Question

A 72-year-old woman presents with fever, productive cough and confusion. Respiratory rate is 32 breaths/min, blood pressure 88/60 mmHg and oxygen saturation 90% on room air. Her urea is 10 mmol/L. CURB-65 score is 4. Chest X-ray shows right lower lobe consolidation. What is the most appropriate disposition for this patient?

Accepted Answer

Intensive care unit admission for close monitoring and intravenous therapy

Answer

Treat at home with oral antibiotics and review in 48 hours

Answer

Short-stay admission to an observation ward and discharge once afebrile

Answer

Admission to a general medical ward with oral antibiotics

Answer

Discharge with no antibiotics as it is likely viral

Practice question