Primary Care Case Answer!

The pt has CAP. The critical decision to make in evaluating a pt with pneumonia is whether to admit or treat as out-pt. Factors to consider when making the decision: (in addition to clinical judgement)...
1-age
2-presence of co-morbidities
3-mental status
4-vital signs 
5-several lab markers
[all part of the pneumonia severity index]

The index is a general guideline. Clinical judgement is more important.
Antibx: Macrolide or Fluoroquinolone.

Case from Step Up to Medicine Agabegi and Agabegi