p2
Forum Senior
Topics: 41
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16. 12 days after cerebral infarct 70 y/o man has fever and cough .initial Sx included inability to move Rt arm & leg , swallow, speak ,respond to Q's. he is wearing false teeth .temp 101.8 bp 135/85 pulse 94 rr 28. exam shows moderate weakness of facial muscles and Rt extremity.gag refelx is absent .breath sounds dec...dullness to perc over Rt lung base posteriorly.CXR shows infiltrate in post basal segment of rt lung .which of the folloiwng is most likely to Prevent recurrence of this pts lung condition?
a removal of his false teeth
b suppression of gastric acid production
c chronic Ab prophylaxis
d metoclopramide to inc GIT motility
e insertion of feeding jejunostomy tube
i feel B ur ans with exp
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| tamerbashir
Forum Elite
Topics: 20
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b or d possible
but i remember that the answer was A
ANY ONE HAVE EXPLAIN ?
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| drshvetasm
Forum Elite
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i hd marked e
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| sandra
Forum Guru
Topics: 200
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e? to prevent aspiration
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| drshvetasm
Forum Elite
Topics: 22
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yes,,,thats whats generally done in a patient who's not gonna eat for a long time..even 2 weeks is a long time...coz u try to feed them 4-6 times a day and everytime u do,there is a risk of aspiration..and other options given cannot prevent aspiration..so feeding jejunostomy is the best to bypass tht...and is generally done in real life settings.
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| sherry39
Forum Junior
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bbbbbbbbbbb
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| Vietnamese
Forum Elite
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A
post basal segment of rt lung is preferred to foreign body, isn't it?
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| mikky
Forum Elite
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aaaaa...
aspiration pnemonia...remove foreign body to prevent its aspiration
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| Al Durra
Forum Newbie
Topics: 0
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gag refelx is absent => e insertion of feeding jejunostomy tube
he will continue aspirating as long as his gag reflex is absent even if you remove his true teeth 
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| mangoshaikh
Forum Newbie
Topics: 3
Posts: 57
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yup i agree with Al Durra...E.. this pt had a stroke ...gag is absent.. so teeth or no teeth its possible for this to happen again unless we put a feeding tube to send the food where we want. That way it dosnt end up in the lung.
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