Answer Happy

A 25 year old backpacker from Manila decided to go to Palawan for his 25th birthday celebration. As part of his preparation, he took doxycycline as a pre-exposure prophylaxis. After his weeklong trip he went back to Manila. After 1 week, he took primaquine as a post-exposure prophylaxis. After 3 days of taking primaquine, he visited his doctor complaining about his back pain and headache. During the physical examination, they found out that the patient has a fever. The doctor requested for urinalysis and CBC. Given below is the laboratory result . Complete Blood Count Dec. hemoglobin Dec. reticulocyte count Urinalysis Dark colored urine (+++) hemoglobin . Questions: 1. Given the case above, what could be the possible condition of the patient? What factors made you decide about the possible condition of the patient? 2. What additional tests can you recommend to confirm the possible diagnosis? Explain why. 3. What triggered the patient's condition? 4. Given that the case is severe, what is the treatment for his case? Explain the significance of each treatment. 5. Explain the pathophysiology of his case.