(Get Answer)

   Instructions: Read the following case study and answer the reflective questions.  Requirements: - Formatted and cited in current APA 7  - The discussion must address the topic - Rationale must be provided - Use at least 600 words (no included 1st page or references in the 600 words) - Use 3 academic sources. Not older than 5 years - Not Websites are allowed. - Plagiarism is NOT allowed AIDS (Acquired Immunodeficiency Syndrome) The patient, a 30-year-old homosexual man, complained of unexplained weight loss, chronic diarrhea, and respiratory congestion during the past 6 months. Physical examination revealed right-sided pneumonitis. The following studies were performed:    Studies Results   Complete blood cell   count (CBC), p. 174   Hemoglobin (Hgb), p.   259 12 g/dL (normal:   14-18 g/dL)   Hematocrit (Hct), p.   256 36% (normal:   42%-52%)   Chest X-ray, p. 1014 Right-sided   consolidation affecting the posterior lower lung   Bronchoscopy, p. 587 No tumor seen   Lung biopsy, p. 738 Pneumocystis   jiroveci pneumonia   (PCP)   Stool culture, p.   855 Cryptosporidium   muris   Acquired   immunodeficiency syndrome (AIDS) serology, p. 297   p24 antigen Positive   Enzyme-linked   immunosorbent assay (ELISA) Positive   Western blot Positive   Lymphocyte   immunophenotyping, p. 306   Total CD4 280 (normal:   600-1500 cells/mL)   CD4% 18% (normal:   60%-75%)   CD4/CD8 ratio 0.58 (normal:   >1.0)   Human immune   deficiency virus (HIV) viral load, p. 297 75,000 copies/mL 1. Diagnostic Analysis: establish a diagnostic analysis of this case supported by a clinical guideline :  -summary of signficiant clinical data - create a diagnostic rationale of the case including diagnosis and clinical data that support it   Critical Thinking Questions 1.      What is the relationship between levels of CD4 lymphocytes and the likelihood of clinical complications from AIDS? 2.      Why does the United States Public Health Service recommend monitoring CD4 counts every 3 to 6 months in patients infected with HIV?