Use this prompt to answer questions 7-11. Visna-maedi virus…

Use this prompt to answer questions 7-11. Visna-maedi virus (VMV) is a retrovirus that causes encephalitis and chronic pnuemonitis in sheep.  VMV has a long incubation time, meaning that infected sheep may not show symptoms until years after infection, giving the virus time to spread through the flock before it is noticed.  Symptoms include relentless loss of weight, breathing issues, coughing and arthritis.  Infections in the brain can lead to paralysis and death.   VMV is part of the genus Lentivirus.  This genus consists of enveloped positive single stranded RNA viruses that can embed their genome into the host’s chromosomes.  This virus enters through membrane fusion at the host’s cell membrane.

An 82 year old patient is brought to the urgent care you whe…

An 82 year old patient is brought to the urgent care you where you are working by a family member. The family member reports the patient, who is typically oriented x3 is now unsure what day it is and that about 2 weeks ago the patient had a viral URI. The patient’s vital signs are: BP: 104/58, Pulse: 106, Temperature: 99.2 F, Respiratory Rate: 40 breaths per minute, O2 Sat: 95% at rest. Based on your physical exam findings of diminished breath sounds over the right middle lobe and egophony over the right middle lobe,  you order a chest X Ray and receive the image below. What is your treatment plan for this patient?