Elderly woman with history of cerebral infarction who has aphasia and loss of gag reflex who presents with respiratory distress found to have RLL consolidation, most consistent with aspiration pneumonia
Key idea: Aspiration pneumonia caused by anaerobic organisms (because our mouth and GI tract has anaerobes), so patient is often treated with clindamycin which has good anaerobic coverage (other potential options are metronidazole or amoxicillin + clavulanate)
submitted by โdrzed(333)
Remember the tip that you can use clindamycin for anaerobes above the diaphragm, and metronidazole for below.