Main menu:

Google


Fever & HA then Cough

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

History of Present Illness:

  • A 52-year-old female presents to the ED for 1 week of fever up to 102.5 and 3 days of dry cough.  2 days ago she had a severe headache that has now resolved.  At that time she had an LP that was normal.  She did recently travel to Australia for vacation.
  • She denies any significant past medical history.
  • She denies any chest pain but does feel some shortness of breath.

Vital Signs & Physical Exam:

  • Vital signs are normal except for a temperature of 99.5.
  • Physical exam is normal

Initial Differential Diagnosis:

  • Pneumonia
  • PE
  • Meningitis

Initial Diagnostic Testing:

  • CBC and BMP are normal except for WCB = 13 with left shift but no bands and glucose of 150
  • The CXR is shown below

QUESTIONS:

  1. What does the case image show?  
  2. What should you do next?  
  3. Where can one get a quick refresher on this topic?  

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

 

<<<<<<<<<<<<<<<<<<<<< ADVERTISEMENT & SPACER >>>>>>>>>>>>>>>>>>>>>

***************************************************************************

THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA

Tarascan Emergency Department Quick Reference GuideA to Z 3rd ed book cover

Get one of our publications, all designed specifically for Emergency Care Providers:

***************************************************************************

<<<<<<<<<<<<<<<<<<<<<<<<< END SPACER >>>>>>>>>>>>>>>>>>>>>>>>>

ANSWERS:

  1. What does the case image image show?  The image shows bibasilar infiltrates
  2. What should you do next? Ask about exposure to livestock and consider Q fever.   See case conclusion below tutorial page-shot.
  3. Where can one get a quick refresher on this topic?  See yellow highlighted area below from purple book above…

1-Minute Consult on the EM topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

 

CLICK HERE TO SEE OUR BOOKS

CASE CONCLUSION: Admitted and started on Rocephin and doxycycline

:
Google
 
Web www.edinsight.com