You are working in the UF Health ED and a 65 yo male is comp…

You are working in the UF Health ED and a 65 yo male is complaining of shortness of breath. He states that he was fine until an hour ago, when he started having difficulty breathing. He tells you that he has been fighting a cold for the last week, but thought he was getting better. His cough has now changed from dry to productive and purulent. He also complains of chest pain when he takes a deep breath. He has a history of diabetes and high blood pressure. On your exam you notice he has tachycardia, tachypnea, and decreased breath sounds in the right lower lobe. You also notice his oxygen saturation is 89% on room air. After starting patient on oxygen therapy, how will you confirm his diagnosis?

Common pulmonary function abnormalities in individuals with…

Common pulmonary function abnormalities in individuals with moderate to severe obstructive pulmonary disease include which one of the following sets of clinical values?                 FEV1                                      FEV1/FVC                            RV/TLC ratioA            normal                                normal                                normalB            increased                            increased                            increasedC            decreased                           decreased                           increasedD            decreased                           decreased                           decreasedE             decreased                           increased                            increased

Archie is a smiling, 9-month-old male, who waved his arms vi…

Archie is a smiling, 9-month-old male, who waved his arms vigorously, making happy baby noises. He was an active and alert boy. His temperature was 37.9 C and his other vital signs were normal. His right ear exam showed the tympanic membrane to be erythematous with fluid behind the membrane and poor movement. His left tympanic membrane revealed normal landmarks, but had slightly decreased movement. His nose exam showed minor mild erythema with clear to yellow nasal discharge. The rest of his physical examination was normal. The most likely cause of this disease is a gram-positive bacterium for which there are over 90 polysaccharide capsule antigenic types, and antibodies to the capsule are protective. How do we deal with vaccination in light of this problem in currently used vaccines?