1st April 2022

A 56-year-old woman presents with a 2-week history of a cough and breathlessness.

A 56-year-old woman presents with a 2-week history of a cough and breathlessness. She has also felt run-down with chills. The cough is productive of green sputum and she reports no blood in this. She has type 2 diabetes and high blood pressure, for which she takes gliclazide and nifedipine. She is a non-smoker. Her observations are heart rate 90, respiratory rate 26, temperature 38.1°C, blood pressure 110/90 and O₂ saturations 92%. She has widespread inspiratory crackles bilaterally. A chest x-ray shows widespread patchy consolidation across both lung fields.

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