Case 1 - Robin


Robin is a 30-year-old woman who had a total splenectomy 5 years earlier after an auto accident; she presents in the fall for a routine check-up. 




- Physical examination shows:

  • Temperature: 98.6° F
  • Blood pressure: 124/80 mm Hg
  • All other vital signs are normal.

- Records indicate that shortly after her splenectomy, Robin received the conjugate meningococcal, Haemophilus influenzae type b, and 23-valent pneumococcal polysaccharide vaccines.

- She has since received no other vaccinations, citing a general fear of vaccines.

Listen to the community physicians’ discussion on adult vaccinations for Robin.
Eugene Cullen, MD; Christopher Flores, MD; Jessica Irvine, DO 



Listen to Dr. File's final recommendations for adult vaccinations for Robin.    
Thomas M. File, Jr, MD, MSc, MACP, FIDSA, FCCP 




Transcript of all audio for Case 1: Robin PDF icon 5325_Robin Case Transcript.pdf