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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Bryan Coburn, Andrew M. Morris, George Tomlinson, Allan S. Detsky

Sections:  Clinical Scenarios, Why Is This Question Important?, Methods, Results, Limitations, Scenario Resolution, Clinical Bottom Line, References

Topics Discussed: bacteremia

Excerpt: "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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