Respiratory System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This elderly gentleman has presented with signs and symptoms suggestive of a left-sided pneumonia; given the lack of previous contact with the health care system, this is most likely a community acquired pneumonia (CAP).\n\nA complete blood count (CBC) and posteroanterior chest x-ray are good initial confirmatory tests; in the former, the presence of a neutrophil leukocytosis favors a bacterial infection.\n\nNote that an unremarkable chest x-ray does not exclude a pneumonia, as radiographs can be normal in early disease; more importantly, there are no features suggestive of complications such as synpneumonic effusions or multilobar disease.\n\nRisk stratification is key to the further management of this patient; this is most simply achieved via t"}]}

Want to continue playing?

Open your Clinical Odyssey account today.

Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.