Q:

An 83 year old elderly woman presented in the emergency department with cough, fever and sneezing. Treatment was given but she became confused and again presented with above said symptoms. What is the cause of her condition?

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An 83 year old elderly woman presented in the emergency department with cough, fever and sneezing. Treatment was given but she became confused and again presented with above said symptoms. What is the cause of her condition?


  1. Aspiration due to confusion
  2. Alveolar damage due to drugs
  3. Drug toxicity
  4. Pneumothorax

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The key is A. Aspiration due to confusion. [Aspiration pneumonia is a common disease that frequently occurs in elderly patients. Most patients with aspiration pneumonia have swallowing disability which is worsen in patients with confusion].

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