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Caso Neumonía en Adulto Mayor con DM2

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Caso Neumonía en Adulto Mayor con DM2

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Quiz clínico de neumonía en un adulto mayor con diabetes.

Created by

Vanina Baez
Vanina Baez
Argentina

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Caso Neumonía en Adulto Mayor con DM2
 

Caso Neumonía en Adulto Mayor con DM2Online version

Quiz clínico de neumonía en un adulto mayor con diabetes.

by Vanina Baez
1

1) ¿Cuál es el diagnóstico más probable con infiltrado en lóbulo inferior derecho y Streptococcus pneumoniae positivo?

2

2) ¿Qué hallazgo clínica apoya el diagnóstico de neumonía en este caso?

3

3) ¿Qué hallazgo radiológico se describe en este caso?

4

4) ¿Qué microorganismo se aisló en el cultivo de esputo?

5

5) ¿Qué dato del historial indica un factor de riesgo para neumonía en este paciente?

6

6) ¿Qué hallazgo asociado en estudios complementarios se observa en este caso?

7

7) ¿Qué indica el HbA1c 8.2% en este contexto?

8

8) ¿Qué hallazgo de signos vitales sugiere taquicardia y taquipnea en este cuadro?

9

9) ¿Qué complicación respiratoria puede asociarse con neumonía en este paciente mayor?

10

10) ¿Qué síntoma motivó la consulta inicial del paciente?

Explicación

La infiltración y cultivo sugieren neumonía adquirida en la comunidad.

Fiebre, tos productiva y disnea son signos típicos.

El informe señala infiltrado en el lóbulo inferior derecho.

Cultivo de esputo positivo para Streptococcus pneumoniae.

La diabetes mellitus tipo 2 es un factor de riesgo para infección respiratoria.

Es frecuente derrame pleural asociado en neumonía bacteriana.

HbA1c elevado indica mal control glucémico reciente.

Taquicardia y taquipnea son indicios de compromiso respiratorio/infeccioso.

La radiología sugiere derrame pleural pequeño asociado.

Historia indica fiebre, tos y dificultad para respirar.

 
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