What other disease might the doctor start checking for and why?

Directions: Read the following case studies and provide a minimum of a one page paper for each that addresses the issues.


  1. Can’t Stop Coughing


Evelyn is a 65 y.o. female who has been feeling under the weather ever since she contracted a cold approximately one month ago.  She no longer has a runny nose, but she continues to cough, but only small amounts of mucus are coughed up.  She also has a sore throat and hoarseness and a headache.  One morning she wakes up feeling as if she just cannot get her breath and decides to go to the emergency room.  After listening to her heart and lungs, the physician orders an x-ray and takes a sample of her sputum.


X-Ray Findings:  Scattered small patches of density show in the lungs.


Sputum:  Is positive for influenza A.


The doctor diagnoses Evelyn with Viral Pneumonia and sends her home with a treatment plan including an antibiotic.  He tells her to return in a month for a re-check.


  1. a) What signs/symptoms indicate Evelyn may have pneumonia?
  2. b) What about her history and the tests done indicate this is viral pneumonia and not bacterial pneumonia.
  3. c) What are two things Evelyn could have done to prevent pneumonia?
  4. d) What is the likely treatment regimen that the doctor prescribed for Evelyn and why?  Why didn’t she need to go to the hospital?
  5. e) If this is a viral pneumonia, why did the doctor send Evelyn home with an antibiotic?
  6. f) Evelyn returns to the doctor a month later and she is still having the same symptoms and is now coughing up blood.  What other disease might the doctor start checking for and why?