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 Best of Five 2.76

 

   

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BOF: 2.76

 

A 26-year-old male is transferred to your ward from the short stay unit of the accident and emergency department because of an ongoing pyrexia. He was initially admitted having become unconscious following an alcoholic binge. He had been brought in covered in vomitus but had no haematemesis.

On examination he was conscious and alert. Body temperature 39 ēCelsius, pulse rate 120 beats per minute respiratory rate 32 breaths per minute. His trachea was in the midline, respiratory movements were diminished on the right side of his chest, percussion note was dull in the right mid zone anteriorly and over this area the breath sounds were amphoric in nature. In this area there were fine crepitations, vocal fremitus and vocal resonance were increased and there was whispering pectoriloquy.

In this patient which of the following antibiotic regimes would you use?

 

a)      Cefotaxime and gentamicin

b)      Amoxycillin and clarithromycin

c)      Co-amoxiclav and clarithromycin

d)      Co-trimoxazole

e)      Ceftriaxone and metronidazole

 

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