Following a dust storm in Arizona, several clients have presented to the clinic complaining of productive cough, fever, and night sweats. The health care provider suspects a fungal infection related to breathing dust

One particular client is critical. They suspect the infection has progressed outside the lung when they observe the client has: Select all that apply.
A) Generalized lymph node enlargement
B) Urine output decreased to 40 mL/hour
C) Requires guaifenesin to cough up sputum
D) An enlarged liver via palpation
E) Copious bleeding at the site where the lab technician drew some blood


Ans: A, D, E
Feedback:
The most common manifestations of fungal infections in the lungs are productive cough, fever, night sweats, and weight loss. Characteristically, disseminated disease presents with a high fever, generalized lymph node enlargement, hepatosplenomegaly, muscle wasting, anemia, leukopenia, and thrombocytopenia. Urine output of 40 mL/hour is normal. Guaifenesin is an expectorant used in many lung diagnoses to liquefy secretions. It is not specific to fungal infections.

Health & Biomechanics

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