Pneumonia

Question 1

Mary Knight a 83 year old female presents with a fever, chest pain, fatigue and a cough.

What is the most likely diagnosis?

Answer 1

Pneumonia

Question 2

Mary has some observations and tests done to determine her CURB-65. She appears confused, her urea is 9mmol/L and her respiration rate is 33 per minute. Her blood pressure is 85/55.

Please calculate her CURB-65

Answer 2

5

Question 3

A gram stain is done. Please describe what you see and state the most likely organism

Answer 3

Gram positive cocci in pairs
Streptococcus pneumoniae

Question 4

What should you do 6 weeks after diagnosis of pneumonia?

Answer 4

Chest x-ray, consolidation may cover cancer, people are more susceptible

Question 5

Naomi Baxter is a 16 year old girl, has a three week history of worsening dry, non-productive cough and a low-grade fever. She also complains of headache, sore throat, fatigue and malaise. Treatment with amoxicillin did not work. The doctor notices she has a rash. Please describe it and what organism could have caused it.

Answer 5

Maculo-papular rash involving the arms, legs and hands.
Moderate atypical community acquired pneumoniae.
Mycoplasma pneumoniae
Erythema multiformae- look like targets, rings within rings