is 1 of the top 3 causes of communityacquired pneumonia‚1 accounting for 3% to 15% of all cases.2 According to estimates from the Centers for Disease Control and Prevention‚ although 18 000 to 25 000 cases of pneumonia due to this organism occur each year‚ the diagnosis is reported in only 1200 to 1500 cases because of the nonspecific signs and symptoms of the disease and inadequate testing for Legionella.3 High mortality is associated with pneumonia caused by L pneumophila‚ especially in patients
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Many intensive care unit (ICU) patients with multiple traumatic injuries are susceptible to pulmonary contusion. A pulmonary contusion is an injury to the lung which is a common result after a blunt chest trauma from incidents such as vehicular accidents and assaults or after penetrating chest trauma from explosions or shock waves (Ganie et al‚ 2013). Also‚ although it is more commonly associated with chest traumas such as pneumothorax‚ rib fractures or hemothorax‚ pulmonary contusion is also related
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PH210 PHARMACY CLERKSHIP HOSPITAL PUTRAJAYA Case 5 Congestive Cardiac Failure Nephrotic Syndrome Community-Acquired pneumonia Siti Hasmah Bt Mohd Suffian (2006200606) CASE SUBJECT Name: MAM Gender: Male Age: 24 years old Race: Malay Weight: 138 kg BMI: 55 (morbidly obese) Height: 159cm DOA: 21st March 2010 SUBJECTIVE Chief complaint: • bilateral lower limb swelling for the past 2 weeks. • scrotal swelling for the past 3 days but noted on DOA had progressively
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Characteristics Microorganism 1. What is the causative organism (genus and species) for the disease? Legionella pheumophilia Family Pseudomonacea: Pseudomona aeruginosa Family Pasteurellaceae Haemophilus influenza Bordetella pertussis 2. Is the causative organism a virus‚ bacterium‚ protest‚ mold or yeast? Bacteria Bacteria Bacteria Bacteria 3. General characteristics. Morphology: Bacilli pleomorphic-( cocci ->filaments) varies Motility: flagella Gram
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Expected Goal/Outcome | Nursing Interventions | Rationale | Evaluation of Goal/Outcome Attainment | Subjective:Unobservable subjective data due to patient unresponsive. Objective:- Adventitious lung sounds (rhonchi)- Excessive sputum- History of pneumonia - Presence of Tracheostomy tube- Absent of cough- Respiratory rate of 19 - O2 Sat of 98%- On ventilator machine.Cluster Data:- Was treated for a stage III pressure ulcer that has now healed. - Patient is colonized with Klebsiella in urine.- Has a
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decreased breath sounds‚ and disturbed airflow. Sometimes persons with asthma will also have pneumonia (infection of lung)‚ a cold‚ bronchitis‚ or other lung problems that make their asthma symptoms worse. Tests — Following tests may help to help diagnose the problem: Blood test can help in identifying anaemia- a condition that affects the blood’s ability to carry oxygen. Chest x-ray can help in identifying pneumonia‚ or lung inflammation or
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CASE STUDY A 49years old white male present to the emergency room complained of choking while eating dinner at the nursing home he resides. He has a significant past medical history of traumatic brain injury‚ Asthma‚ Pneumonia‚ seizure disorder and Spasm quadriparesis. Patient denies shortness of breath‚ chest pain and fever‚ family history is noncontributory. On Physical examination patient is well nourished‚ no signs of distress‚ alert and awake and the vital signs reveal * Blood pressure
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affect other parts of the body‚ that includes the liver‚ the reproductive system‚ the sweat glands and the sinuses. Symptoms and complications related to the lungs and sinuses can include‚ increased mucus in the sinuses or lungs‚ coughing‚ and pneumonia. Severe sinus pain or pressure can be caused by infection or nasal polyps. Symptoms and
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resistant to many classes of antibiotics. The most frequent are resistance to aminoglycosides‚ fluoroquinolones‚ tetracyclines‚ chloramphenicol andtrimethoprim/sulfamethoxazole.(3)Infection with carbapenem-resistant klebsiella pneumonia (CRKP) or carbapenemase-producing klebsiella pneumonia is emerging as an important challenge in health-care settings(4) In the USA‚ it was first described in North Carolina in 1996:(5) since then CRKP has been identified in 41 states;(6)and is recovered routinely in certain
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Breathlessness 1. Presenting condition (PC) = Increase SOB 2. History of presenting condition (HPC) = Gradual decline or sudden. Any changes or normal exercise tolerance. Sleep at night‚ does lying flat make it worse? What makes it better/worse? 3. Past Medical History (PMH) 4. Drug History 5. Social History – include smoking‚ family history ect. 6. Examination of patient O – onset L – Location D – Duration C – Character A – Aggrevating R – Relieving T - Treatment TAKING A HISTORY Started
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