Communal

A 62 year old man presents with a cough productive of yellowish sputum, and intermittent fever with chills for 3 days. There is no history of dyspnea, wheezing, hemoptysis, or chest pain.

His medical history is significant for hypertension and type II diabetes mellitus for 5 years, both of which are well controlled. There is no family history of asthma, or a personal history of contact with tuberculosis.

He drinks socially, but does not smoke or use recreational drugs.

Select Relevant Investigations
Complete Blood Count

Performed

WBC: 15,000/mm3 (4,600-11,000)
Neutrophils: 88%
Lymphocytes: 10%
Hb: 13.3 g/dL (11.5-18.5)
Hct: 40% (35-45)
Plt: 377,000/mm3 (150,000-450,000)
Chest X-Ray

Performed

The x-ray appears completely normal.
Sputum Cultures

Performed

The preliminary culture results will be available in 48 hours.
Blood Urea Nitrogen

Performed

Blood Urea Nitrogen: 14 mg/dL

Select Relevant Management
Admit to Hospital
Oral Antibiotics
Acetaminophen
Chest Physiotherapy