Studies Dr. Gary Mumaugh Page 10 |of 16 Page Width A 68-year old patient with Al
ID: 133926 • Letter: S
Question
Studies Dr. Gary Mumaugh Page 10 |of 16 Page Width A 68-year old patient with Alzheimer disease was brought to the emergency room by the staff of a local nursing home. He presented as lethargic with a sallo complexion. He had an admission temperature of 102.4F and a respiratory rate of 33/minute. During respiration, the right side of his chest moved better than the left. He showed dense consolidation of the lower lobe of the left lung on physical exam. A sputum sample revealed blood and a greenish color A chest x-ray 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. 1. What is your presumptive diagnosis for this case? 2. What evidence could the sputum give for this case? 3. Is the reduced respiration rate and unequal chest movement indicative of the pathology? 4. Is this a bacterial or viral disease? 5. How should this patient be treated?Explanation / Answer
1. The diagnosis of this case is that older person is in the last stage of alzheimer disease.
2. Sputum give the idea that this person is affected from pneumonia.
3. Yes, reduced respiration rate showing pathology as the patient is having aspiration pneumonia and this condition is known as dysphagia.
4..this condition is caused by bacteria streptococcus pneumonia. Viral pneumonia is occur in children .
5. Healthy diet, quitting of smoking , alcohol and good hygiene are the treatment of patients.