Question

A 68-year-old man presents with fever, productive cough with green sputum, pleuritic chest pain and confusion. Observations: temperature 38.9°C, blood pressure 92/58 mmHg, respiratory rate 32/min, oxygen saturations 90% on air, and urea 11 mmol/L. What is his CURB-65 score and most appropriate site of care?

Accepted Answer

Score 4 – admit to hospital, consider ICU

Answer

Score 1 – manage at home with oral antibiotics

Answer

Score 2 – manage at home with safety-netting

Answer

Score 3 – admit to hospital for intravenous antibiotics

Answer

Score 5 – palliative care only

Practice question