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Episode 14 Acute Bronchitis

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 Intro: Rock Christmas/ Christmas Music by tramp963

Outro: You Can by Grand Project

Courtesy of Pixabay for non-commericial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 13 Pneumonia

 Question 1:

 A 70-year-old man presents to your clinic with a 3-day history of cough productive of yellow sputum, fever, and shortness of breath. On examination, he appears confused, has a respiratory rate of 24 breaths per minute, blood pressure of 85/50 mm Hg, and diminished breath sounds in the right lower lobe. Chest radiography shows a right lower lobe consolidation. Which of the following is the most appropriate next step in management based on risk stratification? 

• B) Admit to the hospital for intravenous antibiotics 

Question 2:

 A 55-year-old woman with a history of chronic obstructive pulmonary disease (COPD) presents with a 2-day history of fever, productive cough, and dyspnea. Chest radiography confirms right middle lobe consolidation consistent with community-acquired pneumonia. She is hemodynamically stable, and her oxygen saturation is 92% on room air. Which of the following is the most appropriate initial antibiotic regimen? 

• C) Amoxicillin-clavulanate plus azithromycin 

Question 3:

 A 68-year-old man with type 2 diabetes mellitus presents for an annual physical examination. He has no history of pneumonia and is up to date on other vaccinations. He inquires about vaccination to prevent community-acquired pneumonia. Which of the following is the most appropriate recommendation? 

• C) Administer the 20-valent pneumococcal conjugate vaccine (PCV20) alone 

 Paper for next week

Rodrigo Cavallazzi and Julio A. Ramirez, How and when to manage respiratory infections out of hospital, Eur Respir Rev 2022; 31

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