Question

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Patient Case Question 12. The patient has no medical history of diabetes mellitus, yet her fasting serum glucose concentration is elevated. Propose a reasonable explanation. In this case the patient has a fasting serum glucose level of 138mg/dL.

Patient Case Question 15. Explain the pathophysiologic basis that underlies the patient’s high blood pH. The patient has a elevated pH of 7.50 from ABG.

Patient Case Question 16. The chest x-ray shown in Patient Case Figure 13.1 reveals pneumonia secondary to infection with Mucor species in a patient with poorly controlled diabetes mellitus. Where is pneumonia most prominent: right upper lobe, right lower lobe, left upper lobe, or left lower lobe?  

Patient Case Question 16. The chest x-ray shown in Patient Case Figure 13.1 reveals pneumonia secondary to infection with Mucor species in a patient with poorly controlled diabetes mellitus. Where is pneumonia most prominent: right upper lobe, right lower lobe, left upper lobe, or left lower lobe? PATIENT CASE FIGURE 13.1 Chest x-ray from a patient with pneumonia due to infection with Mucor. See Patient Case Question 16. (Reprinted with per- mission from Crapo JD, Glassroth J, Karlinsky JB, King TE Jr. Baum's Textbook of Pulmonary Diseases, 7th ed. Philadelphia: Lippincott Williams & Wilkins, 2004.)

Answer 1

Here pneumonia is left lower lobe opacity with pleural effusion. This x ray suggests the patient have typical bacterial pneumonia.