3 Methods:
She had a normal pulse rate (74/min), respiratory rate (16/min), blood pressure (127/82), and temperature (37.5°C). Systemic examinations including cardiovascular (CVS), central nervous system (CNS), endocrine, and gastrointestinal (GIT) were all within the normal ranges.
Clinical examination of the affected area appeared reddened with one small puncture oozing a black streaked clear discharge. Nonetheless, no regional lymphadenopathy was detected. Examining the patient’s liver functions showed serum bilirubin of 0.41 mg/dL, total protein of 7.9 g/d/L, serum albumin of 4.1 g/dL. Moreover, the tests revealed alkaline phosphatase of 91 U/L, aspartate aminotransferase (AST) of 21 U/L, and alanine aminotransferase (ALT) of 22 U/L. Testing renal functions of the patient, revealed normal blood urea of 29 mg/dL and serum creatinine of 0.33 mg/dL. Her random blood glucose was 128 mg/dl. Viral screening for human immunodeficiency virus (HIV), Hepatitis B and C were requested and all were negative.