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9 Posts

satheesh
Forum Junior

Topics: 7
Posts: 46

03/29/04 - 02:30 PM

A 65-year-old male presents with a 3 day history of cough productive of green sputum with right sided chest pain on deep inspiration. He also reports high fever, rigors and a 5 pound weight loss in the past month. On physical exam he is noted to have a temperature of 38.5°C, RR 26, BP 120/80, HR=100 regular, poor dentition, injected pharynx, 0.5cm non-tender lymph nodes in anterior cervical area and decreased breath sounds at the right base, dullness to percussion at right base and course bronchi and rales at the right lower lobe. Sputum examination reveals ,10 epithelial cells, >25 WBC/LPF with numerous gram negative bacilli. Lab revealed a WBC of 13,400 with 60 segs, 14% bands, 30% lymphs and a serum Cr of 1.8. CXR shows a right lower lobe infiltrate with blunted costrophrenic angle. Based on the clinical presentation and the Gram stain the most likely diagnosis is:

A Klebsiella pneumoniae
B Mycobacterium tuberculosis
C Mycoplasma pneumoniae
D Pneumocystis carinii
E Staphylococcus aureus
F Streptococcus pneumoniae

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satheesh

peekay
Forum Guru

Topics: 102
Posts: 588

03/29/04 - 02:32 PM

KLEBSIELLA PNEUMONIA.PT IS OLD , G. NEG ROD ON STAIN. ACUTE ONSET.

satheesh
Forum Junior

Topics: 7
Posts: 46

03/29/04 - 02:35 PM

you are correct. Ans is A

what is the most common cause of pneumonia in older persons.

most common cause of pneumonia in alcoholics?

Most common organism for post pneumonia lung abscess?

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satheesh

asmi
Forum Hero

Topics: 1043
Posts: 4,609

03/29/04 - 03:40 PM

"satheesh" wrote:
you are correct. Ans is A

what is the most common cause of pneumonia in older persons...kleb.

most common cause of pneumonia in alcoholics?.....strep. pneumoniae

Most common organism for post pneumonia lung abscess?...kleb

oddissy4u
Forum Guru

Topics: 107
Posts: 389

03/29/04 - 03:56 PM

MC cause of pneumonia in --
1.diabetics
2.infants
3.young
4,military
5.iv drug abusers
6.AIDs/IC?

asmi
Forum Hero

Topics: 1043
Posts: 4,609

03/29/04 - 04:05 PM

"oddissy4u" wrote:
MC cause of pneumonia in --
1.diabetics..kleb
2.infants...if not vaccinated..H.Influenza ,if vaccinated..RSV
3.young..mycoplasma
4,military...mycoplasma
5.iv drug abusers.... :?:
6.AIDs/IC?

..PCP

usmleasr
Forum Guru

Topics: 105
Posts: 970

03/29/04 - 04:17 PM

Most common organism for post pneumonia lung abscess?...kleb
r u sure asmi?? i thought it is staphylococci :?

asmi
Forum Hero

Topics: 1043
Posts: 4,609

03/29/04 - 04:51 PM

I saw in kaplan micro notes... :roll:

Let me find it out again

dr.shar
Forum Elite

Topics: 38
Posts: 236

03/30/04 - 01:59 AM

Most common organism for post pneumonia lung abscess?...

i think it is staph. aureus

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