Assignment: Infectious Disease Case Study

I need the 5 questions below answered about this case study. Thank you!

Infectious Disease Case Study

CC: L.F. is a 20 year old male college student with a 2-week history of

cough and increased sputum production who presents to your clinic with new chest

pain when he coughs, shortness of breath, intermittent fever and chills and

blood-tinged sputum.

HPI: Cough treated with guiafenesin with dextromethorphan obtained form

roommate

Allergies: sulfa (nausea)

Physical examination:

GEN: DOE and pleuritic chest pain

VS: BP

120/75 HR 95 T 100.5 RR 35 WT 90kg HT 6’4″

CHEST: LUL is CTA with

significantly decreased breath sounds. There are E-to-A changes in the LLL and

across the middle of the right lung field.

COR: tachycardic, no

MRG

HENT: WNL

ABD: WNL

GU: WNL

NEURO: WNL

SKIN: WNL

Chest X-ray: Consolidation of the inferior segments of the LLL. Remainder of

the lungs are clear. Heart size WNL.

Sputum Gram Stain: many WBC, few epithelial cells, moderate gram-positive

cocci in chains and pairs

Questions to Answer:

Based upon what you learned in class and from your readings, what are the 2most likely pathogens that would cause pneumonia in this patient?
Based upon your answer to the above question, and the gram stain, what isthe most likely causative microorganism in this patient?
What would you prescribe for this patient to treat his infection, and whatwould you tell this patient about those medications (i.e. AE, monitoring of
condition…)?
What other medications would you prescribe for this patient?
How would you follow-up with this patient (i.e. under what circumstanceswould you see him back)?

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

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