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Respiratory Infection Case Study
Patient Information:
- Name: Sarah Smith
- Age: 25
- Gender: Female
- Occupation: Teacher
- Medical History: No significant medical history
Presenting Complaint: Sarah Smith presents to the clinic with complaints of cough, fever, and difficulty breathing for the past week. She reports a productive cough with yellowish-green sputum and chest tightness.
Physical Examination Findings:
- Vital Signs: BP 110/70 mmHg, HR 90 bpm, RR 20 breaths/min, Temp 2°F
- General: Alert and oriented, appears ill
- Respiratory: Decreased breath sounds and crackles heard bilaterally on auscultation
- Cardiovascular: Regular rhythm, no murmurs or abnormal sounds
- Abdomen: Soft, non-tender, no organomegaly
- Neurological: Intact cranial nerves, normal motor and sensory functions
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Respiratory Infection Case Study
Laboratory Investigations:
- Complete Blood Count (CBC): Elevated white blood cell count (WBC) with left shift
- Chest X-ray: Infiltrates in bilateral lower lung fields consistent with pneumonia
-
Diagnosis: Sarah Smith is diagnosed with community-acquired pneumonia based on her clinical presentation, physical examination findings, and radiological evidence.
Questions for Students:
- What are the common signs and symptoms of community-acquired pneumonia?
- Describe the typical findings on physical examination and chest X-ray in patients with
- What are the most common pathogens causing community-acquired pneumonia, and how would you choose empirical antibiotic therapy in this patient?
- Discuss the management of community-acquired pneumonia, including non- pharmacological measures and potential complications to monitor for.
Respiratory Infection Case Study
Laboratory Investigations:
- Complete Blood Count (CBC): Elevated white blood cell count (WBC) with left shift
- Chest X-ray: Infiltrates in bilateral lower lung fields consistent with pneumonia
-
Diagnosis: Sarah Smith is diagnosed with community-acquired pneumonia based on her clinical presentation, physical examination findings, and radiological evidence.
Questions for Students:
- What are the common signs and symptoms of community-acquired pneumonia?
- Describe the typical findings on physical examination and chest X-ray in patients with
- What are the most common pathogens causing community-acquired pneumonia, and how would you choose empirical antibiotic therapy in this patient?
- Discuss the management of community-acquired pneumonia, including non- pharmacological measures and potential complications to monitor for.