SUBJECTIVE: The patient is a very pleasant 78-year-old gent…
SUBJECTIVE: The patient is a very pleasant 78-year-old gentleman who appears to have labored respirations with low levels of activity. No pleuritic discomfort, no hemoptysis, no fevers or chills. He does make very purulent phlegm. He was seen as an inpatient. He had a CT scan of the chest. He has a chronic pulmonary infiltrate at the left base. We certainly cannot rule out an underlying neoplasm there, but he appears too sick to even consider bronchoscopy. At this point in time, we will electively treat him with a course of Levaquin, given the purulent nature of his phlegm, for 10 days. He will be seen once again here in the office in four weeks with a CXR one week before his next visit. If he has any deteriorating symptoms, he should go to the emergency room. He does not look toxic. He has dyspnea with exertion but fairly comfortable at rest. The patient is too sick to directly measure the lung volume and capacity.
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