I believe it is D. I researched it and it explained the same thing as D
Answer:
Cells that support viral replication are called permissive. Infections of permissive cells are usually productive because infectious progeny virus is produced. Most productive infections are called cytocidal (cytolytic) because they kill the host cell. Infections of nonpermissive cells yield no infectious progeny virus and are called abortive. When the complete repertoire of virus genes necessary for virus replication is not transcribed and translated into functional products the infection is referred to as restrictive. In persistent and in some transforming infections, viral nucleic acid may remain in specific host cells indefinitely; progeny virus may or may not be produced.
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Answer: check her medical history to see if she has had these issues before during your physical exam alway check above and below the area the patient is complaining about. So for sinuses palpate the sinus drainage passage with the digits of your fingers. For below palpate the back of the neck ask if there’s any tenderness or pain also examine the throat and check the lymph nodes and tonsils. Do an oral exam look at the tonsils tongue teeth look for any inflammation or redness. Look in the nasal cavity to see if you see a deviated septum dryness bleeding any blockage after a full physical exam like that order your x-ray which would typically not be done on an acute patient with these symptoms but in a patient with chronic issues continuing I would immediately get a consult to a specialist which in her case would be an ENT( ears,nose,throat). A simple clinical treatment for sinus issues would to just put the patient on a antihistamine some examples are (Benadryl, Allegra and Clara tin) I’d recommend the patient follow up within a week to see if that helped at all and then if not follow through with the plan I set in place above. If you do place the patient on an antibiotic I would recommend (amoxicillin).
Hm2(FMF) Gill
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