DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIR PRESENTLY WORKING IN MALAYSIA TEACHING MEDICAL STUDENTS THE ART OF TREATING PATIENTS SPEAKS ABOUT THE IMPORTANCE OF HISTORY TAKING.MEDICAL STUDENTS AND DOCTORS should probe more deeply WHILE TAKING HISTORY OF A PATIENT as it gives the useful information in formulating a diagnosis and providing medical care to the patient.
73. Liver Abomasum Diaphragm These are the lungs from a cow with severe bronchopneumonia and fibrinous pleuritis.
74. This is the same lung cut open showing deposits of fibrin between sections of lung with bronchopneumonia.
75. These are lungs from a cow with severe Pasteurella bronchopneumonia.
76. This is severe bacterial bronchopneumonia and pleuritis in a pig caused by Actinobacillus pleuropneumonia .
77. This is a closer look at the same lung. Again, note the black line. The darker red tissue has severe Pasteurella bronchopneumonia. The white spots are abscesses.
78. Here is the same lung cut open to show The severe bronchopneumonia and numerous abscesses (white spots)
79. Bacterial pneumonia in a pig. Areas with inflammation are dark pink. Normal lung is light pink.
80. This is the same lung cut open showing areas of inflammation (dark pink) and Normal tissue (light pink)
81. These are the lungs from a cow with chronic bronchopneumonia. The areas with inflammation are to the right of the black lines. Within the areas of inflammation are numerous abscesses (white spots).
82. This is the same lung cut open to show areas of inflammation and abscess formation (white spots). The normal lung is the white colored region to the far right.
83. This is severe fibrinous pleuritis and pneumonia caused by aspirating foreign material into the lung.
84. This is the same lung cut open to show regions of the lung with severe inflammation and necrosis.
85. These are the lungs of a horse with chronic, fibrous pleuritis. Note how the fibrous material appears organized and is stuck to the surface of the lung.
Continuing with the definition : Acquired by a patient in the following settings: 1. In a hospital or long-term-care facility after being admitted for >48 hours or 2. <7 days after a patient is discharged from the hospital with the caveat that the patient’s initial hospirtalization should be 3 days duration.
Let me start with the disease definition of Acute Nosocomial bacterial pneumonia which is broadly defined as a pneumonia characterized by a new cough with auscultatory findings of pneumonia in conjunction with a new inflitrate or progressive infiltrate or infiltrates on chest radiograph accompanied by: fever or hypothermia, leukocytosis and sputum production which could be purulent , caused by polymicrobial organisms