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MediumRespiratorySevere community-acquired pneumoniaca-mccqe1ca-rcpsc-em

A 67-year-old man with a 40-pack-year smoking history and COPD presents with fever, productive cough and pleuritic chest pain. He is confused, BP 88/54 mm Hg, RR 32, SpO₂ 88% on room air. CURB-65 score is 4. What is the most appropriate disposition?

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