The Rational Clinical Examination
David L. Simel, Drummond Rennie
Bryan Coburn, Andrew M. Morris, George Tomlinson, Allan S. Detsky
Clinical Scenarios, Why Is This Question Important?, Methods, Results, Limitations, Scenario Resolution, Clinical Bottom Line, References
"A 62-year-old woman presents to the emergency department with
worsening cough, shortness of breath, and fever. Her temperature
on presentation is 38.4°C (101.1°F).
She is alert, oriented, and in no acute distress. Her blood pressure
is 120/72 mm Hg; heart rate, 86/min; respiratory
rate, 16/min; and oxygen saturation, 94% on room
air. A complete blood count demonstrates mild normocytic anemia
but neither leukocytosis nor leukopenia. She has a left-sided infiltrate
on chest radiograph. Does she need blood cultures?..."
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