Pneumonia Outbreak in Senior Home! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 10-31-2012
USMLE Forums Addict
 
Steps History: 1 + CK
Posts: 150
Threads: 37
Thanked 188 Times in 61 Posts
Reputation: 198
Bacteria Pneumonia Outbreak in Senior Home!

An outbreak of severe pneumonia and high fever occurs among seven elderly smokers in a nursing home, presented with general unwellness, fatigue, headache, muscle aches, diarrhea, and abdominal pain . Laboratory findings from one of the affected individuals are as follows:
*
WBC count: 22,000/mm≥
Hematocrit: 42%
Hemoglobin: 14.2 g/dL
Platelet count: 100,000/mm≥
Sodium: 125 mEq/L
Potassium: 4.0 mEq/L
Chloride: 99 mEq/L
Bicarbonate: 28 mEq/L
Magnesium: 1.5 mEq/L
Phosphate: 1.8 mg/dL
Blood urea nitrogen: 20 mg/dL
Creatinine: 1.7 mg/dL
*
The typical sputum Gram stain shows large neutrophils but no organisms. what is the Dx ?
Reply With Quote Quick reply to this message
The above post was thanked by:
prabin (12-06-2012), prasanthkabi (10-31-2012), venky2600 (10-31-2012), vnagubandi (12-06-2012)



  #2  
Old 10-31-2012
venky2600's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,186
Threads: 119
Thanked 816 Times in 434 Posts
Reputation: 826
Send a message via Yahoo to venky2600
Post

i think it's legionella pneumonia(legionairre's disease)---> weak gram stain negative------atypical pneumonia cause hypoaldosteronism......sodium level is decreased.....

thanks for the question
Reply With Quote Quick reply to this message
The above post was thanked by:
koyi (10-31-2012)
  #3  
Old 10-31-2012
USMLE Forums Addict
 
Steps History: 1 + CK
Posts: 150
Threads: 37
Thanked 188 Times in 61 Posts
Reputation: 198
Default

yar ryt Dr venky 2006 ) is legionnaire diz .
Reply With Quote Quick reply to this message
 
  #4  
Old 10-31-2012
trupti's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 75
Threads: 3
Thanked 45 Times in 21 Posts
Reputation: 55
Default

Legionnaires' dZ
hyponatremia, smokers, bug cant be seen on gram stain as weakly staining gram negative rod (silver staining+)and facultative intracellular. waterborne outbreak/aerosol (no person to person). treat with Erythromycin.
Reply With Quote Quick reply to this message
  #5  
Old 10-31-2012
koolkiller88's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 864
Threads: 62
Thanked 372 Times in 224 Posts
Reputation: 382
Default

Quote:
Originally Posted by koyi View Post
An outbreak of severe pneumonia and high fever occurs among seven elderly smokers in a nursing home, presented with general unwellness, fatigue, headache, muscle aches, diarrhea, and abdominal pain . Laboratory findings from one of the affected individuals are as follows:
*
WBC count: 22,000/mm≥
Hematocrit: 42%
Hemoglobin: 14.2 g/dL
Platelet count: 100,000/mm≥
Sodium: 125 mEq/L
Potassium: 4.0 mEq/L
Chloride: 99 mEq/L
Bicarbonate: 28 mEq/L
Magnesium: 1.5 mEq/L
Phosphate: 1.8 mg/dL
Blood urea nitrogen: 20 mg/dL
Creatinine: 1.7 mg/dL
*
The typical sputum Gram stain shows large neutrophils but no organisms. what is the Dx ?
large neutrophils but no organisms.
legionella pneumophillia (god DIT is nice. Help to remember small details. )
__________________
One day i will infect these microbes and they will search for "Anti-MEbiotic"....
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
  #6  
Old 10-31-2012
rupesh's Avatar
USMLE Forums Guru
 
Steps History: 1 + CS
Posts: 386
Threads: 71
Thanked 193 Times in 109 Posts
Reputation: 203
Send a message via AIM to rupesh
Default

legionairres disease..
Reply With Quote Quick reply to this message
  #7  
Old 12-06-2012
USMLE Forums Scout
 
Steps History: ---
Posts: 15
Threads: 0
Thanked 1 Time in 1 Post
Reputation: 11
Default

Quote:
Originally Posted by koyi View Post
An outbreak of severe pneumonia and high fever occurs among seven elderly smokers in a nursing home, presented with general unwellness, fatigue, headache, muscle aches, diarrhea, and abdominal pain . Laboratory findings from one of the affected individuals are as follows:
*
WBC count: 22,000/mm≥
Hematocrit: 42%
Hemoglobin: 14.2 g/dL
Platelet count: 100,000/mm≥
Sodium: 125 mEq/L
Potassium: 4.0 mEq/L
Chloride: 99 mEq/L
Bicarbonate: 28 mEq/L
Magnesium: 1.5 mEq/L
Phosphate: 1.8 mg/dL
Blood urea nitrogen: 20 mg/dL
Creatinine: 1.7 mg/dL
*
The typical sputum Gram stain shows large neutrophils but no organisms. what is the Dx ?
presents with mental confusion nd diarrhoea
Reply With Quote Quick reply to this message
The above post was thanked by:
vnagubandi (12-06-2012)



Reply

Tags
Microbiology-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
what are the differences between Non-specific interstitial pneumonia and Usual interstitial pneumonia? HaipengWang USMLE Step 1 Forum 0 09-12-2012 02:14 AM
Care Giver in Senior Facility! nativedoc2 IMG Residency Match Forum 4 08-04-2012 06:00 PM
Residential Senior Care and Medicare! tyagee USMLE Step 2 CK Forum 6 05-01-2012 05:59 PM
Daycare Center Outbreak! ricko335 USMLE Step 1 Forum 3 07-18-2011 01:18 PM
My senior Killed my Heart priya1 IMG Residency Match Forum 8 05-29-2010 08:52 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)