Clinical Case:  Infectious Disease, Differential Diagnosis (Gap-Fill Exercise)

 

Fill in all the gaps, then press "Check" to check your answers.

  • Medical Setting: A 47 year-old male with a history smoking is seen at an internal medicine clinic

  • Chief Complaint/History:

    • cough productive of reddish yellow sputum with right-sided chest pain on inspiration for the past two days

    • Fever

    • Chills

    • Nocturnal sweating which drenches that bed clothes

  • Physical Exam:

    • Well-developed, well-nourished male

    • Temperature: 39

    • BP: 140/90 mm Hg

    • Pulse: 90

    • Lungs-dullness to percussion at the R base with rales and ergophony

    • Cardiovascular:-regular rate and rhythm

    • Abdomen-normal

    • Laboratory:

       

      • Chest x-ray-RLL infiltrate

      • White blood cell-14.2K/ml.



         

The differential diagnosis: (1) , (2) with post-obstructive pneumonia, (3) .