Edwin is a 69 year old male who comes in to the clinic today stating that over the past few days, he has had a
Edwin is a 69 year old male who comes in to the clinic today stating that over the past few days, he has had a fever and chills, cough, and has been quite fatigued. He didn’t take his temperature because he did not have a thermometer but he “felt hot”. He says he is coughing up a little phlegm. He states that it hurts when he takes a deep breath. He also states that his appetite has not been very good. He has been taking Tylenol with minimal relief. He has also been drinking teas to try to break up the phlegm. Edwin is a nonsmoker and non drinker. He has been very healthy and has no medical problems. He has never had surgery. On exam, his vital signs are: BP 130/80; P 84; R 14; T 103.2; Pulse ox: 94%. Exam reveals decreased rales and rhonchi, more pronounced in the left lower lung fields, with increased fremitus and dullness to percussion. Chest x-ray reveals a consolidation in the left lower lobe. This appears to confirm that he has pneumonia? 1. Which bacteria is the leading cause of pneumonia and the one that he most likely has?
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