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 88/5...

Question

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?

Accepted Answer

Admit to intensive care unit for close monitoring and possible organ support

Answer

Treat as outpatient with oral antibiotics

Answer

Admit to general ward

Answer

Send home with follow-up in 48 hours

Answer

Observe in ED for 4 hours then discharge if improved

ca-mccqe1 MCQ (SBA): Severe community-acquired pneumonia

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?