Review the Learning Outcomes, Hx, PE and Labs, and begin the module with your Provisional Diagnosis. Keep hitting "Next" to move through the module.
- Articulate your relationship with the consulting diagnostic radiologists in the evaluation of a patient with fever and cough.
- Review the DDx considerations in fever and cough.
- Identify the spectrum of imaging findings in appropriate modalities for evaluating patients with fever and cough.
What is your assessment of the likely acuity for this patient?
First Imaging Study
What is the first imaging study you will order?
Pertinent Imaging Observations
Click on the links below to view images from the study, and assess these key findings as best you can.
PA and Lateral Chest X-ray
What best describes the findings on the Chest X-ray?
Watch our video
What is your Diagnosis now that you have seen the imaging results?
Initially, you selected and we suggested acuity.
Has your concern for this patient changed?
Assessment and Plan
Please provide your assessment and plan for this patient
(1) A patient with a long, insidious onset of respiratory symptoms should be suspected to present with “walking pneumonia” caused by mycoplasma pneumoniae.
(2) Mycoplasma pneumoniae is a bacterium without a cell wall not visualized on Gram stain but grows on Eaton’s agar. However, current diagnosis is often done with PCR and serology.
(3) Patients may present with hemolytic anemia from development of IgM cold agglutinins.
Socioeconomic Factors: There should be a high index of suspicion of atypical pneumonia from mycoplasma pneumonia in patients living in close quarters, like army recruits or students living in dormitories.
That's the end of the module! Once you've reviewed the video(s), you can click here for another case challenge.
Kevin Pierre, MD - Editor
Robbie Slater, MD - Supervising Editor
Bayar Batmunh, MS - Coordinator