Obtained

A 60 year old woman presents with dyspnea and a cough productive of yellow-green sputum for 3 days.

During the preceding 2 weeks, she had also experienced a non-productive cough and myalgia. There was no history of hemoptysis or fever.

She was diagnosed with diabetes mellitus 3 years ago, which is well controlled on diet alone. She is a heavy smoker, with a smoking history of 30 pack years.

She currently works as a volunteer in a homeless shelter.

Select Relevant Investigations
Full Blood Count

Performed

WBC: 10,900/mm3
N: 78%
L: 22%
Hb: 13 g/dl
Plt: 213,000/mm3
Chest X-Ray

Performed

There is a heterogeneous opacity of the right lower zone. Air bronchograms are present.
Renal Function Tests

Performed

S. Creatinine: 0.7 mg/dl (0.5 - 1.5)
Blood Urea: 15 mg/dl (0 - 50)
Sputum for AFB

Performed

No acid-fast bacilli are detected.

Select Relevant Management
Oxygen
Nebulize with Salbutamol
Antibiotics
Steam Inhalation