AccessMedicine's Case of the Week: Pneumonia

From: Vanderbilt Internal Medicine and Pediatric Curriculum

Go to the profile of Julie Grishaw, ACNP
Feb 10, 2020
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Case

A 67-year-old white male with underlying chronic obstructive pulmonary disease (COPD) presents to primary care clinic with cough, fever to 103°F for the past 24 hours, and shortness of breath with exertion and rest. Cough is productive of blood-tinged sputum. Exam reveals respiratory rate of 28 bpm, Sao2 of 93% on room air, and blood pressure 100/58 mm Hg. He has egophony changes in right lower lobe with crackles. There is no dullness to percussion. White blood cell (WBC) count is 22 000. Chest x-ray shows a dense consolidation in the right lower lobe and a questionable infiltrate in the right middle lobe.

Questions:

What are methods of risk stratification in the outpatient setting for adult patients with CAP?

How you do you approach empiric therapy for adult patients in the outpatient setting?


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Go to the profile of Julie Grishaw, ACNP

Julie Grishaw, ACNP

Senior Editor, McGraw-Hill Education

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