PIAC Case Series
Iowa Lutheran Family Medicine Residency Program

PIAC Case Series

Case 04 - Crystal, 45 years of age

Crystal is a 45 y/o obese WF who undergoes laparoscopic cholecystectomy; she is admitted postop with poorly controlled pain. She has COPD and smokes 2 ppd.

On postop day 2 the patient develops a fever to 38.9 and cough; CXR shows new LLL infiltrate

Questions

1)  What were Crystal's predisposing risk factors for HCAP (health care associated pneumonia)?

  • What are the likely causative organisms?
  • What preventative measures are utilized to prevent HCAP?

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