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Author Question: An elderly patient comes in with failure to thrive, shortness of breath, confusion, and worsening ... (Read 57 times)

DelorasTo

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on: Jul 16, 2018
An elderly patient comes in with failure to thrive, shortness of breath, confusion, and worsening congestive heart failure. What is most likely the patient's primary problem?
 
  a. An atypical pneumonia
  b. Aspiration pneumonia
  c. Community-acquired pneumonia
  d. Tuberculosis

Question 2

A patient presents with pneumonia accompanied by foul-smelling breath, absent gag reflex, or recent loss of consciousness. What should be suspected?
 
  a. Aspiration pneumonia
  b. Chlamydia pneumonia
  c. Pneumococcal pneumonia
  d. Tuberculosis


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Harbringer

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Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: C
The clinical presentation of community-acquired pneumonia in elderly patients deserves special mention because it may be subtle. Older individuals with pneumonia may not have a fever or cough and may simply present with shortness of breath, confusion, worsening congestive heart failure (CHF), or failure to thrive.

Answer to Question 2

ANS: A
Patients with pneumonia accompanied by foul-smelling breath, absent gag reflex, or recent loss of consciousness are most likely to have a mixed aerobic and anaerobic infection as a conse-quence of aspiration.


DelorasTo

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Reply 2 on: Jul 16, 2018
Thanks for the timely response, appreciate it

kthug

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Reply 3 on: Yesterday
Wow, this really help

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