dowjunk wrote:
A 76-year-old man comes to your office in January with complaints
of abrupt onset of cough, with small amounts of green sputum, worse in
the morning, without any blood in it. He also has fever as high as 103
[font lang="JA" face="Symbol" color="#221f1f" size="2"]ｰ[/font]F,
a. Obtain a chest x-ray and schedule him to return tomorrow
b. Treat his symptoms with antipyretics and cough syrup
c. Prescribe an oral antibiotic and also antipyretics and cough syrup and schedule
him to return in 2 days
d. Admit him to the hospital in the intensive care unit for parenteral antibiotic
treatment
e. Administer a tuberculin skin test (PPD), treat his symptoms with antipyretics
and cough syrup, obtain a chest x-ray, and schedule him to return in 2 days for
interpretation of the skin test
very rapid respirations (32/min), and chest pain on his right side, worsened
with coughing. He exhibits some difficulty remembering the details of
his illness. On the basis of these clinical findings, you consider a diagnosis
of pneumonia. Which one choice would you make?
D
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| dowjunk
Forum Elite
Topics: 14
Posts: 299
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Yes Tiff, the 76 yr old man needs to be admitted, your answer matches mine. But reg the hemoptysis thing, its emphysema and not chronic hemoptysis. A patient with chronic bronchitis if complaints of blood in sputum, it does not alarm a physician as much as it does when an emphysematous patient c/o hemoptysis, something that is not its featrure at all.
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Grad of 2007. Work in progress.......
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