A 64 year old man presents to the clinical with an upper res…
A 64 year old man presents to the clinical with an upper respiratory tract infection. He has a temp of 101.4 F, HR of 126 BPM, BP 124/88 and RR 24. Upon assessment you note that he has crackles in his lungs and you notice that he is having some difficulty breathing. He has been diagnosed with viral pneumonia- you identify that the most common cause of viral pneumonia is
Read DetailsAn 84 year-old male nursing home resident presents to the ER…
An 84 year-old male nursing home resident presents to the ER with fever and altered mental status. EMS reports he was last seen as “normal” by nursing home staff approximately 5 hours ago. His vitals reveal a heart rate of 120, respiratory rate of 18, BP of 82/50, MAP 54 and temperature of 102.2°F exhibiting altered mental status. Physical exam reveals an ill-appearing man with localized expiratory wheezing heard over the left lower lobe, and chest x-ray confirms a localized area of consolidation with increased interstitial markings in the left lower lobe. Lab results are significant for a white blood cell count of 24,000. Based on this patient’s presentation, he can best be diagnosed with which of the following?
Read Details