Comprehensive i-Human Case Analysis for Exam Presenting With
an Eye Problem in an Outpatient Clinic With Laboratory
Capabilities
1. Egophony is indicative of what pulmonary process?: Consolidation
2. Which PE findings are consistent with pulmonary consolidation
(pneumo- nia)?: Increased tactile fremitus
Dullness to percussion
3. When assessing WBC count and differential, what does a left
shift refer to?: Increasing immature neutrophils
4. T o F: When evaluating a hospital patient with a fever, a
positive sputum culture is sufficient to make the diagnosis of
pneumonia: FALSE
5. Ms Higgins has the following
vitals Temp 102
HR 110
BP
136/80
RR 20
O2 93% on 4L
Based on vitals alone, how many SIRS criteria does the patient meet?:
2
6. Does this patient meet the criteria for sepsis?: Yes
7. SIRS criteria: Temp less than 96.8, greater
than 100.4 WBC less than 4K or greater than 12K
HR>90
RR>20
8. Name 3 infectious and 3 non infectious causes of fever in a
hospitalized patient: Infectious:
1/
5
, HEENT: nosocomial sinusitis, URI
Pulmonary: HA pneumonia,
emphysema CardiacL endocarditis,
pericarditis
GI: ABD abscess, c.ditt
GU: UTI
MSK: osteomyelitis, septic arthritis
Skin and soft tissue: cellulitis, central line infection, infected decubitus ulcers, surgical site infection
Nervous: CNS infection
Systemic: central line associated bloodstream infection, bacteremia/candidemia
2/
5
an Eye Problem in an Outpatient Clinic With Laboratory
Capabilities
1. Egophony is indicative of what pulmonary process?: Consolidation
2. Which PE findings are consistent with pulmonary consolidation
(pneumo- nia)?: Increased tactile fremitus
Dullness to percussion
3. When assessing WBC count and differential, what does a left
shift refer to?: Increasing immature neutrophils
4. T o F: When evaluating a hospital patient with a fever, a
positive sputum culture is sufficient to make the diagnosis of
pneumonia: FALSE
5. Ms Higgins has the following
vitals Temp 102
HR 110
BP
136/80
RR 20
O2 93% on 4L
Based on vitals alone, how many SIRS criteria does the patient meet?:
2
6. Does this patient meet the criteria for sepsis?: Yes
7. SIRS criteria: Temp less than 96.8, greater
than 100.4 WBC less than 4K or greater than 12K
HR>90
RR>20
8. Name 3 infectious and 3 non infectious causes of fever in a
hospitalized patient: Infectious:
1/
5
, HEENT: nosocomial sinusitis, URI
Pulmonary: HA pneumonia,
emphysema CardiacL endocarditis,
pericarditis
GI: ABD abscess, c.ditt
GU: UTI
MSK: osteomyelitis, septic arthritis
Skin and soft tissue: cellulitis, central line infection, infected decubitus ulcers, surgical site infection
Nervous: CNS infection
Systemic: central line associated bloodstream infection, bacteremia/candidemia
2/
5
