2. A 48-year-old known hypertensive man is brought to the hospital with 3day history of fever...

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2. A 48-year-old known hypertensive man is brought to thehospital with 3day history of fever and a productive cough. Thereis positive history of headache and is increasingly confused. Drughistory include hydrochlorothiazide and lisinopril forhypertension. Patient is allergic to amoxicillin. On examination,the temperature was 38.7Â°C [101.7Â°F]), blood pressure 90/54 mmHg,respiratory rate 36/min, and pulse 110/min. there was no signs ofmeningeal irritation but oriented only to person. A chest x-rayshows a left lower lung consolidation. A CT scan is notcontributory
a. what is your working diagnosis and 2 differential diagnoses?b. whatâ€™s drug (s) of choice? Why c. what counselling wil youprovide to the patient? d. write a summary on your diagnosis

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Answer a My working diagnosis is Communityacquired pneumonia Explanation The patient has fever and cough He confusion chest Xray shows the presence of left lower lung consolidation Acute respiratory failure Explanation This patient has pneumonia HIs is confused His respiratory rate is 36 min The increase respiratory rate could be due to pneumonia leading to ventilationperfusion mismatch Due to compensation for metabolic acidosis Pneumonia must have caused sepsis and sepsis must have lead to metabolic acidosis Septic shock Explanation This patient pneumonia But this condition is See Answer

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