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This is the scenario: (how-to is attached)
Richard Dominec Room 301
Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in the right lower quadrant, has elevated WBC’s and the surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. His overall health is good, and he has known he has been HIV positive for the past five years. He has been taking his HIV medication daily. Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection that was treated successfully. The lesion was identified as Kaposi’s Sarcoma. Now, meeting the CDC definition, he has full-blown AIDS but is asymptomatic at this time. Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage.
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