History of alcohol abuse presented to the ER

Reference no: EM133724588

Question

A 45-year-old male with a known history of alcohol abuse presented to the ER with a 1-day history of fevers, shaking chills and productive cough. He stated that he was coughing up blood-tinged sputum that had a rusty appearance. The patient also remarked that he had some left-sided chest pain that was worse when he breathed or coughed and some dyspnea. PMH: 20 pack per year history of smoking and drinking at least one six-pack of beer per day Physical exam: Temperature 40oC Pulse 100 bpm BP 140/80 mmHg RR 24 O2 sat: 90% room air Lung examination: decreased breath sounds and dullness to percussion in the left lower lung base. Some rales and egophony present A sputum sample and blood were collected and a chest X-ray was ordered. Chest X-ray showed dense consolidation and air bronchograms in left lower lobe Laboratory Findings WBC: 18,000 PMNs: 80% Bands: 10% Lymphs: 10% Microbiology results are pending.... What is the differential diagnosis for this patient? Please provide more than 2 potential causitive agents and explain why they are most likely to be causing disease What other laboratory results should be ordered? Please explain why they should be ordered.

Reference no: EM133724588

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