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this whole video helped me better understand my professors lecture about gram positive cocci. he tends to not really lecture and just rambles the whole time. thanks so much!
Triage ED Nurse here wanting to refresh on depth I’ve not deemed important enough to remember or go deeper upon to “mind map” the detective clinical picture lately a case that affected bronchiectasis in Lungs, heart murmur stenosis, GI V&D +++, = resulted into 13 month old transition into Sepsis > ICU 5 week admission. In addition; It’s a puzzle to work out (IgG, IgA NORMAL ranges that i am now aware isn’t a “normal” when looking for bacterial infections ie c.pneumonia etc … Further the sputum only detected (post antibodics tho) “numerous polymorphic leukocytes, GRAM positive COCCI & Gram POsitive Rods (reported as normal respiratory flora yet suspicious now its one of the c.pneumonia or M.pneumonia even TB fits yet doesn’t fit. (They had a FB ingestion into larynx/lungs screw of a toys packaging at 6 months old). This “excessive secretions” (watched videos was like they were drowning on own secretions yet not a single person listened to this mum diagnosing impression “mild laryngomalacia”. Fastforward impression once in icu & had pcr detect parainfluenza (3) & rhinovirus & norovirus “diagnosis of aspiration? Pneumonia?” The child I don’t believe was aspirating it didn’t fit the CT findings as “lower lungs affected & right upper lobe (collapses) throughout signet rings lung damage obvious. .. The child was 6 months at FB surgery > 5.5-6 months later (during the entire 6 months this mum had taken this child to ENT fortnightly, speechie, paediatric Doctor all advised “childs fine just has reflux prescribed PPI BD”. … The ENT the mum went to the most & they labeled the mum “acopic & parentL anxiety” learning the hard way big time because the child almost was a coroners case. That ENT ended up taking child to surgery post the LBO (when in ICU) for tonsillectomy however in purpose or in error preformed a supraglottoplasty> (didn’t disclose it!) then SHRUNK the tonsils instead of taking them out & then they COUGHED UP & out.. the child never recovered from coming out of surgery developed supraglottic stenosis/ collapse. (The ENT deleted & covered up everything NO DOCUMENTATION written in the surgery or the CTAP where he became the principal procedualist (illegal)…. That case is bugging me because clinically i am missing something that links it all & I want to know more depth to beable to interpret diagnostic data better that i didn’t before having this special imprinting patient. (?bacterial protracted bronchitis fits! But doesn’t fit the slow process to go into ICU (6months) However the 2-3 weeks before he ended up there the escalation was extreme. Child is now almost 3 & unfortunately living in/out hospital since this experience of clinican’s who should of done better & detected it (cxrays didn’t either only CT). & LBO .. Blood cultures normal, monocytes in bloods elevated, high platelets, high co2 (post error surgery), ohh the TBM diagnosis i actually don’t believe now. The entire trachea looked like cobblestones down a pebble wishing well. 1 year post that surgery & diagnosis of “moderate” 43cm length distal? I think from memory stating ?to corona? I remember “innate artery compression told to everyone/ family including as the cause of severe elevated TBM (left bronch had mild diagnosis of bronchomalacia) yet looks like it was very collapsed 50% at least full of mucous plug THICK+ . My research leads me to believe (along with the ENT professor’s whispers in my ear OFF records… Its not TBM & instead caused my corrosive intubation or burn of trachea). {noting definitely isn’t ASPIRATION!..The professor completely is/was guttered over the cover up here> i remember clearly that’s bs). Therefore as i go on my learning journey to link what happened to ensure the next child or adult has a better outcome = I found your channel. Just wanted to let you know by my novel how valuable refresher & further DEPTH expansion iv been able to go onto research further since finding your page. Your resources are phenomenal. Thankyou
Few pus cells occasional gram positive cocci in pairs. Ampicilin -s, ceftriaxone-s, cephotxaime-s, chloramphenicol-R,erythromycin-R,clindamycin-s, Levofloxcin-s, moxifloxcin-s, pencilin-s, tetracyclin-R. This report is normal r not
