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.