A 68-year-old male with Alzheimer disease was brought to the ED by the staff of a...
A 68-year-old male with Alzheimer disease was brought to the ED by the staff of a local nursing home. He presented as lethargic with a sallow complexion. he had an admission temperature of 102.4F and a RR of 33/minute. During respiration, the right side of his chest moved better than the left. He showed dense consolidation of the LLL. A sputum sample revealed blood and a greenish color. A CXR showed tight consolidation of the left lung with evidence of formation of cavities in the lung tissue from cytotoxic damage. The patient complained of chills in the exam room, combined with his fever. A smear of his sputum demonstrated no acid-fast bacteria.
What evidence could the sputum give for this case?
Is the increased RR and unequal chest movement indicative of the pathology?
Homework Answers
- Based on symptoms the case is assessed a "Bacterial pneumonia" that is caused by Klebsiella which is cytotoxic to lungs. Sputum would show gram negative bacteria which is heavily encapsulated rods.When this organism was grown on the MacConkey agar the organism is very mucoid and have slimy duo to capsule production.
- Yes, increased respiratory rate and unequal chest movement that can be caused by the damage to the lungs and heavily consolidated inflammation.
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