Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a subacute onset of persistent, non-productive cough, low-grade fever, malaise, and pharyngitis. Symptoms have progressed over [Number] days. Denies dyspnea at rest, hemoptysis, or chest pain. No recent travel or known sick contacts reported.
Clinical Examination Findings
General: Patient appears mildly ill but in no acute distress. HEENT: Erythematous oropharynx without exudate; cervical lymphadenopathy absent. Lungs: Auscultation reveals scattered rhonchi or fine crackles, predominantly in the lower lobes; no wheezing or consolidation noted. Cardiovascular: Regular rate and rhythm, no murmurs. Skin: No rashes or bullous myringitis noted.
Treatment Protocol
Initiate empiric antibiotic therapy with [Azithromycin 500mg Day 1, then 250mg for 4 days / Doxycycline 100mg BID for 7 days]. Supportive care includes adequate hydration, antipyretics (Acetaminophen/Ibuprofen) for fever, and antitussives as needed. Follow-up in 7-10 days if symptoms persist or worsen.