Nursing Case Study


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Scenario: 

  • A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever.
  • The patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning, and prednisone 5 mg po qam.
  • He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats.
  • He says he has had more fatigue than usual and reports some chest pain associated with coughing.
  • He admits to having occasional episodes of hemoptysis.
  • He works as a grain inspector at a large farm cooperative.
  • After extensive work-up, the patient was diagnosed with Invasive aspergillosis.

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