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Related Concept Videos

Pneumonia I: Introduction01:30

Pneumonia I: Introduction

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Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
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Endoscopic Studies II: Thoracocentesis01:26

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Pneumonia V: Nursing management and Prevention01:30

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Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
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Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
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Drug Dosing: Geriatric Patients01:15

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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Sputum Studies II: Culture and Sensitivity01:20

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Description
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
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Related Experiment Video

Updated: Mar 14, 2026

Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
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Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care

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Foreign Body Aspiration in the Elderly.

Cátia Oliveira Matos1, Manuel Mário Sousa1

  • 1Departamento de Medicina Geral e Familiar. Unidade de Saúde Familiar de Espinho. Espinho.

Acta Medica Portuguesa
|September 21, 2016
PubMed
Summary

Foreign body aspiration, though common in children and the elderly, can present subtly. Bronchoscopy is key for diagnosing and treating airway obstructions, as seen in this elderly patient case.

Area of Science:

  • Pulmonology
  • Gastroenterology
  • Emergency Medicine

Background:

  • Foreign body aspiration is a significant clinical concern, particularly in pediatric and geriatric populations.
  • Subtle presentations in the elderly necessitate a high index of clinical suspicion for accurate diagnosis.
  • Chronic obstructive pulmonary disease (COPD) can complicate the presentation and management of aspiration events.

Observation:

  • A 78-year-old male with a history of COPD presented with acute respiratory distress after ingesting tablets.
  • Initial history and physical examination were critical in raising suspicion for an aspirated foreign body.
  • The patient's symptoms indicated a potential airway obstruction requiring immediate investigation.

Findings:

  • Flexible bronchoscopy confirmed the presence of an aspirated foreign body (tablets) in the airway.

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  • Therapeutic intervention using rigid bronchoscopy successfully removed the foreign body.
  • Post-procedure, the patient's respiratory status stabilized.

    • Implications:

    • This case highlights the importance of considering foreign body aspiration in elderly patients with unexplained respiratory distress.
    • Bronchoscopy remains the gold standard for both diagnosis and treatment of airway foreign bodies.
    • Further investigation for underlying swallowing difficulties, such as dysphagia, is warranted in such cases.