Catherine Smith, a 42-year-old female, presented to her family physician complaining that she just didn’t feel well
Catherine Smith, a 42-year-old female, presented to her family physician complaining that she just didn’t feel well. Her symptoms started a few days earlier with a fever of 102 degrees. She also reported having “aches all over with chills and the shakes,” a productive cough, inability to lie down when sleeping related to frequent coughing. She also complains of a dull ache in her chest. She became concerned when she started coughing up thick yellow secretions. She did try to stay home and rest, but the symptoms just kept getting worse, so she decided to seek medical attention. She denies having any previous history of respiratory distress other than the usual colds, and flu last year. The physician examines Ms. Smith and then treats her based on his diagnosis of community acquired pneumonia with pleuritic chest pain. The physician orders a CXR, CBC and a sputum culture. Levaquin (levofloxacin) 500 mg po today and then 250 mg po daily x 6 days. Robitussin A-C two teaspoons (10mL) every 4 hours not to exceed 12 teaspoons in 24 hours. Ibuprofen 200-400 mg every 6 hours for pleuritic chest pain. Take with food. Drinks lots of fluids. Follow-up appointment in one week
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