DrVirgo
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A previously health 25 year old woman is brought to the ER 30 minutes after a motor vehicle collision in which she sustained blunt abdominal trauma. Abdominal exam shows marked tenderness in the left upper quadrant. During an exploratory operation, the spleen is found to be lacerated and is removed. Which of the following vaccines should be administered to this patient?
A. Diptheria-tetanus toxoid
B. Hepatitis B
C. Influenza
D. Measels-mumps-rubella
E. 23-Valent pneumococcal
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| mjl1717
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pneumoccal- encapsulated organisms/ also Haemaphilus
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| docwannbe
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can u explain that please???
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| DrVirgo
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Agree E.
The spleen removes encapsulated organisms, so asplenic patients need vaccines for those organisms, pneumococcus, Haemophilus, etc...
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| Diego Casali
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I agree. The correct answer is E.
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| robin082006
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E, it is mentioned in Kaplan
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| Cedrick
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E.-To prevent Peumoccocal pneumonia
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| nadiabarati
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E
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| klimt
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agree E
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| jsknetsdude
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E: 23-Valent pneumococcal only infects old people while C: infulenza come in age bracket therefore i would go for C
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| Addicudo
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YEa .. Y not Influenza ?? !! JSK might just be right ?
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| ssrpk
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well, thing is its the encapsulated bacteria which are cleared up by the spleen and the primary ones are Haemophilus Influenzae, Pneumococci and Meningococci, so splenic pts shud be vaccinated against these!
however here, its about influenza virus, not Haemophilus, otherwise it wud hv been mentioned!
also aspelic individuals do not hv any additional risk for Influenza virus infection!
so answer is E.
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