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The patient is a 7-year-old boy who presents to urgent care at midnight with a four-day history of fever and cough.
Two days prior, a throat culture administered elsewhere showed nothing suspicious. The parents brought him to urgent care tonight because of subsequent increasing chest pain.
On exam, you find the child is not in respiratory distress, but has decreased air entry on the left side of his chest. His temperature is 101.3 degrees F, with SAT of 94.
View the x-ray taken and consider what your diagnosis and next steps would be.
7-year-old boy with persistent fever and cough
Nahum Kovalski, BSc, MDCM
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