Pathophysiology

A. Pathogens in community-acquired pneumonia include Streptococcus pneumoniae (33%), Haemophilus influenzae (10%), Legionella species (7%), and Chlamydia pneumoniae (5%) Other organisms include Mycoplasma pneumoniae, other gram-positive organisms, gram-negative organisms, anaerobes, mycobacteria, fungi, and viruses. S pneumoniae is the leading cause of community-acquired pneumonia in both inpatients and outpatients.

B. Factors that increase susceptibility to pneumonia include age over 65 years, the presence of chronic underlying illness, and certain local epidemiologic. More than half of cases occur in patients over age 65

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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