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PMH: hypertension
Habits: smoker for 30 years
BP: 110/80, HR: 96, RR: 26, T: 101.6, SpO2:
94% on room air
Physical exam: fatigued appearing, congested
cough
Wheezing and rhonchi right lower chest with
expiration
As you consider all of her presenting
symptoms and history you begin to think that
the most likely choice out of your differential
diagnosis list is:
a. Asthma
b. Chronic Bronchitis
c. Nosocomial Pneumonia
d. Community-Acquired Pneumonia (CAP)
Candida albicans
Staph aureus
Strep pneumonia (pneumococcus)
Pseudomonas aeruginosa
Mycoplasma pneumonia
Chest radiography
Blood cultures
Arterial blood gases
Sputum cultures
a. M. pneumoniae
b. S. Pneumoniae
c. C. pneumoniae
d. A virus
e. Legionella
The CURB-65 scale is a simple test to determine pneumonia
severity, but it is not a substitute for clinical judgment. Clinicians
should assign 1 point for each criteria met by the patient.
•C onfusion
•Blood U rea Nitrogen (BUN) >20 mg/dL
•R R >/= 30
•B P (systolic <90 mmHg or diastolic </= 60 mmHg)
•>/= 65 y.o.