MKSAP: 35-year-old man with nonproductive cough and fever

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 35-year-old man is evaluated for a 2-week history of nonproductive cough and fever. He has a 20-year history of asthma. Three weeks ago, he visited friends in Indiana. He has no dyspnea, hemoptysis, or worsening of his baseline asthma symptoms. His only medication is an albuterol inhaler as needed. On physical examination, temperature is 38.0 °C (100.4 °F), blood pressure is 130/70 mm Hg, pulse rate is 88/min, and respiration rate is 16/min. Crackles are heard in both lungs. Laboratory studies show a normal leukocyte count and serum creatinine level. Chest radiograph reveals patchy pulmonary infiltrates with mild hilar lymphadenopathy. Which of the following is the most appropriate management? A: Lipid amphotericin B B: Fluconazole C: Itraconazole D: No treatment Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Family Physicians Tags: Conditions Infectious disease Source Type: blogs