antonette28: hello there
antonette28: Well it sounds like this person in noncompliant with meds
antonette28: how old are they
Customer (name blocked for privacy): yes, but why the high WBC count? age I don't know
antonette28: any fever?
Customer (name blocked for privacy): that is all the information giving in th question, so I don't think so
antonette28: the high WBC could be anything....maybe not even related....What it sounds like is cystic fibrosis but that wouldn't necessarly have a high WBC
antonette28: the scratching sound and the fluid around the lung...that could also be congestive heart failure
antonette28: if it was an elderly person I would say CHF if a pediatric patient I would say cystic fibrosis
antonette28: baterial pneumonia is something that is found a lot in children
antonette28: the sob....it sounds like CHF
Customer (name blocked for privacy): from not finishing the antibiotics, would the WBC count be high from fighting off the bacteria?
antonette28: the WBC could be high if this patient's body is trying to fight the pneumonia without antibiotice
antonette28: s
antonette28: When you are giving antibiotics it fights the infection
antonette28: if you dont take them....well your body has to fight
Customer (name blocked for privacy): well I don't believe it would be a child, from the parent making sure that they took the meds
antonette28: this may be true but maybe the child wouldn't take it or spit it out
antonette28: I have seen so much as far as that goes
antonette28: parents say they couldn't get them to take it
antonette28: yes if it were my kid they WOULD take it
antonette28: It sounds like one of those 2 things
antonette28: either CF or CHF
Customer (name blocked for privacy): what is chf?
antonette28: The yellowish fluid could be normal with a thoracentisis
antonette28: chf is congestive heart failure
antonette28: to much fluid around the lungs and heart
antonette28: they get short of breathe
antonette28: breath
antonette28: and they would have abnormal lung sounds
Customer (name blocked for privacy): wouldn't that show up on a x-ray
antonette28: yes it should show up but it is sometimes mistaken for pneumonia
antonette28: actually
antonette28: you know what else
antonette28: pleural effusion
antonette28: I think that it is
antonette28: is it
antonette28: that sounds more like it...pleural effusion is what that is
Customer (name blocked for privacy): what does that include?
antonette28: that includes the abnormal thoracentisis, the scratching, and the shortness of breath
antonette28: all of those things would lead to plural effusion
Customer (name blocked for privacy): would that include the WBC count?
antonette28: and plural effusion is usually caused by an untreated infection
antonette28: such as the pneumonia
antonette28: yes
antonette28: it would because plural effusion would have been caused by them not taking the antibiotics
antonette28: plural effusion is caused by some sort of infection which in this case is the pneumonia
antonette28: so the WBC would be elevated
antonette28: the fluid builds up in the space between the layers of the lungs
Customer (name blocked for privacy): okay well thank you for your time
antonette28: Well it sounds like this person in noncompliant with meds
antonette28: how old are they
Customer (name blocked for privacy): yes, but why the high WBC count? age I don't know
antonette28: any fever?
Customer (name blocked for privacy): that is all the information giving in th question, so I don't think so
antonette28: the high WBC could be anything....maybe not even related....What it sounds like is cystic fibrosis but that wouldn't necessarly have a high WBC
antonette28: the scratching sound and the fluid around the lung...that could also be congestive heart failure
antonette28: if it was an elderly person I would say CHF if a pediatric patient I would say cystic fibrosis
antonette28: baterial pneumonia is something that is found a lot in children
antonette28: the sob....it sounds like CHF
Customer (name blocked for privacy): from not finishing the antibiotics, would the WBC count be high from fighting off the bacteria?
antonette28: the WBC could be high if this patient's body is trying to fight the pneumonia without antibiotice
antonette28: s
antonette28: When you are giving antibiotics it fights the infection
antonette28: if you dont take them....well your body has to fight
Customer (name blocked for privacy): well I don't believe it would be a child, from the parent making sure that they took the meds
antonette28: this may be true but maybe the child wouldn't take it or spit it out
antonette28: I have seen so much as far as that goes
antonette28: parents say they couldn't get them to take it
antonette28: yes if it were my kid they WOULD take it
antonette28: It sounds like one of those 2 things
antonette28: either CF or CHF
Customer (name blocked for privacy): what is chf?
antonette28: The yellowish fluid could be normal with a thoracentisis
antonette28: chf is congestive heart failure
antonette28: to much fluid around the lungs and heart
antonette28: they get short of breathe
antonette28: breath
antonette28: and they would have abnormal lung sounds
Customer (name blocked for privacy): wouldn't that show up on a x-ray
antonette28: yes it should show up but it is sometimes mistaken for pneumonia
antonette28: actually
antonette28: you know what else
antonette28: pleural effusion
antonette28: I think that it is
antonette28: is it
antonette28: that sounds more like it...pleural effusion is what that is
Customer (name blocked for privacy): what does that include?
antonette28: that includes the abnormal thoracentisis, the scratching, and the shortness of breath
antonette28: all of those things would lead to plural effusion
Customer (name blocked for privacy): would that include the WBC count?
antonette28: and plural effusion is usually caused by an untreated infection
antonette28: such as the pneumonia
antonette28: yes
antonette28: it would because plural effusion would have been caused by them not taking the antibiotics
antonette28: plural effusion is caused by some sort of infection which in this case is the pneumonia
antonette28: so the WBC would be elevated
antonette28: the fluid builds up in the space between the layers of the lungs
Customer (name blocked for privacy): okay well thank you for your time
