| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
Things
aren't looking so good.
Remember the Gram stain on
the sputum? The culture and sensitivity just came back.
-
Methacillin resistant Staph
aureus.
-
His temperature is now 102.3
and he's coughing up rusty looking sputum.
-
His blood pressure is 118/68
mmHg
-
His blood sugar is 312 mg/dL.
-
He's confused.
-
His WBC is now 23,000
with 96% Polys.
-
Obviously the methacillin is
not the drug of choice.
-
We'll switch him to Vancomycin.
-
He may be septic, blood cultures
are in order.
Continue
Back |
|