Case: CC/HPI: A.C. a 45yowf is seen in your office with fever, shaking, chills, coughing, increasing SOB and increasing fatigue that started 36 hours ago.
You are in the peak of influenza season, and this patient did not receive her influenza vaccination.
PMH: patient has no significant medical history Medications: Multivitamin daily Allergies: NKA SH: occasional EtOH, 2 pack per day cigarette smoker.
Physical Examination: VS: HR 100, RR 25, BP 150/90, T 103.0, WT 62.5kg, HT 5’5”
HEENT: WNL CHEST:
bilateral rales COR: tachycardic, NMRG, RRR
NEURO: somewhat lethargic
EXT: normal
CXR: normal
Labs: BMP within normal limits; CBC normal other than WBC 9.1
Case Questions:
- What is your presumptive diagnosis of this patient?
- What therapeutic options exist for this patient?
- What medications and what doses would you prescribe for this patient?
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