Most likely diagnosis and pathogen causing disorder

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Reference no: EM133920225

Question

Mr. Menendez is a 65-year-old man presenting with 2 to 3 days of coughing up thick yellow sputum, shortness of breath, and fever (he did not check the actual temperature) and chills. He states his chest hurts when he breathes. He denies headache, rhinorrhea, sinus pain, and nausea. He reports no exposure to sick individuals.

Medications: lisinopril 10mg PO once daily. Allergies: NKDA

PMHx: Hypertension Social Hx: smokes 1 ppd (X 30 years); denies alcohol use; works as a landscaper.

Physical Exam: V/S temp. 101oF, pulse 98 bpm, respirations 22 breaths/min, BP 140/86 mmHg, pulse oximeter 93%

General: ill and tired appearance, coughing during visit with thick yellow sputum.

HEENT: unremarkable

Neck: small, palpable anterior and posterior cervical nodes.

CV: unremarkable

Lungs: right basilar crackles with dullness to percussion in right lower lobe.

Abdomen: unremarkable

1. What is the most likely diagnosis and pathogen causing this disorder? Discuss the mode of transmission. Discuss the data that support your decision.

2. What diagnostic test, if any, should be done?

Reference no: EM133920225

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