A 68-year-old man presents with fever, productive cough and pleuritic chest pain. His observations are: temperature 38.9°C, RR 26/min, BP 108/64 mmHg,...

Question

A 68-year-old man presents with fever, productive cough and pleuritic chest pain. His observations are: temperature 38.9°C, RR 26/min, BP 108/64 mmHg, pulse 104 beats/min, confusion and urea 9 mmol/L. His CURB-65 score is 3. What is the most appropriate management?

Accepted Answer

Admit to hospital for intravenous antibiotics and close monitoring

Answer

Manage at home with oral Amoxicillin

Answer

Discharge with oral Macrolide and review in 72 hours

Answer

Admit for observation only without antibiotics

Answer

Give a single dose of intravenous antibiotics and discharge

uk-plab-1 MCQ (SBA): Severe community-acquired pneumonia

A 68-year-old man presents with fever, productive cough and pleuritic chest pain. His observations are: temperature 38.9°C, RR 26/min, BP 108/64 mmHg, pulse 104 beats/min, confusion and urea 9 mmol/L. His CURB-65 score is 3. What is the most appropriate management?