phuluong2k
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46) A healthy 27-year-old man has a cough with sputum production for 2 days. The cough has been keeping him up at night and it is affecting his job performance. He has no history of respiratory disease. His temperature is 37 C (98.6 F), blood pressure is 130/80, pulse is 70/min, and respirations are 18/min. Physical examination is normal. Which of the following is the most appropriate next step in management?
A. Admit to the hospital for medical management
B. Perform a chest x-ray film
C. Perform a sputum culture
D. Send home with antibiotic therapy
E. Send home with no therapy
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| icefires
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B.
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| mani
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E. Send home with no therapy
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| kabu
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B?
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| GoStep2
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E
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| ARJ
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E. Send home with no therapy
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| phuluong2k
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E
This patient most likely has acute bronchitis. Acute bronchitis in a healthy patient with no other medical conditions is often due to a viral infection that is usually self-limited. Given that this patient has only had 2 days of symptoms, an antibiotic is not necessary and is inappropriate. If the symptoms persist for longer than 1 week, a macrolide antibiotic may be given. A chest x-ray film and a sputum culture are not indicated.
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