كتب books

Nelson Textbook of Pediatrics 17th

SIZE: 63M.B

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Fractures of the Upper Extremity 2004

SIZE: 6.5 M.B

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Fluid and Electrolytes in Pediatrics

SIZE: 4.3 M.B

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ABC OF SEPSIS

SIZE: 2 M.B

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Practical Hemostasis and Thrombosis
SIZE: 3.8 M.B
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ABC of Diabetes 6th ed. 2010
SIZE: 2.6 M.B
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Mitochondrial Genetics and Cancer
SIZE: 2.2 M.B
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PediatricsinReview jan-mar

SIZE: 5.3 M.B
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the answer of last case form:

http://kotob6bia.blogspot.com/2010/04/clinical-cases.html

CLINICAL CASSES #5

A 35-year-old HIV positive male from Arizona presents with the complaints of low-grade fever and chronic cough for the past 2 months. The cough was dry initially but lately has become productive of sputum. He also reports malaise and weight loss of 7lbs over this period. He denies any recent contact with known tuberculosis patients. He had received pneumococcal vaccine at the time when his HIV was diagnosed. He also receives Influenza vaccine annually. His current medications include zidovudine, didanosine and indinavir. His temperature is 37.7C(99.8F); Pulse: 75/min; Blood Pressure: 130/80 mm of Hg; Respiratory Rate: 19/min. Examination of all the systems is unremarkable. His CD4 count is 250 cells/microL. Chest radiography shows bilateral apical areas of consolidation. What is the most likely cause of this patient’s findings?A.Mycobacterium tuberculosis

B.Pneumococcus

C.Pneumocystis carinii

D.Histoplasma capsulatum

E.HHV-8