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A 31-Year-Old Man Is Brought to the Emergency Department by His

question 966

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A 31-year-old man is brought to the emergency department by his friends due to 2 weeks of headaches and progressive confusion.  His friends note that he has also been aggressive and inappropriately suspicious, which is not typical for him.  The patient is a flight attendant and frequently works on international flights.  He has a history of HIV infection and sometimes skips antiretroviral therapy when he travels.  His friends are unsure if he takes other prophylactic medications.  Temperature is 38.6 C (101.5 F) , blood pressure is 118/80 mm Hg, and pulse is 102/min.  The patient appears unkempt and is disoriented.  Neurologic examination shows ataxia and right-sided hemiparesis.  Brain MRI findings are shown in the image below. A 31-year-old man is brought to the emergency department by his friends due to 2 weeks of headaches and progressive confusion.  His friends note that he has also been aggressive and inappropriately suspicious, which is not typical for him.  The patient is a flight attendant and frequently works on international flights.  He has a history of HIV infection and sometimes skips antiretroviral therapy when he travels.  His friends are unsure if he takes other prophylactic medications.  Temperature is 38.6 C (101.5 F) , blood pressure is 118/80 mm Hg, and pulse is 102/min.  The patient appears unkempt and is disoriented.  Neurologic examination shows ataxia and right-sided hemiparesis.  Brain MRI findings are shown in the image below.   Which of the following would have most likely prevented this patient's condition? A) Acyclovir B) Albendazole C) Fluconazole D) Ganciclovir E) Trimethoprim-sulfamethoxazole Which of the following would have most likely prevented this patient's condition?


Definitions:

Generalized Other

A concept in sociology referring to the general societal expectations and attitudes that individuals use to understand others' viewpoints and to guide their own behavior.

Looking-glass Self

A social psychological concept suggesting that an individual's self-concept is shaped by how they believe others perceive them.

Self-concept

An individual's understanding and evaluation of their own behaviors, abilities, and unique characteristics; essentially, one's mental and conceptual understanding of themselves.

Perceptions

The way in which something is regarded, understood, or interpreted, often influenced by an individual's experiences and biases.

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