Question 502 · LEK · Pneumonia
A 25-year-old female presented to her General Practitioner due to a fever up to 39 degrees Celsius and persistent cough. On physical examination the patient was alert and oriented, with a tachypnea (24 breaths per minute) and auscultation findings consistent with inflammation over her left lung. Blood pressure was 105/63 mmHg. The patient has no concomitant diseases. Indicate the correct management:
- A. refer the patient to the hospital.
- B. determine blood creatinine level.
- C. start amoxicillin, follow-up in 2 days.
- D. start clarithromycin, follow-up in 1 week.
- E. perform a chest CT scan.
Hint
Calculate CRB-65 (confusion, respiratory rate, blood pressure, age) for this young woman, then pick the guideline outpatient antibiotic and review interval.
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