A 69-year-old man with a history of chronic obstructive pulmonary disease/chronic bronchitis is admitted with increasing sputum

asked 2017-05-05 01:54:35 -0500

Dr. nitin gravatar image

updated 2017-05-05 02:02:27 -0500

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production, fever, chills, and decreased O2 saturation. His chest x-ray shows a left lower lobe nonhomogeneous opacity. He is treated with IV antibiotics and improves. On the fourth hospital day, prior to discharge, CXR is repeated and the radiologist reports that there is no change as compared to the admission x-ray. Chest x-rays are shown in Fig. 40. What will you do next?

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a. Obtain a CT scan to rule out abscess

b. Defer discharge and resume IV antibiotics

c. Schedule a pulmonary consult for bronchoscopy to improve bronchial drainage

d. Discharge the patient on oral antibiotics

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Comments

D.... Discharge vid oral antibiotics

Rittu gravatar imageRittu ( 2017-11-05 03:20:08 -0500 )edit