1. A patient comes in with fever (42C) and rigors , complaining with CVA pain.

1. A patient comes in with fever (42C) and rigors , complaining with CVA pain. She has been bedridden , what would be the best treatment for her?

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IV Fluoroquinolone (inpatient) or Ciprofloxacin (outpatient) ? why

* i understand both can treat it pyelo, but why is one better than the other?

2. Patient who is 64 , sputum is bacteria positive CX shows something left lobe of his lungs. Hes startedon Cefuroxime. ALSO a pneumococcal vaccine is ordered for him

Which of the following if the primary reason for the pneumococcal vaccine? and why?

Comorbid COPD or Left lower lung pneumonia?

*My tought process is this, Severe COPD can be seen on xray , and you can treat it with that antibiotic , and you get the vaccine to prevent pneumonia later on

But pneumonia will definetly show on an xray and the antibiotic can also be used. But would u give the vaccine when he still has pneumonia/is being treated for it?**