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1. What is the most likely diagnosis for this patient? On what do you base this diagnosis?

a. Likely diagnosis is influenza virus (flu). The symptoms of the patient, chest pain, high fever, malaise, headaches, inflammation of the throat, and cough are characteristic of this virus. The cough and nasal leakage (potentially caused by rhinitis). Stress from exams would suppress the immune system (possibly due to cortisol release of the adrenal glands) allowing the patient to be more susceptible to infection. If the patient was taking exams it would mean he has had exposure to a large number of other students, so airborne transmission would be plausible.

2. What secondary infection problems should be monitored?

a. Secondary bacterial invaders such as Staphylococcus aureus, Streptococcus pneumoniae, and Haemophilus influenzae may cause pneumonia. It can be monitored by an enzyme immunoassay (EIA) rapid test (15 minutes) called Directigen FLU-A.

3. What is the preferred treatment for this disease?

a. Treatment of symptoms is the only option. One of which is administration of Tamiflu (a neuraminidase inhibitor) that shortens the duration of the illness. Other drug treatments to reduce the illness duration are available, but are generally unviable as the 91% of influenza viruses are resistant. Headache pills and anti-inflammatory drugs can be prescribed (or just bought over the counter - Advil, Tylenol, acetaminophen). Rest and fluids are typically provided as to maintain nourished and whatnot.

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Q: 22 year old male college student was presented at the ESU health clinic. He looked tired and pale?
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