AccessMedicine's Case of the Week: Pneumonia

From: Vanderbilt Internal Medicine and Pediatric Curriculum
AccessMedicine's Case of the Week: Pneumonia


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.


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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