pneumonia

An 85-year-old man from a nursing home presents with new confusion, mild cough, and temperature 37.9°C. Chest X-ray shows a right lower lobe infiltrate. He has dysphagia. Considering his presentation and risk factors, which initial antibiotic regimen is most appropriate?

A patient with community-acquired pneumonia has a CURB-65 score of 3. What is the most appropriate management setting?

An 80-year-old woman is brought to the emergency department from a nursing home due to increased lethargy and confusion over the past 24 hours. Her history includes dementia, hypertension, and type 2 diabetes. Nursing staff report poor oral intake for 48 hours and a recent cough. On examination, she is drowsy but rousable. Her vital signs are: BP 85/50 mmHg, HR 110 bpm, RR 22 breaths/min, Temp 37.8°C, SpO2 94% on air. Capillary refill time is 4 seconds. Chest auscultation reveals decreased breath sounds at the bases. Abdomen is soft. Urine dipstick shows leukocytes and nitrites. She is on lisinopril and metformin. What is the most appropriate initial management step?

A patient with community-acquired pneumonia has a CURB-65 score of 3. What is the most appropriate management setting?

A 78M presents with cough, fever, confusion. BP 90/60, RR 30, Temp 38.5, SpO2 90% on air. CXR shows LUL consolidation. What is the most appropriate initial management?

An 80-year-old presents with cough, fever, and new confusion. CXR shows right lower lobe consolidation. What is the most appropriate initial antibiotic regimen?

What is the recommended initial antibiotic regimen for severe community-acquired pneumonia in an Australian adult requiring ICU admission?

An 82-year-old woman with dementia and COPD presents with increased confusion and mild cough. Temperature 37.8°C, HR 95, RR 24, BP 110/70, SpO2 90% on air. Chest sounds are diminished bilaterally. What is the most appropriate initial investigation?

An 82-year-old man is brought from an aged care facility with a 2-day history of increased confusion and a new cough. He has a history of dementia and hypertension. On examination, his temperature is 38.1°C, pulse 98 bpm, BP 130/80 mmHg, and oxygen saturation 92% on room air. Chest auscultation reveals crackles in the right lower lung field. What is the most appropriate initial investigation?

An 80-year-old presents with cough, fever, and new confusion. Vital signs: T 38.5°C, HR 110, BP 100/60, RR 28, SpO2 90% on air. Chest X-ray shows consolidation. What is the most appropriate initial management step?

A 72-year-old man with a history of heart failure and hypertension is admitted to the hospital with pneumonia. His medications include furosemide, ramipril, and digoxin. On day 3 of admission, he develops new-onset polymorphic ventricular tachycardia (Torsades de Pointes). An ECG shows a QTc interval of 580 ms. Which of the following is the MOST likely contributing factor to his arrhythmia?

A 10-year-old girl with a 3-day history of shortness of breath, fever, and headache has been diagnosed with pneumonia. What signs might be seen in severe pneumonia?

An 82-year-old man with a history of stroke presents with new onset confusion, a mild cough, and a temperature of 37.8°C. A chest X-ray reveals a right lower lobe infiltrate. Which of the following is the most appropriate initial management step?

A patient presents with severe community-acquired pneumonia. Which initial investigation is most crucial for guiding immediate management?

A 75-year-old man with type 2 diabetes and chronic kidney disease presents with a 3-day history of productive cough, fever, and pleuritic chest pain. On examination, temperature is 38.2°C, HR 105, BP 130/80, RR 22, SpO2 93% on air. Crackles are heard over the right lower lung field. Which initial investigation is most crucial for guiding management?

For severe community-acquired pneumonia requiring ICU admission, which adjunctive therapy is recommended?

An 80-year-old presents with CAP. CURB-65 score is 3. What is the most appropriate initial management?

Adult with suspected aspiration pneumonia. Initial antibiotic?

An 82-year-old man with a history of COPD and mild dementia is brought to the emergency department by his family due to increased confusion over 24 hours. He has had a low-grade fever (37.8°C) and a mild cough for 3 days. On examination, he is drowsy but rousable. His oxygen saturation is 90% on room air. Chest auscultation reveals decreased breath sounds at the bases. A chest X-ray shows bilateral lower lobe infiltrates. His CURB-65 score is 3. Considering the patient's presentation and CURB-65 score, what is the most appropriate initial management plan?

An 80-year-old with COPD presents with fever, cough, and increased sputum. CXR shows consolidation. BP 85/50, HR 110, RR 28, SpO2 88% on air. Confused. What is the most appropriate initial management step?