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Kaplan Qbank USMLE



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patient 55 years with one left lung due to being performed a right pneumonectomy on 13th December 1973(cacinoid adenoma)

Since that time it ok uless flue or cold which lasts for 4 7 days .x-Ray done yearly. patient running normal life.

for the last 3 monthes noticed having weezing and little cough with light green or yellow sputum. X-ray was taken on 27 1 2005 the result follow:
-compansatory hyper inflation of the left lung with mild increased broncho-vascular marking
-clear both apices
-clear intact lleft lateral and posterior costo-phrenic angles
-clear retrocardiac and retrosternal spaces
-normal cardiac size and configuration with normal cardio-thoracic ratio

Test Lab:

-Sputum for AFB smear and cluture
-sputum granstain and culture/ sensitivity

Lab Result:
-moderate pus cells
scanty epithelial cells
moderate gram positive cocci
scanty gram negative bacilli

culture:................ normal upper respiratory flora including

organism comment

Hain Haemophilus influenzae moderate growth

...............................................................

Antibiotic Hain

ampicillin I
amoxicillin/ca R
azithormycin S
clarithromycin S

S:sensitive R: resistant I inermediate

Doctor gave me the following: on 7th April 20054

Seretide 250 twice a day each 12 hours
Avalox( moxifloxacin 400mg once a day for 14 days
telfast 120 for 14 days

still on seretide 250 but still have 20% of phelgm( light green sputum small once or twice but no cough temprature is normal puls 75 BP 14/85
no swating leading normal life.

HOW CAN I STOP THIS SUTUM pLEASE







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___________________
THE ILLUSIONAL PATIENT







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