What would you do in this case?

58yo m h/o HTN presents with 3 days of high fevers and productive cough. He’s a reasonable but not outstanding protoplasm, but he looks sick. Temp 102.4, HR 110, BP 115/82, satting 92%. He doesn’t drink or smoke. He has decreased LLL sounds, his CXR has a REAL consolidation. You give abx, you decide to admit, you fluid resuscitate and treat that fever, BUT…. do you give roids???


What do you think after reading this week’s article?


This is an interesting question also being discussed in the FOAMed world.


Dr. Melissa Hazlitt is leading an awesome journal club this week! Comments for discussion welcome.



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