Why admit except for ox support? Send home with close f/u.
>From: don zweig <[log in to unmask]>
>Sent: Aug 16, 2009 11:02 AM
>To: [log in to unmask]
>Subject: 7 yo with pna
>How would you handle this case. 7 yo girl with 3 week hx cough and
>intermittent fever. Today had a little ha and abd pain. No nvd. up
>to date on immunizations. neg pmh. no one else sick. vitals normal
>with no fever and o2 sat 96 on ra. ON exam looks incredibly well.
>Very cute cherubic and playful smiling and happy. Coughs rarely and
>has deep cough when she does. Exam entirely normal except rare
>rhonchi on rt. Cxr choses dense consolidation rul and rml. So i
>order wbc and bc and wbc is 24k otherwise normal. bc pending.
>Would you admit?
>Give rocephin and zithromax?
>Give rocephin and high dose amox?
>For more information, send mail to [log in to unmask] with the message: info PED-EM-L
>The URL for the PED-EM-L Web Page is:
read my blog @ http://docdownunder.wordpress.com
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: