A 68-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.


Requried:

Diagnose this case study.

Respuesta :

Answer:Left Lobar pneumonia

Explanation:

Since  the  smear test with acid  acid fast bacteria  is negative,then the test is tuberculosis The respiration, chills,and fever pointed to pneumonia and  the consolidation  in the left suggested;left lobar.