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Min: four paragraphs and three references. Based

Min: four paragraphs and three references. Based on the observed time intervals, could the symptoms experienced by the patient be due to malaria? Some days later, the patient was seen at another clinic, where on a routine CBC malaria parasites were seen. He was then referred to a hospital, where he presents to the emergency room, at 4 am, with continuing fever, nausea, vomiting, and myalgias. On physical examination, the patient is febrile (102°F), tachycardic. jaundiced and pale. He is well oriented but slow in answering questions. A thin blood smear obtained while in the emergency room is read as Plasmodium, species not determined. Other laboratory findings include: hematocrit 33% , creatinine 3.6 mg/dL, and total bilirubin 11.0 mg/dL. The urine is dark, with a measured output of 40 mL/6 hours. SCIENCE HEALTH SCIENCE NURSING LIFE 1407

 
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