A 70-year-old man presents with cough, fever and pleuritic chest pain for 3 days. Observations: RR 24/min, BP 128/76 mmHg, confusion absent, urea 5 mm...

Question

A 70-year-old man presents with cough, fever and pleuritic chest pain for 3 days. Observations: RR 24/min, BP 128/76 mmHg, confusion absent, urea 5 mmol/L. CURB-65 score is 1. What is the most appropriate management plan?

Accepted Answer

Treat as an outpatient with oral Amoxicillin for 5 days and safety-netting

Answer

Admit for IV broad-spectrum antibiotics

Answer

No antibiotics are required for CURB-65 score 1

Answer

Start dual IV antibiotics in high dependency unit

Answer

Discharge without follow-up

uk-plab-1 MCQ (SBA): Community-acquired pneumonia – severity and site of care

A 70-year-old man presents with cough, fever and pleuritic chest pain for 3 days. Observations: RR 24/min, BP 128/76 mmHg, confusion absent, urea 5 mmol/L. CURB-65 score is 1. What is the most appropriate management plan?