How should any contacts infected by this patient be evaluate

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Reference no: EM133515402

Case Study: HPI: CG is a 46-year-old man who presents to the medical clinic complaining of a 2-month history of a persistent cough that has become productive over the past 3 weeks. He also complains of fever, malaise, and a 6-kg (13-lb) weight loss over the past 2 months.

PMH: Type 2 diabetes mellitus (noninsulin-dependent diabetes mellitus, NIDDM)-not well controlled; hypertension (HTN) × 5 years-not controlled.

FH: Mother, age 82, alive and well, lives with CG. Father died of alcoholic liver disease10 years ago. One brother, age 53, lives with the patient, currently undergoing chemotherapy treatment for lung cancer.

SH: Born and raised in India until the age of 19 when he moved to Los Angeles, California. Single, one daughter. He had a 20-year history of alcohol abuse but has been sober for 5 years. He owns his own import/export business and travels internationally to India and parts of China.

Meds: Lisinopril 20 mg daily; amlodipine 5 mg daily; metformin 500 mg twice daily. Patient reports that he tries to be compliant with his therapies and takes them regularly except when he travels he often forgets; over the past 2 months, he has only gone 3 to 4 days without medication.

Question 1. Based on the information provided, what are the goals of therapy for this patient?

Question 2. Select and recommend a therapeutic plan for treatment of this patient's TB infection. What drugs, dose, schedule, and duration of therapy are best for this patient?

Question 3. Who else should be tested? How should any contacts infected by this patient be evaluated and treated?

Reference no: EM133515402

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