Case Study -Tuesday 06092016Created by:
A young lady, with background of asthma, was attending to casualty department due to 3 days history of productive cough, increasing shortness of breath and wheeze. On arrival to emergency department, pateint is able to complete a sentence. On examination, her respiratory rate was 20, with oxygen saturation of 93% on room air, blood pressure of 145/85, pulse of 75 beats/minute, and apyrexia. Chest examiation showed generalized widespread wheeze, and some crackles in right lung base. Other physical eaminatoion is unremarkable. Chest x ray done showed consolidation right lower lobe. Her white cell count, neutrophil count, and CRP were slighlty elevated. What is your working diagnosis ?? What is the management plan??