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MD Licensing Exam

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After a car accident five years prior, a 46-year-old man with non-alcoholic cirrhosis and a history of splenectomy presented to the emergency room with 102 F fever, nausea, weakness, stomach discomfort, and myalgia. The patient and his dog had gone trekking on Cape Cod two weeks prior. Arrival values were 103°F, 108°HR, 12°RR, and 98% SaO2 in RA. The patient appears unwell, is feeble, febrile, and tachycardic during the examination. WBC 14.6; Platelets 218000; Hb 10.0; Na 136; K 4.0; BUN 22; Cr 1.3; in the lab. Additional labs are pending. Below is a blood smear. Intravenous fluids and supportive treatment are initiated for the patient after admission to the MICU. What specific therapy is being used?
Correct Answer:
Clindamycin + Quinine+ Doxycycline

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