Pneumonia (pediatrics) Quiz: Ace Your Exams
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A 4-year-old boy presents to an urgent care center for evaluation of progressive cough, one episode of non-bilious non-bloody emesis, and mild diffuse abdominal pain for two days. The patient’s parent reports that his current symptoms were preceded by congestion and a sore throat last week. He has had adequate oral intake and urination. The patient is otherwise healthy and does not take any daily medication. Vaccinations are up-to-date, and the patient sees his pediatrician regularly. Temperature is 39°C (102°F), blood pressure is 100/67mmHg, pulse is 109/min, respiratory rate is 22/min, and oxygen saturation is 99% on room air. Physical examination reveals a well-hydrated boy in no respiratory distress. Cardiopulmonary examination reveals focal crackles over the right lung base. Abdominal examination is benign. Viral polymerase chain reaction (PCR) testing is negative. Chest x-ray shows focal consolidation in the right lower lung. Which of the following is the best next step in management?
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