Male complaints of cough, chills, fever, shortness of breath


Problem: You evaluate a 21 year old male for complaints of 7 days of cough, chills, fever (101.5 this morning) and shortness of breath. He denies smoking, medication use or history of chronic medical conditions. He is allergic to Sulfa and Penicillin. He denies any recent travel or known exposure to illnesses. Upon exam you hear expiratory rales in the right lower lobe. His complete blood count reveals an elevated white blood cell count and elevated neutrophils. His rapid influenza test and rapid covid tests are negative. His chest x-ray reveals infiltrate in the right lower lobe. Which of the following is most appropriate? Need Online Tutoring? O Reassure the patient that his symptoms, lab results and normal chest x-ray are all consistent with suspected viral etiology; return in one week if no resolution or sooner if symptoms worsen. Prescribe the patient amoxicillin; have the patient follow up with you in three days or sooner if symptoms worsen. O Refer the patient to pulmonologistspected lung nodule. O Prescribe the patient doxycycline; have the patient follow up with you in three days or sooner if symptoms worsen.

 

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Other Subject: Male complaints of cough, chills, fever, shortness of breath
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