A 68-year-old patient with Alzheimer's disease was brought to the emergency room by the staff of a local nursing home. He presented as lethargic with a sallow complexion. He had an admission temperature of 102.4°F 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 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.
Added by David P.
Step 1
The patient is a 68-year-old with Alzheimer's disease, which makes him more susceptible to infections due to his weakened immune system and possible difficulty in maintaining proper hygiene. Show more…
Show all steps
Your feedback will help us improve your experience
Supreeta N and 65 other Biology educators are ready to help you.
Ask a new question
Labs
Want to see this concept in action?
Explore this concept interactively to see how it behaves as you change inputs.
Key Concepts
Recommended Videos
Case 6A: 75-year-old patient with Alzheimer's disease was brought to the emergency room of South Shore Hospital by the staff of a local nursing home. He presented as lethargic with a sallow complexion. He had an admission temperature of 102.4°F 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 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 your presumptive diagnosis for this case? What evidence could the sputum give for this case? Is the increased respiration rate and unequal chest movement indicative of the pathology? Is this a bacterial or viral disease?
Madhur L.
Case 6 A 75-year old patient with Alzheimer disease was brought to the emergency room of South shore hospital by the staff of a local nursing home. He presented as lethargic with a sallow complexion. He had an admission temperature 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 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. 1. What is your presumptive diagnosis for this case? 2. What evidence could the sputum give for this case? 3. Is the increased respiration rate and unequal chest movement indicative of the pathology? 4. Is this a bacterial or viral disease?
Recommended Textbooks
Biology for AP Courses
Objective Biology for NEET
Introduction to General, Organic and Biochemistry
Transcript
Watch the video solution with this free unlock.
EMAIL
PASSWORD