Pneumonia (pediatrics) Quiz: Ace Your Exams
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A 4-year-old boy is brought to the emergency department by his parent for evaluation of respiratory distress. The patient was diagnosed with influenza A five days ago at the pediatrician’s office after experiencing a cough, congestion, and fever. The patient was initially improving, but over the past two days, the cough has worsened, and the fever has returned. He started coughing up green-colored sputum this morning. The patient is otherwise healthy and does not take any daily medication. Vaccinations are up-to-date. Temperature is 39°C (102°F), blood pressure is 92/60 mmHg, pulse is 144/min, respiratory rate is 40/min, and oxygen saturation is 87% on room air. On physical examination, the patient is tachypneic but can respond to questions appropriately. There are subcostal and intercostal retractions. Cardiac exam is within normal limits. There are crackles at the right lung base and decreased breath sounds. Chest X-ray is significant for a right lower lobe nodular infiltrate. Which of the following is the best next step in management?
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