Infection

1. INTRODUCTION
• AGE: 66
• GENDER: MALE
• RISK BEHAVIOR: 7,5 PACKYEARS
• OCCUPATION: PROBABLY RETIRED
• HISTORY: MILD ASTHMA DURING PRIMARY SCHOOL
• 1 WEEK AGO: COUGH, RUNNING NOSE, MUSCLE PAIN
• 1 DAY AGO: COLD, SHIVERING, WEAKNESS, NO SPUTUM DEVELOPING INTO REDDISH-
BROWN SPUTUM THE NEXT DAY. CHIEF COMPLAINT: FEVER, DYSPNEA,ANGINA
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INTRODUCTION - QUESTIONS TO ASK - PHYSICALAND LABS - SEARCH STRATEGY - DDX - CONCLUSION
JULY 2, 2015 - IBMG 2 - BLOCK 2.4 - STUDENT ID: S2478285 - SEBASTIAAN VAN JOLE

2. QUESTIONS:
• ARE NOTANSWERED BYTHE PATIENT
INTRODUCTION - QUESTIONS TO ASK - PHYSICALAND LABS - SEARCH STRATEGY - DDX - CONCLUSION
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3. PHYSICALEXAM
• SHALLOW RESPIRATORY RATE: 33/MIN
• USE OF AUXILLARY RESPIRATORY MUSCLES - IN COMBINATION WITH
• CLOUDED CONSCIOUSNESS INDICATING HYPOXIA OR NEUROLOGICAL DYSFUNCTION
• TEMPERATURE: 39,3 DEGREES CELCIUS
• BP: 110/55 MM HG
• PULSE 115/MIN
• CRACKLES
• ADDTIONAL INVESTIGATIONS:
• CHEST RADIOGRAPHY
INTRODUCTION - QUESTIONS TO ASK - PHYSICAL AND LABS - SEARCH STRATEGY - DDX - CONCLUSION
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4. DIFFERENTIALDIAGNOSIS FROM HIGHTO LOW PROBABILITY
• COMMUNITYACQUIRED PNEUMONIA
• HOSPITALACQUIRED PNEUMONIA
• TBC
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INTRODUCTION - QUESTIONS TO ASK - PHYSICALAND LABS - SEARCH STRATEGY - DDX - CONCLUSION

5. WHAT’STHE NEXTSTEP IN MANAGEMENTOFTHE PATIENT?
• CAUSATIVE MICRO-ORGANISM: STARTANTI-MICROBIALS
IMMEDIATELY,CAN'TBE DETERMINEDYET
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THANKYOU FOR YOUR ATTENTION.ARE THERE ANY OUTSTANDING QUESTIONS?
INTRODUCTION - QUESTIONS -PHYSICALAND LABS - SEARCH STRATEGY - DDX - CONCLUSION
JULY 2, 2015 - IBMG 2 - BLOCK 2.4 - STUDENT ID: S2478285 - SEBASTIAAN VAN JOLE

6. SEARCH STRATEGY
• UPTODATE ( HTTP://WWW.UPTODATE.COM/CONTENTS/
DIAGNOSTIC-APPROACH-TO-COMMUNITY-ACQUIRED-
PNEUMONIA-IN-ADULTS?SOURCE=SEE_LINK )
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INTRODUCTION - QUESTIONS TO ASK - PHYSICALAND LABS - SEARCH STRATEGY - DDX - CONCLUSION