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Why admit except for ox support?  Send home with close f/u.

-----Original Message-----
>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?
>
>Bronchodilators?
>
>don
>
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Fergus Thornton
read my blog @ http://docdownunder.wordpress.com

For more information, send mail to [log in to unmask] with the message: info PED-EM-L
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                 http://listserv.brown.edu/ped-em-l.html