cough with greenish sputum production

Discussion in 'Step 3' started by Dev., Aug 19, 2008.

  1. Dev.

    Dev. Guest

    A 34-year-old woman who is healthy without underlying medical problems presents to clinic with complaints of temperature up to 101 F and cough with greenish sputum production for 2 days without any dyspnea. Her heart rate is 88/min, and her respiratory rate is 18/min. There is no accessory muscle use or conversational dyspnea, nor are there wheezes, bronchial breath sounds, rales, or egophony over the right lower lung fields. Chest x-ray film reveals a right lower lobe consolidation. A CBC shows a leukocyte count of 13,000/mm3. Which of the following is the most appropriate pharmacotherapy?

    a) Amoxicillin
    b)Ampicillin-sulbactam
    c)Ceftriaxone
    d)Erythromycin
    e) Erythromycin plus ceftriaxone
  2. nka

    nka Guest

    greenish sputum productive cough

    erythromycin

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