Respiratory Tract Infection Case Study

Lungs: Demonstrate good air entry. Faint end-expiratory wheeze throughout all lung fields. No rales or rhonchi. Symmetric chest expansion. Breathing nonlabored.

The following case study is of a 37-year old Hispanic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. According to her he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. She then called 9-1-1. The patient entered the ER by emergency vehicle and on my initial assessment Pt had an altered mental status, was very unresponsive showing symptoms of a possible drug overdose. The girlfriend told the physician the Pt had taken 75 mg of methadone and an unknown amount of Xanex and other amounts of Benzodiazepines. On assessment, the doctor noticed his altered mental status and unconscious status. He had a gag

Initial diagnosis of Streptococcal pharyngitis is determined by a point system awarding 1 point for each of the following; temperature greater than 38 C, absence of cough, tender anterior cervical lymph nodes, tonsillar swelling, age younger than 15, subtracting a point for age older than 45. If these symptoms are met, a rapid strep test will be performed before antibiotics are given, a precaution taken to prevent super-bugs from developing.

At CTPA study performed at the time excluded any pulmonary emboli and the report made comment of a moderate sized right-sided pleural effusion with compressive atelectasis. There was no comment on the report of any parenchymal infiltrate and I have not cited the images myself. CRP was 113. He was given a presumptive diagnosis of pneumonia with parapneumonic effusion and commenced an Augmentin Duo Forte and doxycycline. In

Streptococcus pharyngitis is a bacterial infection of the throat caused by Streptococcus pyogenes, also known as group A Streptococcus. It can causes throat pain, difficulty with swallowing, red and swollen tonsils which can be accompanied with white patches or streaks of pus, red spots on the palate, swollen lymph glands in the neck, fever, headache, rash, stomach ache, and fatigue. It can lead to more serious conditions such as scarlet fever, inflammation of the kidneys, and rheumatic fever. When Streptococcus pharyngitis is suspected, usually a rapid antigen test is run but a throat culture also needs to be done. Treatment is usually Penicillin and Amoxicillin for children. Nursing intervention for Streptococcus pharyngitis is to make sure the patient gets plenty of rest and also to push fluids to keep the back of the throat lubricated and to prevent dehydration (http://www.mayoclinic.org/diseases-conditions/strep-throat/basics/definition/con-20022811).

grade fever. The severity of symptoms is typically dependent on the patient’s age. In infants,

A chest x-ray is the primary way to diagnose a pneumothorax. Generally two chest x-rays will be taken, one on inspiration and one on expiration. This allows to better visualize the collapsed lung. An additional CT scan may be required. Ultrasound may also be used.

Streptococcal Pharyngitis in Children is an illness most commonly known as ‘strep throat’. Even though a person of any age can get infected with strep throat it is very common in children. There have been many myths as to what causes strep throat and many times children go untreated or under diagnosed. Throughout this informational report it will be provided basic information about streptococcal pharyngitis that researchers and Medical Providers have left for the audience to review, as well as first line of treatments that are most commonly used when a patients strep test is warranted positive, in addition statistics will be included on children vs. adult treatments and symptoms.

However, signs may differ between children and adults. Children can develop epiglottitis within a matter of hours. In adults it improves more slowly, usually over the course of days. Symptoms common in children include: upper respiratory infection, fever with chills, lessened symptoms when leaning forward or sitting upright, drooling, scratchy and sore throat, hoarse voice, restlessness, and breathing through the mouth. Symptoms common in adults include: difficulty breathing, a raspy voice, harsh, noisy breathing, severe sore throat, no cough present, and the inability to catch your breath. Once the airway becomes blocked, an adult or child may exhibit bluish discoloration or cyanosis on their skin from lack of oxygen. When untreated, the epiglottis can block the airway completely. This is a severe condition and requires immediate medical attention. If you suspect epiglottitis, contact your physician

Croup is often the result of a viral infection and will not respond to antibiotic therapy. Nelson Essentials of Pediatrics, 7th, page 354.

This condition is diagnosed with a medical history and physical exam. Your health care provider will look at your tonsils and adenoids. You may also have an x-ray of your throat and sleep

Explanation: Strep throat is a common condition afflicting both children and adults. Diagnosing this condition is usually straightforward, especially if using the validated Centor Criteria or modified Centor Criteria. Count these criteria, adding 1 for the presence of each of the following:

It can be acute or chronic stridor: in acute it usually related to croup, foreign body aspiration, epiglottitis, and bacterial tracheitis. While in the chronic stridor usually related to anatomic defect.

Shoulder & scapula- equal; no masses present Lung sounds- Crackling breath sounds on right side Adventitious sounds- expiratory wheezing in right lung Voice sounds- Absent bronchophony noted Chest expansion- use of accessory muscles on inspiration Percussion-

This is a case of a 74 year old woman who was diagnosed with Community Acquired Pneumonia.