A 58-year-old female presents with a history of fever of one week’s duration associated with rhinorrhoea, headache and cough productive of yellowish sputum. She has had type 2 diabetes for 8 years, complicated by painful peripheral neuropathy. Her present medications include gliclazide 40 mg twice daily, metformin 500 mg three times a day and amitriptyline 75 mg at bedtime. Physical examination reveals temperature of 38°C, respiratory rate 18/min, blood pressure 110/70 mmHg, mild posterior pharynx erythema, tenderness over the maxillary sinus and fine inspiratory crackles at the right lung base. Investigations reveal the following: Investigation Result Haemoglobin (Hb) 110 g/l 115-155 g/l White cell count (WCC) 9.0 x 109/ 4.0-11.0 x 109/ Reticulocytes 6% Sodium (Na+) 132 mmol/l 135-145 mmol/l Potassium (K) 4.0 mmol/l 3.5-5.0 mmol/l Chloride (Cl-) 98 mmol/l 98-106 mmol/l Bicarbonate (HCO3) 22 mmol/l 24-30 mmol/LBilirubin 40 μmol/l 2-17 μmol/l Chest X-Ray (CXR) Infiltrates at R. Lower zone
Which of the following drugs should be used to treat this patient? A-Erythromycin b-Levofloxacin c-Co-amoxiclav d-Doxycycline
A 58-year-old female presents with a history of fever of one week’s duration ass
Table of Contents
Assignment Description
Get Solution
Use our smart AI tool for quick support or get expert help tailored to your needs.
Leave a Reply