Pre-Quiz: Community-Acquired Pneumonia EM 201

What was the primary outcome of the Dequin et al. study on hydrocortisone for severe CAP?

What were the main findings regarding the use of hydrocortisone in severe CAP of the Dequin et al. study on hydrocortisone for severe CAP?

Ms. Brown, a 64-year-old hypertensive female, arrived at the emergency department presenting a three-day history of fever, cough, and shortness of breath. The chest X-ray revealed right lower zone consolidation. Her vital signs were as follows: temperature 38.6ºC, HR 115/min, BP 100/50, and SpO2 96% on room air. Ms. Brown was fully oriented to time, place, and person. Her respiratory rate was noted as 33 breaths per minute. Lab results revealed an Hb level of 9.2, a WBC count of 12.0 × 109/L, and a BUN level of 18mg/dL.

In accordance with the CURB-65 criteria, what is Ms. Brown’s score?

A 22-year-old man presents with cough, fever, and shortness of breath for 3 days. He has no past medical history. His vital signs are: temperature 100.5°F, heart rate 92, respiratory rate 22, blood pressure 122/72, and oxygen saturation 98% on room air. Examination reveals left lower lung field crackles that do not clear on coughing. Which of the following is the most appropriate therapy for this patient?

BM is a 28-year-old male presented to emergency department with a chief complaint of chest pain, cough and fever. Patient was not able to finish a complete sentence and appeared to be confused. Past medical history is significant for diabetes mellitus type I that is being treated with insulin glargine 25 units daily and insulin aspart 5 units three times daily with meals. Physical exam included, BP 127/78 mmHg, HR 65 beats per minute, temperature 99.1°F, and RR 33 breaths/minute. Chest x-ray revealed multilobar infiltrates. According to the ATS/IDSA guidelines, what is the suggested duration of therapy for this case of community-acquired pneumonia (CAP) with multilobar infiltrates?