pallav Forum Elite

Topics: 56 Posts: 180
| | 07/25/06 - 05:55 AM  
 
   
 
|   #1 |
A 3-year-old child with cystic fibrosis presents with weight loss, irritability, and a chronic productive cough. On physical exam, he is febrile and lung exam reveals intercostal retractions, wheezing, rhonchi, and rales. Chest x-ray demonstrates patchy infiltrates and atelectasis and Gram's stain of the sputum reveals slightly curved, motile gram-negative rods that grow aerobically. The microorganism responsible for this child's pneumonia is also the most common cause of which of the following diseases?<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /> <?xml:namespace prefix = v ns = "urn:schemas-microsoft-com:vml" /> A. Croup B. Epiglottitis C. Meningitis D. Otitis externa E. Otitis media
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| vallia Forum Guru
Topics: 98 Posts: 889
| | 07/25/06 - 06:58 AM  
 
   
 
|   #2 |
pseudomonas --otitis externa
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| mjl1717 Forum Hero

Topics: 955 Posts: 5,451
| | 07/25/06 - 07:22 AM  
 
   
 
|   #3 |
good q cause psuedomonas is infamous key words- slime capsule, pyocynin, hot tub folliculitis, toxins
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| young_doc Forum Guru

Topics: 55 Posts: 732
| | 07/25/06 - 03:13 PM  
 
   
 
|   #4 |
Anytime you see C-F, Burns, Neutropenia, Diabetes, think Pseudo or Staph. (In fact Otitis Externa is Most commonly associated with diabetes, and not C-F)
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| robin082006 Forum Hero

Topics: 471 Posts: 5,125
| | 07/25/06 - 03:31 PM  
 
   
 
|   #5 |
ddddd
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| mjl1717 Forum Hero

Topics: 955 Posts: 5,451
| | 07/25/06 - 04:08 PM  
 
   
 
|   #6 |
Pallav you're correct Otitis externa is assoc. with water exposure or mechanical exposure eg. cotton applicators usually its a gm - rod like Psuedomonas, Proteus or Aspergillus. Malignant otitis externa is assoc. with diabetes or immunhocompromised with can evolve into osteomyelitis of the skull base again offfending agent is uually Psuedomonas. As I remember its one of my "SPACE" organisms {not easy tto treat} Serratia, Psuedomonas, Actinobacter, Citrobacter, Enterobacter [Sometimes info on the forum must be confirmed.] An aminoglycoside++/ 0r Cipro is resonable Rx
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| pallav Forum Elite

Topics: 56 Posts: 180
| | 07/25/06 - 09:30 PM  
 
   
 
|   #7 |
guys all of u are so bright i could not gauge when i first read the question...... any ways keep discussing luv pallav
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