If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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BOF: 3

A 36-year-old paddy farmer presents with a history of fever, headache, body aches and pains .he has just finished harvesting paddy but has had no problems during previous harvests. He does not smoke or drink. He is married and has 3 children who are well. He hasps an aviary where he keeps and breeds parrots.

On examination he is febrile and tachycardic, auscultation of the chest elicits scattered crepitations.

Chest X-ray shows patchy pulmonary infiltrates. Haematology reveals mild leucopaenia .ESR is 78 mm in the 1^st hour.

What is the likely diagnosis?

a)      Pneumococcal pneumonia

b)      Legionnaire’s disease

c)      Farmer’s ling

d)      Pneumocystis carinii pneumonia

e)      Psittacosis

 

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