38 Gross Š 5. A 50-year-old man comes to the physician because of fever, chills, and a cough productive of purulent sputum. He has no allergies and takes to medications. His tamperatur 39.20 (102.5°F), pulse is 115/min and regular, respirations are 20/min, and blood pressure is 130/90 mm Hg. Physical examination shows no lymphadenopathy, Crackles and hears when the stethoscope is placed over the right fifth intercostal space in the middlavicular line anteriorly. No murmurs are heard. Which of the following best explains these findings? OA) Bacterial endocarditis OB) Empyema OC) Lingular pneumonia OD) Right lower lobe pneumonia O E) Right middle lobe pneumonia OF) Right upper lobe pneumonia OG) Subphrenic abscess

38 Gross Š 5. A 50-year-old man comes to the physician because of fever, chills, and a cough productive of purulent sputum. He has no allergies and takes to medications. His tamperatur 39.20 (102.5°F), pulse is 115/min and regular, respirations are 20/min, and blood pressure is 130/90 mm Hg. Physical examination shows no lymphadenopathy, Crackles and hears when the stethoscope is placed over the right fifth intercostal space in the middlavicular line anteriorly. No murmurs are heard. Which of the following best explains these findings? OA) Bacterial endocarditis OB) Empyema OC) Lingular pneumonia OD) Right lower lobe pneumonia O E) Right middle lobe pneumonia OF) Right upper lobe pneumonia OG) Subphrenic abscess

Human Anatomy & Physiology (11th Edition)

11th Edition

ISBN:9780134580999

Author:Elaine N. Marieb, Katja N. Hoehn

Publisher:Elaine N. Marieb, Katja N. Hoehn

Chapter1: The Human Body: An Orientation

Section: Chapter Questions

Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...

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1. A previously healthy 25-year-old-woman comes to the emergency department because of a 3-day history of fever, chest pain, and rapidly progressive shortness of breath. Use of an over-the-counter cold medication has not relieved her symptoms. She has no history of serious illness and takes no other medications. Her temperature is 40oC (104o F), pulse is 128/min and regular, respirations are 28/min and blood pressure is 80/54 mm Hg. Physical examination shows jugular venous distention and weak pulses in all extremities. Auscultation of the chest shows diffuse crackles bilaterally, muffled heart sounds, and a soft S2 gallop. After 30 minutes she goes into ventricular fibrillation and cannot be resuscitated. At autopsy, the heart is diffusely pale and floppy with focal petechiae, all chambers are markedly dilated.Histologic examination of cardiac tissue shows a lymphocytic infiltrate and myocardial necrosis. Which of the following infectious agents is the most likely cause these…
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An 85-year-old female with history of hypertension presented with cough and low-grade fever. Chest radiography is consistent with a diagnosis of pneumonia. The doctor ordered the antibiotic Levofloxacin 500 mg PO X 10 days. The patient's blood work came back, and basic metabolic panel showed potassium (K) of 5 mmol/L, sodium (NA) 140 mmol/L, glucose of 115, BUN of 19 mg/dl and creatinine of 1.2 mg/dl. Questions: 1. In your understanding of the physiological changes in the elderly, what predisposes them to respiratory infections?
Case #3 Mr. C is a 60-year-old male who lives in his 1994 Toyota Corolla. He earns money by collecting aluminum cans along the roadside and from trash dumpsters. He states that he has been coughing up about ¼ cup of white sputum each morning for the past 20 years. About 1 week ago, he noticed a sudden onset of shaking chills, fever, sweating, malaise, chest pain, and shortness of breath at rest. He also began coughing up rust-colored sputum that was thicker than his normal sputum production. Mt. C admits to current consumption of two packs per day of cigarettes (ie 70 pack-year smoking history). He admits tooccasional alcohol use but denies having orthopnea, ankle edema, nausea, vomiting, diarrhea, weight loss, dysuria, wheezing, or hemoptysis. His paO2 = 44 mmHg (small paO2) Mr. C's arterial blood gas analysis indicates respiratory alkalosis with hypoxemia. Part 1: His PAO2 is approximately 109.73 mmHg Part 2: His A-a gradient is 65.73 mmHg Part 3: HIs dead space to tidal volume…
Case #3Mr. C is a 60-year-old male who lives in his 1994 Toyota Corolla. He earns money by collectingaluminum cans along the roadside and from trash dumpsters. He states that he has been coughing up about ¼ cup of white sputum each morning for the past 20 years. About 1 week ago, he noticed a sudden onset of shaking chills, fever, sweating, malaise, chest pain, and shortness of breath at rest. He also begancoughing up rust-colored sputum that was thicker than his normal sputum production. Mt. C admits to current consumption of two packs per day of cigarettes (ie 70 pack-year smoking history). He admits to occasional alcohol use but denies having orthopnea, ankle edema, nausea, vomiting, diarrhea, weight loss,dysuria, wheezing, or hemoptysis.Lab results on room air:ABGpH 7.47PaCO2 32 mmHgPaO2 44 mmHgHCO3 23 mEq/lSaO2 75%BE -2Hb 12 g/dlPB 760 mmHgETCO2 10 mmHgPart 1: Interpret the ABGPart 2: Calculate Mr. C’s PaO2 and A-a gradient
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