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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