Infectious Disease: Chest- Community-Acquired Pneumonia (CAP)


Manage episode 297896585 series 2851469
על ידי Ryan Flaherty, DO, Samantha DeMarsh, DO, and Elizabeth Grogan, MD, Ryan Flaherty, DO, Samantha DeMarsh, Elizabeth Grogan, and MD התגלה על ידי Player FM והקהילה שלנו - זכויות היוצרים שמורות למפרסם, לא ל-Player FM, והשמע מוזרם ישירות מהשרתים שלכם. הירשמו כדי לעקוב אחר עדכונים ב-Player FM, או הדביקו את כתובת העדכונים באפליקציות פודקאסט אחרות.

Today we’ll be covering Community-Acquired Pneumonia, going along with this month’s theme, Infectious Disease- Chest Infections. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

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Today’s Case:

An 18 month old previously healthy male presents to your primary care clinic for cough. Father reports patient has had fever, cough, nasal congestion, rhinorrhea, and difficulty breathing for the past 24 hours. On physical exam, patient has nasal congestion, active cough, mild suprasternal retractions, and faint diffuse crackles. Pulse oximetry is 98% on room air. You suspect the patient has pneumonia, and you also obtain a rapid influenza test, which is positive. What is the next best step?

  1. Send the patient to the Emergency Department now for likely admission
  2. Obtain PA and Lateral Chest X-ray
  3. Start Amoxicillin
  4. Start Azithromycin
  5. Start Oseltamivir

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