PNEUMONIA BACTERIAL

Atik Ananda (13310049)

Aya Selfira Farella (13310051)
Bella Septiani Br Turnip (13310058)
Cornelia Avisha (13310072)
Yuliani Setianingsih (13310445)

FACULTY OF MEDICINE
MALAHAYATI UNIVERSITY
2016
Case
A 61-Year-old woman presents to the emergency room complaining of cough for 2 weeks. The
cough is productive of green sputum and is associated with sweating, shaking chills, and fever
up to 102 F (38.8 C). she was exposed to her grandchildren who were told that they had upper
respiratory infections 2 weeks ago but now are fine. Her past medical history is significant for
diabetes for 10 years, which is under good control using oral hypoglycemic. She denies tobacco,
alcohol, or drug use. On examination, she looks ill and in distress, with continuous coughing and
chills. Her blood pressure is 100/80 mmhg, her pulse is 110 beats/min, her temperature is 101
(38.3C), her respirations are 24 breaths/min, and her oxygen saturation is 97% on room air.
Examination of the head and neck is unremarkable. Her lungs have rhonchi and decreased
breath sounds, with dullness to percussion in bilateral bases. Her heart is tachycardic but
regular. Her extremities are without signs of cyanosis or edema. The remainder of her
examination is normal a complete blood count (CBC) shows a high white blood cell (WBC) count
0f 17.000 cells/mm3, with a differentialof 85% Neutrophils and 20% Lymphocytes. Her blood
sugar is 120mg/dl

Keyword
Woman 61 year old
Cough for 2 weeks
Cough of green sputum
Medical history is significant for diabetes for 10 years
Use tobacco, alcohol, and drug
Blood pressure is 100/80 mmhg
Respiration rate 24 breaths/min
Lungs have rhonchi and decreased breath sounds
Increasing WBC count of 17.000 cells/mm3
Blood sugar is 120mg/dl

DIAGNOSIS
It must be pneumonia bacterial
DIAGNOSA DIFFERENTIAL
She seems to have tuberculosis
The patient might have bronchitis
COPD is a possibility
It is unlikely that shes got asthma
It cant be meningitis

DEFINITION
Pneumonia is a common lung infection caused by bacteria, a virus or fungi. It is often spread via
coughing, sneezing, or even breathing, and does who dont exhibit symptoms can also spread
the illness

EXAMINATION
1. Chest X-Ray
The chest X-Ray the most commonly diagnostic x-ray examination. A chest x-ray
produces image of the heart, lungs, airways, blood vessel and the bones of the spine
and chest.
2. Sputum culture
Is a test to detect and identify bacterial or fungi that are infecting the lungs or breathing
passages.
TREATMENT
Treatment for bacterial pneumonia include antibiotic, fluid hydration, anti fever medication
such as asetaminofen or ibuprofen, cough supressan if necessary, avoidance of smoking
tobacco and hospitalization is necessary.

The antibiotic choice depends on the patient age, any chronic medical condition, tobacco and
alcohol use.

PROGNOSIS
The prognosis is depend on the degree of the disease and when the patient at the first time
diagnosed

REFERENCE
1. http://www.thoracic.org/patients/patient-resources/breathing-in-
america/resources/chapter-15-pneumonia.pdf by Mario (24 March 2016)
2. http://www.emedicinehealth.com/script/main/mobileart-
emh.asp?articlekey=58883&page=8 by Angelica (24 March 2016)
3. http://www.medscape.com/viewarticle/722306_5 by Reinhart (24 March 2016)