A 28-year-old man was brought to the emergency department. He is conscious, worn out, BP 90/50, regular heart beat, sinus tachycardia 120 /min, tachypnoe 25 /min, SpO2 89 %. From the history: the patient has not been seriously ill so far, does not take any medication and denies any allergies. He has been complaining about a sore throat for a few days. The patient’s overall condition has worsened rapidly thoughout the day. He is gasping, he has a chest pain on the right side, expectorates purulent sputum and has a temperature up to 40 °C. You suspect him of being septic. Your first step is going to be
Physical examination: audible bilateral breath sounds, sharpened clear alveolar breathing on the left side. Tubular breathing, crackles and weakened almost inaudible breath sounds present in the right base. The head, neck, abdomen and extremities are without any pathological findings.
