Wyatt is a 40-year-old man who presents with a fever, cough, and shortness of breath. Normally, he has a fairly active lifestyle and exercises daily. He has not traveled outside the United States recently. He states he has “been taking cough medicine at night” for the past 3 days to help him sleep, but it has not been getting better. He reports that he has been waking up at night due to heavy sweating. He states all his symptoms have gotten worse in the last 2 days. Physical Exam: AOx3, RRR, + Left lower lung rales Vitals: BP: 128/80, RR: 22, HR: 90, Temp: 101.7F Labs: WBC: 14.1 K/uL, BUN: 18 mg/dL 1. What is the likely diagnosis? 2. Can this patient be managed outpatient? 3. What should be the initial regimen for treatment? For what duration? 4. Would your recommendation change if there was an allergy to penicillin? What would you change?
[Answered]: Wyatt is a 40-year-old man who presents with a…
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