An 18-year-old man with no significant past medical history presented to the emergency department with a history of cough and shortness of breath with exertion, along with subjective fevers, chills, and rigors. He was noted to be hypoxic (low oxygen saturation level) on examination. The chest X-ray showed bilateral infiltrates in a diffuse butterfly pattern involving both central lung fields. The patient reported a history of IV drug use, with frequent sharing of needles. Diagnosis: PCP Pneumonia Case study presentation should include the following: 1. Case 2. Patient initials (Ex. 50-year-old man) 3. History of the present illness (Symptoms and may include the physical exam of the patient) 4. Chief Complaints (Ex. Morning stiffness in his joints for over a year) 5. Diagnosis and Causative agent 6. Pathophysiology 7. Treatment and Management 8. References
Case Study 3:
An 18-year-old man with no significant past medical history presented to the emergency
department with a history of cough and shortness of breath with exertion, along with
subjective fevers, chills, and rigors. He was noted to be hypoxic (low oxygen saturation level)
on examination. The chest X-ray showed bilateral infiltrates in a diffuse butterfly pattern
involving both central lung fields. The patient reported a history of IV drug use, with frequent
sharing of needles.
Diagnosis: PCP Pneumonia
Case study presentation should include the following:
1. Case
2. Patient initials (Ex. 50-year-old man)
3. History of the present illness (Symptoms and may include the physical exam of the patient)
4. Chief Complaints (Ex. Morning stiffness in his joints for over a year)
5. Diagnosis and Causative agent
6. Pathophysiology
7. Treatment and Management
8. References
Possible answer:
Chief complaint: Cough and shortness of breath
Diagnosis: PCP Pneumonia
Causative Agent: Pneumocystis jirovecii
Pathophysiology: See Jawetz
Treatment and Management:
drug of choice: trimethoprim-sulfamethoxazole
- For sulfa allergy
o atovaquone
o pentamidine
o dapsone (prophylaxis only)
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