Heart attack

A 24-year old male college student was presented at the ESU health clinic. He

looked tired and pale. He presented because of a high fever and chest pain. He

was afraid he was having a heart attack (bad week of exams). He was examined

immediately by the PA and an EKG strip was run. He had no evidence of acute

heart problems. The attending physician visited the patient. He obtained the

following history from the past 36 hours. The patient had a tight cough. He had

significant muscle aches and pains. He had a bad headache and had had fevers

of 101-103F.

The physician ordered a chest x-ray. It did not show any significant consolidated

inflammation suggestive of pneumonia. The patient showed significant nasal

drainage and a moderately tight, but productive cough on physical exam. He had

a fever of 101F and generally inflamed mucous membranes. A rapid Strep test

showed no evidence of Streptococcal infection and his tonsils and adenoids had

been removed.

1. What type of infection do you believe he has? what microorganism is causing this disease?

2.  From complaint and physical examination, which of the symptoms lead you to your choice of agent? how did you come to that conclusion?

3. From the history, which of the information confirmed your choice? What is the treatment for this illness/disease?

4. Which of the following is most likely to follow this infection? How did you come to that solution of the treatment? In other words, why is it that treatment?

Please reference and cite and also keep both studies separated and numbered! And keep the answered questions and explanation together, about a paragraph for each question. thank you!

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Case study 6

A 70-year old patient with Alzheimer disease was brought to the emergency

room by the staff of a local nursing home. He presented as lethargic with a sallow

complexion. He had an admission temperature of 102.4F and a respiratory rate

of 33/minute. During respiration, the right side of his chest moved better than the

left. He showed dense consolidation of the lower lobe of the left lung on physical

exam. A sputum sample revealed blood and a greenish color.

A chest x-ray showed tight consolidation of the left lung with evidence of

formation of cavities in the lung tissue from cytotoxic damage. The patient

complained of chills in the exam room, combined with his fever. A smear of his

sputum demonstrated no acid-fast bacteria.

1. What type of infection do you believe he has? what microorganism is causing this disease?

2.  From complaint and physical examination, which of the symptoms lead you to your choice of agent? how did you come to that conclusion?

3. From the history, which of the information confirmed your choice? What is the treatment for this illness/disease?

4. Which of the following is most likely to follow this infection? How did you come to that solution of the treatment? In other words, why is it that treatment?
Please reference and cite and also keep both studies separated and numbered! And keep the answered questions and explanation together, about a paragraph for each question. thank you!