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

many children prefer to eat junk foods and fast foods rather that healthy food such as fruit and vegetables they are not aware that this food are not good for their health as a teenager how will you promote healthy eating habits ​

Answers

Answer:

The benefits of healthy food for kids. Peer pressure and TV commercials for junk food can make getting your children to eat well an uphill struggle.

Explanation:

give them junk food after they eat healthy food

show children what can happen to them if they don’t eat healthier foods. you can make it look appetizing as well as cute or pretty. tell them it’ll help them grow big and strong. etc

Fiber aids in digestion and ___ of foods and it is found mainly in carbohydrates

Answers

Answer:

I beleive it is calories

Explanation:

Sorry if I am wrong! Hope it helps!

It aids in Absorption of water, so might be absorption of food as well.

Which of the following tests uses calipers to assess body composition?
A.
skinfold test
B.
sit-and-reach
C.
arm hang
D.
curl-up


Please select the best answer from the choices provided.

A
B
C
D

Answers

The answer to your question is A.

The answer is A - skinfold test

Summarize your findings and explain how you might limit the pollutants or exposure to them what things could you replace

Answers

Answer:

Limit the amount of times you use or put gas in your car

Explanation:

Vehicles are The biggest air quality compromisers, producing about one-third of all U.S. air pollution. The smog, carbon monoxide, and other toxins emitted by vehicles are especially troubling because they leave tailpipes at street level, where humans breathe the polluted air directly into their lungs.

Hope this helps! <3 Please tell me if you have any questions :))

The act of tightening and shrinking is called
OA
eccentric contraction
B.
isometric contraction
Oc.
contraction
OO
D.
exercise

Answers

Answer:

What is c.  contraction

Explanation:

Help please, I need help checking these questions

1. Water aerobics is just another form of swimming laps.

A. True
B. False

2. There are scientific studies that prove working out as a group can help improve quality of life

A. True
B. False

3. A barre class focuses on:
(I think it’s d)
A. Strength, intervals, high intensity, and recovery
B. Water walking, bicep curls, and leg lifts
C. Stepping up, around and down from a platform in different patterns
D. Core strength, posture, coordination, and flexibility

Answers

Answer:

1. False

2: True

3: D

Explanation:

i took the test and got a 100 :) hope it helps!

Water aerobics is not another form of swimming laps. Therefore, the statement is false.

There are scientific studies that prove working out as a group can help improve quality of life. Therefore, the statement is true.

A barre class focuses on core strength, posture, coordination, and flexibility.

In conclusion, the correct options are B, A, D.

Read related link on:

https://brainly.com/question/4859829

You are at the doctor for your yearly physical, and she warns you that eating too much junk food can affect the way your genes express themselves, and that these changes can be passed on to your future children. Which concept is your doctor warning you about?

Answers

Answer:

umm can you give a real quschin

plssss

Explanation:

The concept that your doctor is warning you about is known as Gene expressive mutation.

What are Genes?

Gene may be characterized as the region of DNA that helps to determine a characteristic. It is also known as a genetic factor.

Genes are generally the stretch of DNA that encodes genetic information. Genes are nucleotide sequences that can produce functional proteins or enzymes.

According to the context of this question, eating too much junk food induce some sort of mutation in the genetic sequences. And doctor recommends that these mutations may also be passed on to your future generation.

This is because the consumption of too much junk food allows the stimulation of gene expressive mutation. This type of condition also affects the coming generations to a larger extent.

Therefore, the gene expressive mutation is the concept that your doctor is warning you about.

To learn more about mutations, refer to the link:

https://brainly.com/question/17031191

#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

Anyone help I’ve been quarantined so I’m not sure!

Answers

Head down is not a basic of dribbling in basketball

Answer:

it should be head down

Explanation:

you can't see and don't know where your going or if someone is bloking you or not

What is Altered Mental Status means and how does a patient present this?

Answers

An alteration in mental status refers to general changes in brain function, such as confusion, amnesia (memory loss), loss of alertness, disorientation (not cognizant of self, time, or place), defects in judgment or thought, unusual or strange behavior, poor regulation of emotions, and disruptions

Help me I"M DYING hfkjahfhkjfsjadkfjks

Answers

Answer:

ok call 911 then unlock ur door and lay on the floor till they come but stay on the phone with them and thell come and help you

Answer:

therapy?

Explanation:

Which of the following HIM tasks is eliminated by the electronic health record system

Answers

Answer:

Reviewing the health record for missing signatures, missing medical reports, and ensuring that all documents belong in the health record is an example of this

Explanation:

DECISION MAKING. Use the decision-making process to analyze the consequences
of tobacco use. Write a one paragraph analysis of the effects of tobacco use on
health. Then write out each step of the decision-making process and explain how
each step guided your analysis.

Answers

Answer:

Explanation :It contains carcinogen  that can cause cancer. It can cause inflammation of lungs and cause many respiratory problems

What are the benefits you can get by following the nutritional guidelines for adolescents

Answers

Answer:

Nutritional guidance for adolescents is important for supporting the development of healthy lifestyles, preventing weight-related problems, reducing disease risk, and ensuring that all needs are met for growth and development.

Explanation:

yw:)

20 POINTS
Prospective memory limits the cognitive resources available for other tasks because it

A- reduces the number of items we can maintain in short-term storage.
B - disrupts the encoding process in short-term storage.
C- interrupts information processing in sensory storage.
D- interferes with information processing from sensory storage.

Answers

Answer:

A- reduces the number of items we can maintain in short-term storage.

Explanation:

Examples of prospective memory include: remembering to take medicine at night before going to bed, remembering to deliver a message to a friend, and remembering to pick up flowers for a significant other on an anniversary.

Brainly, rating, thanks are all appreciate.

: ) Miss Hawaii

Why is protein-energy malnutrition more common in children than adults?

Answers

I think this is because kids think that they need the protein-energy more than adults but when the kids get older they realize that they didn’t actually need it

Answer:

Protein–energy malnutrition affects children the most because they have less protein intake. The few rare cases found in the developed world are almost entirely found in small children as a result of fad diets, or ignorance of the nutritional needs of children, particularly in cases of milk allergy.

Explanation:


How does differential diagnosis help a doctor determine appropriate treatments
for their patient?

Answers

Answer:

Most differential diagnoses include a physical exam and a health history. During a health history, you'll be asked about your symptoms, lifestyle, and previous health problems. You'll also be asked about your family's health problems. Your provider may also order lab tests for different diseases. Lab tests are often done on blood or urine.

If a mental health disorder is suspected, you may get a mental health screening. In a mental health screening, you will be asked questions about your feelings and mood.

The exact tests and procedures will depend on your symptoms.

For example, you may see your health care provider because you have a skin rash. Rashes can be caused by a wide variety of conditions. Causes can range from mild allergies to life-threatening infections. To make a differential diagnosis of a rash, your provider may:

Do a thorough exam of your skin

Ask you if you been exposed to any new foods, plants, or other substances that could cause an allergy

Ask about recent infections or other diseases

Consult medical text books to compare your how your rash looks to rashes in other conditions

Perform blood and/or skin tests

These steps can help your provider narrow down the choices of what is causing your rash.

Explanation:

brainliest plz

How are indigestible fibers most often sub-classified?

Answers

Indigestible means that it survives digestion in the small intestine and reaches the large intestine. Dietary fiber is always intact in plants, whereas functional fiber can be isolated, extracted or synthesized. Functional fiber is only carbohydrates, while dietary fiber also includes lignins.

Indigestible means that it survives digestion in the small intestine and reaches the large intestine. Dietary fiber is always intact in plants, whereas functional fiber can be isolated, extracted or synthesized. Functional fiber is only carbohydrates, while dietary fiber also includes lignins.

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:

According to a study by Lisak and Miller, repeat offenders commit an average of six or more acts of sexual assault. Knowing this statistic, do you think colleges should place harsher penalties on first time offenders?

Answers

Yes, I believe we should take extreme actions against first offenders. We should make to where it will stop them from doing it again because of the penalties. If we take the right actions it should lower sexual assaults from happening again.

Which is an example of good technique?
Use smooth motions
Lift with your back.
Keep going even if something hurts.

Answers

Answer:

Use slow motions.

Explanation:

Process of elimination. If something hurts you stop, and you never lift with your back.

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

Why is it important to seek help for mental and emotional problems

Answers

Answer:

you could be dangerous to yourself or others

Explanation:

What's the first thing you should do if you find yourself involved in a conflict?

Answers

Answer:

The first thing to do is to calm down.

Explanation:

In a conflict it's important to remain calm, take responsibility, and breathe, then from there you can calmly negotiate with ease

Answer:

I agree with the other person, the first thing you should do is just calm down. Take a deep breath, and pray to God to help you keep your cool, and not get too upset. Next, I'd say try to think where the other person is coming from. We all have different perspectives of things. Take a minute to listen what the person (or people) have to say. Third, Once they are done talking, try to explain your side of the situation, just remember to stay calm, and not see angry or upset (don't have a mad tone to your voice.) Try to be nice, and compromise with the other person (or people.) The end! Hope it helps! God bless!

Explanation:

a control center at the back of the right atrium which controls the heartbeat

Answers

Answer: the SA node

Explanation: The impulse starts in a small bundle of specialized cells located in the right atrium, called the SA node. The electrical activity spreads through the walls of the atria and causes them to contract. ... The SA node sets the rate and rhythm of your heartbeat.

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...

Environmental actions to promote health include all of the following except:

Answers

Environmental actions to promote health include all of the following except: skill building.

Health can be defined as a state of well-being of the human body, in which all of the six (6) components with respect to good health are properly balanced.

Some of the environmental actions that promotes health include the following:

Financial support: both public and private institution should provide money to maintain and sustain a clean environment. Social support: health clubs and programs that facilitate health awareness should be established or organized at regular intervals. Policy changes: the government should create policies that fosters the growth and development of good health among the people living in a society. Resource development: all the necessary tools, materials and equipment required for the maintenance and sustenance of good health should be provided.

On the contrary, skill building isn't an environmental action that is required to promote health.

Hence, it is an intellectual action because it relates to developing techniques among team members.

Read more: https://brainly.com/question/11068732

Which is not a change in family circumstance?
A. Illness
B. Remarriage
C. Job loss
D. Moving to a new city

Answers

Answer:

Illness

Explanation:

My mom helped me. Ps. she's a teacher

illness isn’t a family circumstance. it’s a personal

:Extensive food processing tends to

Answers

Answer:

ultra-processed food tends to two things invariably: obesity and ill health.

Explanation: So yeah and I hope I helped you out yo.

Choose exactly 3 answers that are correct.


Family members deny that there is a problem.


Family members make the alcoholic comfortable with the behavior.


Family members blame themselves.


Family members take care of their own needs.

Answers

I think the answer is C
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que sectores sociales apoyaron a los liberales y conservadores en el estado de sonora The air smelled of coffee.The air was warm.The air smelled strongly.Combine the sentences into one sentence calculate the time taken for a train to travel 1000m if its initial is 3 m/s and it is moving at a constant acceleration of 0.1m/s^2 where is there foreshadowing in "The Monkeys Paw" by W. W. Jacobs Read the text The Milky Way:The band that looks like milk in the night sky isn't actually milk, of courseit's a galaxy. A galaxy is a huge cluster of stars, dust, gas, and other objects bound together in space. Our Solar System, which includes the sun, Earth, and other planets, is part of the Milky Way galaxy. The Milky Way is about 14 billion years old. Almost 10 billion years older than our Solar System!It took many years to discover the Milky Way. In the early 1500s, Nicolaus Copernicus was the first to show that Earth was an object orbiting the Sun. In the early 1600s, Galileo Galilei used a basic telescope to show that the Milky Way was made up of countless stars. Then, in the late 1700s, William Herschel tried to map out the shape of the Milky Way. He did not realize that large portions of the galaxy were hidden by gas and dust, so he could not identify the true shape. Edwin Hubble had access to many powerful telescopes and tools to observe more objects in space. His work provided evidence that the Milky Way was only one of many galaxies in the universe. He also identified the spiral shape of our galaxy.Why was Herschel unable to correctly map out the shape of the Milky Way? Paano nakabubuo at nakawawasak ang wika? Why History is function? XII. Complete the second sentence so that it means the same as the first.1. My family has four people. There ______________________________________________________________2. Her hair is brown and curly. She has_____________________________________________________________3. He has a big and red nose. His nose_____________________________________________________4. Are there seven hundred pupils in your school? Does your school _____________________________________________________5. What is your favorite subject? What subject ______________________________________________6. There are 35 students in my class. My class _________________________________________________7. Mai lives near her school. Mais house isnt___________________________________________8. The bus station isnt far from the new shopping center. The bus station is __________________________________________9. Mary plays the piano very well. Mary is good ______________________________________________10. Do you like physics? Are you interested__________________________________________11. The school has a computer room and a library. There ____________________________________________________12. My house has got five rooms. There _____________________________________________________________________13. There isnt a telephone in the living room. We ______________________________________________________________________14. The house is behind the trees. There are trees _____________________________________________________________15. There are only a few biscuits in the packet. There arent _______________________________________________________________16. There are two bathrooms in that house. That house ________________________________________________________________17. I like the kitchen most. My favourite _______________________________________________________________18. Is there a garden in front of the house? Does the house _____________________________________________________________ 7819 rounded to 1 significant figure what language was the epic of gilgamesh written in What were these Hawaiian citizens protesting?A.The forced annexation of the islands as a U.S. territory afterthe overthrow of the Hawaiian monarchy.B.The classification of the islands as a protectorate after theHawaiian government signed a treaty with the UnitedStates.daC.The granting of U.S. statehood to the islands after theywere purchased from the Hawaiian monarchy.D.The colonization of the islands by political refugees from theUnited States. Which expression is equivalent to 6m + (m 2)(m + 7) + 3? 17. Which of the following correctly classifies the countries in the table by their level of development? Given: 5n - 42 = 12n; Prove: n= -6What are the StatementsWhat are the Reasons Rachna borrowed a certain sum at the rate of 15% per annum. if she paid at the end of the two years Rs.1290 as interest Compounded annually, find the sum she borrowed. Rewrite the story "The Farmer, the Boy, and the Donkey" and tell how the farmer could have behaved differently if he had not tried to please everyone. Your rewrite should be at least 200 words long. Cules son ejemplos de haber impersonal en esta conversacin?Hay ms de una respuesta correcta. Elige todas las opciones correctas.A) Hay que encontrar un actor.B) He pensado en eso.C) No hay mucho tiempo.D) Va a haber tiempo. 5054+35-44Simplificationno spam steps must What percentage of the world's population lives within 500 miles of an ocean?30% 50% 15%80% la ropa de joaqun est sucia. qu necesita joaqun?