A previously healthy MAF, 4 year old boy, is brought to the Emergency Room by his

mother for cough, fever, vomiting, breathing fast and was working hard to breathe
for one day. He is awake and alert, in moderate distress. Vital signs are as
follows: T = 400C; HR = 130 bpm; RR=40 cpm; BP = 100/70 mmHg with oxygen saturation
87% in room air.

Diagnosis: Community Acquired Pneumonia (Pneumococcal) in Acute Exacerbation

History of Present Illness

Three days prior he had developed a runny nose, cough, and low grade fevers with a
maximum temperature of 38.30C. He continued to take liquids well, but his solid
intake has decreased.
A previously healthy MAF, 4 year old boy, is brought to the Emergency Room by his
mother for cough, fever, vomiting, breathing fast and was working hard to breathe
for one day. He is awake and alert, in moderate distress. Vital signs are as
follows: T = 400C; HR = 130 bpm; RR=40 cpm; BP = 100/70 mmHg with oxygen saturation
87% in room air.

Diagnosis: Community Acquired Pneumonia (Pneumococcal) in Acute Exacerbation

History of Present Illness

Three days prior he had developed a runny nose, cough, and low grade fevers with a
maximum temperature of 38.30C. He continued to take liquids well, but his solid
intake has decreased.
A previously healthy MAF, 4 year old boy, is brought to the Emergency Room by his
mother for cough, fever, vomiting, breathing fast and was working hard to breathe
for one day. He is awake and alert, in moderate distress. Vital signs are as
follows: T = 400C; HR = 130 bpm; RR=40 cpm; BP = 100/70 mmHg with oxygen saturation
87% in room air.

Diagnosis: Community Acquired Pneumonia (Pneumococcal) in Acute Exacerbation

History of Present Illness

Three days prior he had developed a runny nose, cough, and low grade fevers with a
maximum temperature of 38.30C. He continued to take liquids well, but his solid
intake has decreased.