3 Days Of Fever in Medicine / Internal Medicine — 45yo Man | Respiratory / Pulmonology | SMLE Q#18783
SMLE Question #18783
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-RESP-CAP-001
Last updated: March 2026
A 45-year-old man presents to the ED with 3 days of fever, pleuritic right-sided chest pain, and productive cough. Chest X-ray shows right lower-lobe consolidation. He was started on IV ceftriaxone, with paracetamol for fever and tramadol for chest pain. After 24 hours, he is hemodynamically stable, eating and drinking, and reports persistent pleuritic pain with coughing. What is the most appropriate medication change now?
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