Age-related risk of disease? yes/no Occupational risk of disease? yes/no Risk of
ID: 213892 • Letter: A
Question
Age-related risk of disease? yes/no
Occupational risk of disease? yes/no
Risk of sexually transmitted infection (STI)? yes/no
Risk of vector-borne disease? yes/no
Rick of drug-related disease exposure? yes/no
Risk of travel-related disease exposure? yes/no
Rick of genetic/familial disease? yes/no
Specual concerns for treatment? yes/no
Risk of immunocompromice? yes/no
MEDICAL HISTORY (Hx)
The patient is a female, age 36. She is an assistant professor in philosophy. The patient is married (6 years), sexually active, and monogamous. She does not have any children. She has a history of hypertension on her mother's side of the family. She is allergic to tree nuts. She does not report using any drugs of abuse. She and her husband and pets (a cat, and two dogs) were driving cross-country from San Diego, CA to New York City, NY as part of a move to accept her academic position. During the trip, the couple had planned to stay for a week at her husband's parent's ranch in White Rock, New Mexico. While there, her husband fell ill with fever, fatigue, and a painful lump in his groin (inguinal region). Since the patient had several appointments in New York to keep, she decided to keep driving, while her husband would stay with his parents until he felt well enough to fly to New York with their dogs. The patient reports starting to feel “ill” during her first couple of days in New York. She had noticed a mild fever; however she did not seek medical attention until she developed a painful inguinal swelling similar to her husband. Soon after, she developed fever and chills.
Explanation / Answer
Age-related risk of disease?
no, since both of them fall ill around same period with the same symptoms. (and 36 is not that old!)
Occupational risk of disease?
no, Occupational risk is unlikely because an assistant professor does not have much of a risk.
Risk of sexually transmitted infection (STI)?
yes, Even though she is monogamous we cannot deny this fact since both husband and wife got the disease, and we do not the history of her husband.
Risk of vector-borne disease?
yes, Since they were traveling long distance and they stopped at new mexico where her husband got the symptoms, there is a possibility of vector borne infection. Fever and chills are also the indicators.
Rick of drug-related disease exposure?
no, she denied any drug abuse
Risk of travel-related disease exposure?
yes, the long cross country drive might be responsible and having a toll on their body.
Rick of genetic/familial disease?
no, the symptoms do not point towards any such disease and husband-wife are not genetically related but they got the symptoms in the same period.
Specual concerns for treatment?
yes, the treatment must be received as soon as possible.
Risk of immunocompromice?
no, this is unlikely because she does not report any reasons to be immunocompromised. For eg., drug abuse, HIV or Hepatitis are unlikely (monogamy), malnutrition is also unlikely, cancer unlikely (since both of them got symptoms).