Patient Information Name: J

Patient Information Name: J.S. (Initials) Age: 67 years Sex: Male Chief Complaint: Fever, productive cough, and shortness of breath. History of Present Illness: The patient reports a 4-day history of worsening cough producing yellow-green sputum, fever, chills, fatigue, and increasing shortness of breath. He notes right-sided chest pain that worsens with deep inspiration and coughing. Medical history includes hypertension and type 2 diabetes. He has a 35-pack-year smoking history but quit 5 years ago. Physical Examination Temperature: 102.1°F (38.9°C) Pulse: 112 bpm Respiratory Rate: 28/min Blood Pressure: 138/82 mmHg Oxygen Saturation: 89% on room air General: Appears ill and mildly distressed. Lungs: Crackles over the right lower lobe, bronchial breath sounds, dullness to percussion, increased tactile fremitus. Laboratory Data Test Result WBC 17,200/µL Neutrophils 86% Chest X-ray Right lower lobe consolidation Sputum Gram stain Gram-positive diplococci Blood culture Pending