(精选)【COPD英文课件课件】Bacterial and Viral Infections教学课件.pptVIP

Bacterial and Viral Infections-Pulmonary Pathology Lab 1- Robert Allan, MD Bacterial and Viral Infections Lab Case based exercises to reinforce concepts of lecture Group work is encouraged Case #1 55 year old male with a past medical history of hypertension presents with a one week history of cough with green sputum, fever and malaise. He smokes 1 pack a day and has so for 20 years. A chest x-ray shows an infiltrate in the left lower lobe. What is the most likely diagnosis? - PNEUMONIA Case #1- Smoker with pulmonary infiltrate and fever What category of pneumonia does this most likely fall into? - COMMUNITY ACQUIRED ACUTE PNEUMONIA What are the most likely organisms responsible? Streptococcus pneumoniae ?? Haemophilus influenzae ?? Moraxella catarrhalis ?? Staphylococcus aureus ?? Case #1 Healthy male with pulmonary infiltrate and fever What host condition may have contributed to the development of this and how? - Smoking. This leads to the impairment of the mucociliary apparatus which helps to clear organisms from the lungs What should be done next to determine therapy? - Culture of blood, sputum and/or bronchoalveolar lavage fluid. Case # 2 24 year old female college student with no significant past medical history presents with a two week history of malaise, minimal cough, body aches. Some of her friends have been sick with similar symptoms. What general category does this presentation most likely fit into? - COMMUNITY ACQUIRED ATYPICAL PNEUMONIA. Case #2- College student with malaise Name three organisms that may cause this ? Mycoplasma pneumonia Chlamydia pneumonia Viral pneumonia (influenza or other viruses) Case # 3 67 year old with hypertension, coronary artery disease, chronic obstructive pulmonary disease (COPD) presents with a four-day history of marked fatigue, increased shortness of breath, and body aches. She does not report a fever. She is concerned because she was going to go on a Winter cruise in two weeks’ time. She states that