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noahrcline noahrcline
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Posts: 715
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6 years ago
A 24-year-old woman presents with fever and painful, swollen cervical lymph nodes. Her blood work indicates neutrophilia with a shift to the left. She most likely has
 
  A)
  a mild parasitic infection.
  B)
  a severe bacterial infection.
  C)
  a mild viral infection.
  D)
  a severe fungal infection.
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wrote...
6 years ago
Ans:
B

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Fever and painful, palpable lymph nodes are nonspecific inflammatory conditions; leukocytosis is also common but is a particular hallmark of bacterial infection. Neutrophilia also indicates a bacterial infection, whereas increased levels of other leukocytes would indicate other etiologies. The shift to the left--the presence of many immature neutrophils--indicates that the infection is severe, because the demand for neutrophils exceeds the supply of mature cells.
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