Bronchopneumonia

A 55-year-old male with a history of type 2 diabetes mellitus presents with fever, chills, and a productive cough with purulent sputum for 4 days. His temperature is 38.3C, respiratory rate is 22 breaths per minute, and oxygen saturation is 94% on room air. Auscultation reveals decreased breath sounds and dullness to percussion over the right lower lobe. A chest X-ray confirms consolidation in the right lower lobe.

What is the initial empirical antibiotic treatment for community-acquired bronchopneumonia in this patient?

An 82-year-old male in a nursing home presents with worsening confusion, fever, and a productive cough with green sputum for the past 3 days. His medical history includes chronic heart failure and a previous cerebrovascular accident. On examination, his temperature is 38.7C, heart rate is 110 bpm, respiratory rate is 24 breaths per minute, and oxygen saturation is 90% on room air. Chest auscultation reveals coarse crackles and decreased breath sounds at the right base. Blood gases show pH 7.32, PaCO2 55 mmHg, and PaO2 60 mmHg on room air.

Which of the following is the most appropriate initial management for this patient?

A 65-year-old woman with pneumonia develops pleuritic chest pain and shortness of breath. The clinician suspects a complication of pneumonia.

Which of the following is a recognized complication of pneumonia?

A 60-year-old woman with a productive cough and fever is suspected of having pneumonia. The clinician orders a sputum culture.

Which of the following best describes the role of sputum culture in diagnosing pneumonia?

A 70-year-old female presents to the emergency department with a 5-day history of productive cough, high fever, and shortness of breath. She has a history of COPD and is currently on inhalers. On examination, she is febrile at 38.5C, with a respiratory rate of 25 breaths per minute, and oxygen saturation of 92% on room air. Chest auscultation reveals coarse crackles and bronchial breath sounds bilaterally. A chest X-ray shows patchy alveolar infiltrates in multiple lobes.

What is the most likely causative organism of bronchopneumonia in this patient?