Posted by a from IP 220.127.116.11 on December 02, 2013 at 11:51:38:
A 29-year-old woman presented to the emergency department in a state of lethargy and in severe
respiratory distress. She had a 2-month history of joint and muscle pains. Naproxen sodium was
prescribed for these symptoms, and shortly afterward, the patient developed a rash on her face, upper
chest, and back. She was not aware of any exacerbating factors and denies significant sun exposure. Her
rash has progressively gotten worse, as has her shortness of breath. There is no history of fever or chills.
The patient has a mother and a sister. Her mother has a chronic infectious mononucleosis-type syndrome.
Her sister is healthy. The patient is a smoker (1 pack per day). She denies any alcohol or intravenous drug
abuse. Her bleeding profile showed increased ptt. Vitals are normal.
What investigation wuld u like to do , to confirm ur diagnosis?
a. anti-streptolysin o ab
b. anti-streptolysin a ab
c. urine analysis
e. monospot test
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