6 Days Of Fever in Medicine / Internal Medicine — 35yo Man | Respiratory / Pulmonology | SMLE Q#18396
SMLE Question #18396
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-RESP-PEFF-001
Last updated: February 2026
A 35-year-old man with no significant past medical history presents with 6 days of fever and productive cough with yellow sputum. He works at a school. Chest examination shows decreased breath sounds and stony dullness to percussion over the right lower lung field. Chest X-ray shows a moderate right-sided pleural effusion adjacent to right lower lobe consolidation. What is the most appropriate next step in management?
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