An 82-year-old man presents with cough, fever and pleuritic chest pain. Observations: confusion, urea 9 mmol per litre, respiratory rate 32 per minute...

Question

An 82-year-old man presents with cough, fever and pleuritic chest pain. Observations: confusion, urea 9 mmol per litre, respiratory rate 32 per minute, blood pressure 88/54 mmHg, age 82 years. What is the most appropriate disposition?

Accepted Answer

Admit to intensive care or high dependency unit

Answer

Manage at home with oral antibiotics and safety-netting

Answer

Admit to hospital under general medicine only

Answer

Admit for outpatient parenteral antibiotic therapy

Answer

Discharge with delayed antibiotic prescription

uk-plab-1 MCQ (SBA): Community-acquired pneumonia

An 82-year-old man presents with cough, fever and pleuritic chest pain. Observations: confusion, urea 9 mmol per litre, respiratory rate 32 per minute, blood pressure 88/54 mmHg, age 82 years. What is the most appropriate disposition?