Case 3 A 49-year-old white female presents with a cough (producing yellow-green

Question

Case 3

A 49-year-old white female presents with a cough (producing yellow-green sputum) that has been going on for 3 days. She has labored breathing even under slight exertion.

History:

The patient is hypertensive and is being treated with metoprolol tartrate (a beta-blocker). She had a urinary tract infection a month previously and was treated with ciprofloxacin (200 mg, three times daily for 5 days). The patient has a 35-year history of smoking a pack per day, but has no evidence of obstructive respiratory disease.

Vitals: BP 100/50

HR 108bpm

temp: 39oC

labored breathing during rest (32 breaths/min)

rales (abnormal sounds) from left lung

chest X-ray indicates infiltration of upper and lower lobes of the left lung

Case 3 Question 1: What cells produce mucus in the lungs?

Case 3 Question 2: What does the color of sputum signify for this case?

Case 3 Question 3: Considering all the symptoms of this case, the chest X-ray means what diagnosis is most probable?

Case 3 Question 4: What drugs can be given to treat this condition (the answer to the previous question)?

Explanation / Answer

Gblet cells produce mucous in lungs.Goblet cells have large number of secretory vesicles that transport mucus to the cell surface.It has endoplasmic reticulum and large golgi bodies to synthesize the protein in mucin.. ..This usually starts with dry cough and eventually with clear sputum.Over time person may start coughing up yellow green sputum.This is the sign that the illness may be progressing from viral to bacterial.. Chronic obstructive pulmonary disease or emphysema

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