A 55-year-old man has 3 days of fever and productive cough with a few flecks of blood. He has hypertension and hypothyroidism. He is oriented. Temp 38.6, BP 138/85, HR 108, RR 35, WBC 12.5, BUN 5, creatinine 78. CXR shows lower lobe consolidation. What is the appropriate management?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Discharge home on oral antibiotics with clinic follow-up
Score CURB-65: Confusion – no (oriented); Urea/BUN 5 – not raised; RR 35 ≥ 30 → 1 point; BP 138/85 – normal; age 55 – <65. Total CURB-65 = 1, so the patient can be treated as an outpatient with oral antibiotics and follow-up. Ward admission is indicated at ≥2 and ICU consideration at ≥3; CT chest is not needed when the CXR already shows consolidation.
ليش كل خيار صح أو غلط
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A
ليش صح
CURB-65 here is only 1 (RR 35 is the only point; he is oriented, BUN 5, BP normal, age 55), and a score of 0-1 may be treated as an outpatient.
✓ Pneumonia (1).pdf · p. 4 -
B
ليش غلط
Hospitalization is indicated only at CURB-65 of 2 or more. This patient scores 1, so ward admission is not needed.
✓ Pneumonia (1).pdf · p. 4 -
C
ليش غلط
ICU is considered only at CURB-65 of 3 or more; this patient scores 1.
✓ Pneumonia (1).pdf · p. 4 -
D
ليش غلط
Chest CT is for an inconclusive CXR or recurrent pneumonia. His CXR already shows consolidation, so CT is not needed.
✓ Pneumonia (1).pdf · p. 4
- المصدر
- Pneumonia (1).pdf · p. 4
- المحاضرة
- Pneumonia · Pulmonology · Module B
- ظهر في
- MED42 ♂ EOM B