A 68 year old patient w/ Alzheimer disease was broughtto the emergency room by the staff of a local nursing ho

Question

A 68 year old patient w/ Alzheimer disease was broughtto the emergency room by the staff of a local nursing home. He presented as lethargic w/ a sallow complexion. He had an admission temperture of 102.4F and a respiratory rate of 33/ minute. During respiration, the right side of his chest moved better than the left. He showed dense consolidation of the lower lobe of the left lung on the physical exam. A sputum sample revealed blood and a greenish color. A chest x-ray showed tight consolidation of the left lung with evidence of formation of cavities in the lung tissue from cytotoxic damage. The patient complained of chills in the exam room, combined with his fever. A smear of his sputum demonstrated no acid-fast bacteria.

What is the diagnosis?
What is the etiologic agent?
How was this disease probably acquired?

Answer 1

pneumonia with pulmonary abcess.
pseudomonas, staph, or klebsiella are most likely organisms

Answer 2

First of all after, reality check, having worked in the respiratory field for 20 years in both acute and sub acute facilities, I can tell you it would not be the nursing staff taking a patient to the ER. They would call either an ambulance or the EMTs depending on how ill the patient was. Second of all, what does it matter that he has Alzheimer's? Learn to sort out the unnecessary stuff from these types of questions and you'll do just fine on your tests.

Answer 3

He may have pneumonia due to lack of care in the nursing home and laying around all the time. Being an Alzheimer patient he probably does not talk much and when he does no one probably listens to him because he gets things mixed up.↔

Answer 4

I guessing Left lower lobe pneumonia with partial collapse of lung, etiologic agent if cytotoxic probably some type of chemotherapy agent or possibly carcinogens---probably acquired from smoking, asbestos,

Answer 5

This affected person would desire to be having lung abscess from long -status pneumonia complicated by using pseudomonas an infection of the abscess cavities.The laboratory shouldn't in basic terms look for acid speedy micro organism interior the sputum, a Gram stain must additionally be accomplished. This affected person needs aggressive therapy with oxygen scientific care.sufficient chest physiotherapy and wide spectrum antibiotic cover with between the quinolones or a 0.33 technology cephalosporin that would desire to be administered parenteral.If available bronchoscopic drainage of huge abscess cavities would desire to be tried. This affected person would desire to be made to be ambulant as early as available or limb workout would desire to be at as quickly as presented to stay away from deep vein thrombosis from inflicting his loss of existence at last.

Answer 6

It's a good thing the patient is at the Emergency Room. He sounds messed up.

Answer 7

This and the other question you have posted have convinced me of your dishonesty. You are trying to get others to do your thinking and your homework for you. The purpose of your microbiology and other classes is for you to learn and learn how to find answers but not this way. It's one thing to ask for assistance and guidance but you are asking for far more than that. That is my answer.

Answer 8

Sounds like this guy is really sick and probably needs to see a doctor.

Answer 9

staph/strep lung abscess

Answer 10

my moms an rn she would know this!! unfortunatly she isnt here right now