A 75-year-old man, Tony G., presented to the emergency room with fever, shortness of breath, chest pain, and severe, extremely productive cough. Tony had been a heavy smoker for almost 50 years before he quit 7 years ago, when he was diagnosed with emphysema. Tony occasionally used oxygen at home when he had difficulty breathing, and on presentation he was using portable oxygen because of his severe respiratory distress. A chest x-ray revealed a right lower lobe infiltrate, and Tony was admitted to the hospital. Sputum, urine, and blood cultures were collected.

The direct Gram's stain of the sputum specimen revealed the following:

Many neutrophils (>25 per low-power field) Rare squamous epithelial cells (<1 per-low-power field)
Many gram-positive lancet-shaped diplococci and cocci in short chains (>25 per oil immersion field)
Few gram-negative diplococci (<10 per oil immersion field)
Few gram-positive bacilli (<10 per oil immersion field)

After overnight incubation at 35C in 5% to 7% co, a blood-agar plate inoculated with the specimen revealed a mixture of two colony type. Rare, non-hemolytic, tiny, white, dry-looking colonies were present. A predominance of small, wet-looking, convex (crater-form), entire-edged colonies were also seen, with a greening of the medium around them. The urine culture showed no growth at 24 hours. All blood cultures were negative after 5 days incubation.

Required:
a. Based on the direct Gram's stain, what is the quality of this sputum specimen?
b. Is this specimen of acceptable quality to provide clinically relevant information?

Answers

Answer 1

Answer: He either has pneumonia or chronic obstructive pulmonary disease.

Explanation:


Related Questions

what proof does dependent have for employee health coverage for employer coverage

Answers

Answer:

Form 1095-C contains information about the offer of health insurance coverage to employees and their dependents, the employee's share of the lowest-cost premium, and other information related to employer responsibility provisions. Information on this form is required for proof to prepare and file your annual tax return.

Please allow me to know my answer has helped you with a thank you!

Miss Hawaii

What conclusion can you draw from the fact that hugs produce a positive chemical reaction in the human body?
A. You can love anyone who gives you a hug.
B. Too many hugs can endanger someone.
C. People need positive contact with others to thrive.
D. Chemical reactions are not a reliable determiner of affection

Answers

Answer:

C - People need positive contact with others to thrive

Explanation:

Hugs can make you happier

Oxytocin is a chemical in our bodies that scientists sometimes call the “cuddle hormone.” This is because its levels rise when we hug, touch, or sit close to someone else.

Hope this helps! : )

what are some important factors to consider when choosing a warm-up before your workout

Answers

The temperature outside depending on the workout , making sure you are loose and have a little sweat going to ensure your body is ready, hydration, what the actual workout consist of

When we enter a state of relaxation, it leads to

Answers

Answer:

ultimately slows down brain waves and helps people be calm and be more happy afterwards

Explanation:

Answer:

when we relax the flow of blood increases around our body giving us more energy it helps us to have a calmer and clearer mind which aids positive thinking concentration , memory , and decision making. relaxation slows out heart rate , reduces our blood pressure and relives tension

find the radius and center coordinates of the circle x^2+y^2+8x-10y+25=0​

Answers

Answer:

Explanation:

This is the form of a circle. Use this form to determine the center and radius of the circle

do you thick these ways will help us to reduce the environmental health issues why explain

Answers

Answer:

is there options?

Explanation:

a developing baby is carried to term in an organ is called the

Answers

a developing baby is carried to term in an organ is called the uterus

Lucia spends much time outdoors and has developed freckles on her skin.

How can she best prevent more freckles from appearing?

by applying sunscreen with a high SPF before going outside
by wearing fashionable sunglasses when she is outside
by getting a good suntan before going to the beach
by doing her gardening only during peak sun hours

Answers

Answer:

by applying sunscreen with a high SPF before going outside

Explanation:

I think this is the answer because all the rest do not seem right

How am I supposed to deal with my anxiety during school hours?​

Answers

Answer:

stop thinking

Explanation:

if I were you I'd go into the bathroom for awhile and try to calm down for a minute

Answer:

i think you should just listen to some music.

Explanation:

Because i also suggest asmr.

Which of these is an emotional consequence of effective communication?

Answers

Answer:

A I'm 99.9% positive this is the right answer! It sucks how kids feel like their parents don't love them at time. If they feel that way though, or if anyone doesn't feel loved, it's not true. Cause God loves everyone, no matter what, he is with you

Explanation:

Is there any tips or how can I grow my hair I want it to be bigger

Answers

Answer:

hope you will follow these steps

Resist the urge to go blonde. ...

Distribute your hair's natural oils. ...

Eat the right foods. ...

Add a vitamin to your a.m. routine. ...

Skip the daily shampoo. ...

Hydrate and condition your hair frequently.

John Allen is scheduled for a diagnosis on tooth #20. This is Mr. Allen’s first time to the endodontist, and his subjective comments describe pain when chewing on the affected side and a constant dull pain lasting for approximately a week.

Answers

Answer:

growth of the teeth

Explanation:

it might be that the teeth are not complete, so maybe they are growing around that part. it might also be due to excessive chewing of gum

Which of the following statements is
true about the body, in reference to
water?
A. Digestion does not require water.
B. 1 hour before intense exercise, we should not
drink any fluids.
C. Water is required for the elimination of waste
products.
D. Only 60% of the cells in the body require water.

Answers

Answer:

Only 60% of the cells in the body require water.

Explanation:

Answer:

C

Explanation:

Water help push the waste out

Which part of the neuron has ion channels that detect mechanical and chemical
stimuli?


Dendrites
Axons
Synaptic end bulbs
Cell bodies

Answers

The part of the neuron that detect mechanical and chemical stimuli is the Dendrites.

The nervous system is a system that controls all the activities of the body for example voluntary or involuntary activities.

The cells of the nervous system is known as the neurons.

The different parts of neuron include:

DendriteAxonsCell bodies

Dendrites are part of neurons that protrudes from the cell body which specialises in bringing in information( impulses) into the cell.

This is because it contains receptors that contains ion gated channels that detect mechanical and chemical

stimuli.

Learn more here:

https://brainly.com/question/24341686

.
What percentage of female characters on TV shows are underweight?
50%
65%
60%
over 75%

Answers

Answer:

65%

Explanation:

Answer:

Over 75%

Explanation:

For example, female idols tend to go in extreme dieting just so they'd look good on camera. Over 75% of female characters on TV shows almost end up dead because of starving themselves only to look presentable on the show or any other platforms.

Which snack would be the MOST difficult for a human body to break down quickly?
(A)
chocolate bar
(B)
can of soda
(C)
glass of juice
(D)
whole grains

Answers

Answer:

probably a chocolate bar or soda because of how much acid is contained in the soda

Explanation:

Answer:

I select A and B

Explanation:

In A if it is a frozen chocolate it is really so hard then B soda can it is hard t

o break as it is tin but we can sqeez it.

HELP ME OUT PLEASE!!

Tolerance, craving, and loss of control are physical effects of drug abuse that often lead to addiction

a) True

b) False​

Answers

true, those are physical effects of drug abuse that often lead to addiction

Answer:

A.) true

Explanation:

if you watch documentaries on how harmful some drugs may be, you can see upon the steps to drug addiction, you will see those things.


Question 3
Family health history is a controllable risk factor for health and wellness.
True
False

Question 4
Environmental health refers to be connected with higher order or purpose beyond one’s self
True
False

Question 5
Social health involves one’s ability to relate to other people in all settings
True
False

Question 6
Asian Americans have the longest life expectancy among the us population
True
False

Question 7
The parasympathetic division of the autonomic nervous system imitates the stress response
True
False

Question 8
Stressors are events or situation that stimulate the stress response
True false

Question 9
Blood pressure and heart rate increase during the relaxation response
True false

Question 10
Homeostasis is the body’s state of normalcy
True false

Question 11
People with a hardy personality tend to handle stress Better than others
True false

Question 12
Cortisol, released by the adrenal gland impedes the function of the immune system
True false

Answers

Answer:

3.True

4.False

5.false

6.true

7.True

8.True

9.true

10.false

11.True

12.false

it will increase the elasticity of our muscles and tendons and it's usually used as warm up exercise.​

Answers

Answer:

I believe it will be stretching

The majority of adults juggling family career and finances often have complaints related to which of the following

Answers

One of the common widespread complaints which is aired by adults who have to juggle between finance and career related issues is stress.

Stress often occurs due to excessive physical and psychological workload which often results in sickness, fatigue and sometimes psychological imbalance.

Career and Finance are two very related and important aspect of life. Pursuing a career helps to realize one's dreams while also finance is very important in living a good life.

Therefore, having to juggle and balance both aspect often comes with a lot of hardwork which results into stress.

Learn more :https://brainly.com/question/25230849

Is marijuana legal at the federal level?

Answers

Answer:

On a federal level, all marijuana remains illegal. The federal government classifies marijuana, along with heroin and cocaine, as a Schedule I drug with a high potential for abuse and little to no medical benefit.

As a result of the conflict between federal and state law, residents in some states can find themselves using marijuana for medical purposes in compliance with state law, while simultaneously violating federal law. This article discusses some of the complications that arise when state and federal medical marijuana laws conflict.

no it’s illegal at the federal levels

what is the meaning of presenting?​

Answers

Answer:

1.

give or award formally or ceremonially.

2.formally introduce (someone) to someone else.

Answer: You show something on a screen or projector.

Explanation: If you're at a meeting don't they always present something to you? Like on a data table or graph. So the meaning of presenting is to show or to present.

Adam, an investment banker, is competitive, suspicious, and overly impatient. He suffered a major heart attack last fall at the young age of 34. The doctor who was treating Adam when he suffered the heart attack warned him against high levels of emotional arousal and the high risks of stress. Adam's competitive lifestyle also leaves little room for exercise, a condition that makes him even more vulnerable to cardiac disease. Adam's behavior pattern can be categorized as:________.

Answers

Answer:

Hyperfocus?

Explanation:

Hyperfocus is highly focused attention that lasts a long time. You concentrate on something so hard that you lose track of everything else going on around you.

Adam's behavior pattern can be categorized as hyperfocus.

What is hyperfocus?

Hyperfocus is highly focused attention that lasts a long time. when a person concentrate on something so hard that person lose track of everything else going on around you.

Hyperfocus is most generally mentioned in the context of autism, schizophrenia, and attention deficit hyperactivity disorder, but research into its effect on cognitive and neural functioning is limited.

For more information regarding hyperfocus ,visit:

https://brainly.com/question/15343174

#SPJ2

can i eating raw food

Answers

Answer:

you could do your research and see what plants or meat are edible raw or ripe... most fruits can be eating raw and don't have to cook. and most meat needs to be cooked. in asia, people could eat raw eggs on rice. it will have to be a clean egg depending on where it comes from.

Explanation:

so if you're gonna eat meat raw, cook it but if it's plants try researching

Which of the following do objectives most resemble?
A.
Long term goals
B.
Short term goals
C.
Daily tasks
D.
All of the above

Answers

Answer:

It's all of the above

Explanation:

Answer:

It's D All of the above.

Explanation:

can anyone heelp me pls



.

Answers

lotion-2
capsule-3
suspension-1

People who abuse

Do people who abuse have a personality disorder?

Answers

many emotional abusive people have a personality disorder
The abusers tend to have been abused as well. Personality disorder is one of the many consequences from neglect and childhood trauma etc.

anyone know why where i got an IV put into my arm almost 4 months ago is just now hurting? its been sore since yesterday

Answers

Answer: There could be a problem.

Explanation: If an IV hasn't been inserted correctly, you may feel intense swelling and notice bruising. This can be a sign of IV infiltration, which occurs when the fluids or medications are going into the tissue under your skin and not into your vein.

According to a Washington Post article in 2012, 45% of colleges reported 0 sexual assaults. After watching this film, do you think this is an accurate statement

Answers

Answer:

i think that i could be true. i live in wash st and have never heard about any cases of collage assault cases.

Explanation:

I need help with this question no links please and be truthful with your answers because it's not cool to lie

Answers

Answer:

They all seem right but...

Explanation:

I pick option C. The pictures are taken with film that makes the models look flawless.

Please don't hesitate to correct me if I'm wrong...

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53Which of the following has the same value as 7 - - 2-6 6 An athlete of mass 60 kg running at a velocity of 10 m/s Please help I will make you Brainliest (show working) Who is Thomas Jefferson? explain why the power of 10 in the answer to the example problem is 10 forth's and not 10 two's Read the sentence from the passage.In the 30 years he spent exploring Africa, Livingstone covered over a third of the continent and was known for his attempt to find the source of the Nile River.Which revision gives the sentence proper parallel structure? A. In the 30 years he spent exploring Africa, Livingstone covered over a third of the continent and had attempted to find the source of the Nile River. B. In the 30 years he spent exploring Africa, Livingstone covered over a third of the continent and attempted to find the source of the Nile River. C. In the 30 years he spent exploring Africa, Livingstone covered over a third of the continent and attempting to find the source of the Nile River. D. In the 30 years he spent exploring Africa, Livingstone covered over a third of the continent and his known attempt to find the source of the Nile River. Father Hidalgo and French traders in eastern Texas sparkedA. Spain to wage war with FranceB. the fall of the Mission San Francisco de los TejasC. the Biloxi colony fur tradeD. the Spanish reoccupation of TexasPlease select the best answer from the choices providedA.B..D. housing prices boomed from 2002 to 2006, fueling the market for subprime mortgages and forming an asset-price bubble. housing prices began declining in 2006, falling by more than 30%, which led to defaults by subprime mortgage holders. Which of these is a healthy coping strategy for stress?AWriting your thoughts in a journalBNot sharing your emotions with anyoneCStopping your exercise routineDWorking very hard without breaks Simplify the expression to a + bi form:(4 3i) - (9 - 71) WILL MARK BRAINLIEST FOR BEST ANSWERfor real numbers x and y what is the largest possible value of 5 - (x-y)^2 Which set of conditions will result in the highest rate of evaporation? Quadrilateral AB C D is the result of reflecting quadrilateral ABCD across line l what was the goal of the first crusede Which expression is equivalent to -p+2 -2p+ 8? The temperature dropped 4C every hour for 6 hours. What was the total number of degrees the temperature changed in the 6 hours? PLEASE HELP, WILL GIVE BRAINLIEST!!5. What is the best way to describe the relationship between Native American tribes and the federal government?there is no relationshipsimilar to states: tribes are sovereign but the federal government's authority is still supremethey are equalstribes are higher than the federal government hi can someone please answer the number 2 question i really need it thank you What was the purpose of the Toleration Act of 1649? 3.1.PS-16Question HelpoA new health drink has 170% of the recommended daily allowance (RDA) for a certain vitamin. TheRDA for this vitamin is 30 mg. How many milligrams of the vitamin are in the drink?There aremg of the vitamin in the drink.