A 28 year old female with type 1 diabetes presents today complaining of fever, chills, myalgias, nausea, productive cough and pleuritic chest pain for 3 days. She reports her temperature rising to 38.5°C yesterday. The patient has been taking paracetamol, which improves her fever. Her chest pain increases when taking a deep breath. Denies wheezing, dyspnoea, haemoptysis, sore throat, nasal congestion, headache.
VS: T 38.3°C, BP 124/70, HR 104, RR 20, SaO2 96% ENT: nasal mucosa clear, no pharyngeal erythema, TMs clear BL CV exam: tachycardic, regular rhythm, HS I + II + 0 Resp exam: mild use of accessory muscles, dull to percussion over LLL, crackles auscultated in LLL