Module 2: Discussion
Melissa, a 12-year-old girl with cystic fibrosis comes to
the primary care office with complaints of increased cough and productive green
sputum over the last week. She also complains of increasing shortness of
breath. She denies sore throat or nasal congestion. On physical examination her
temperature is 101 and she has inspiratory wheezes bilaterally. Negative
lymphadenopathy noted. Posterior pharynx is pink without exudate. BP 112/72 HR
96 RR 28.
1. In cystic fibrosis, the airway microenvironment favors
bacterial colonization. In a minimum of 150 words explain the
pathophysiological reason for this occurrence.
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