination, it is found that the female patient has fever. The heart rate is higher than normal and respiratory rate is also high. High heart rate can be seen in fever. High respiratory rate can also occur with fever. Blood pressure is normal and oxygen saturation is also normal. The patient is having cough and along with that there is accumulation of cheesy exudate in the throat. The chest examination reveals certain signs which suggest consolidation of the lungs. Consolidation of lung can occur due to infection and inflammation. On the face there is seborrhea. Seborrhea is a disorder of skin characterized by scaly skin. There is evidence of excoriation or itching on the external genitalia. This could be due to some skin lesion similar to that on the case. Thus, you need to be treated for fever, cheesy discharge in throat, lung infection / inflammation and for lesions on external genitalia. I hope you are in contact with your primary healthcare provider for further management. Thanks and take care Dr Shailja Puri