Malaria Quiz: Ace Your Exams
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A 56-year-old man is brought to the emergency department for evaluation of altered level of consciousness and fevers. The patient recently returned home from a mission trip to Guatemala. The patient has a past medical history of HIV on HAART therapy. Temperature is 39°C (102°F), blood pressure is 88/55 mm Hg, heart rate is 143/min, respiratory rate is 22/min, and oxygen saturation is 94% on room air. The patient appears ill, is responsive to pressure only, and is saying words that don't make sense. He appears jaundiced and is moving all extremities. Abdominal examination reveals hepato-splenomegaly. The patient is provided with intravenous fluids. Laboratory findings and microscopic findings of thin and thick blood smears are shown below. Which of the following is the best next step in management?
Reproduced from: wikipedia
| Laboratory value | Result |
| Serum chemistries | |
| Hemoglobin | 9 g/dL |
| Hematocrit | 30 % |
| Leukocyte count | 17,100 /mm3 |
| Platelet count | 76,000/mm3 |
| aPTT | 55 s |
| PT | 18.2 s |
Reproduced from: wikipedia
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