An elderly patient comes in with failure to thrive, shortness of breath, confusion, and worsening congestive heart failure. What is most likely the patient's primary problem?
a. An atypical pneumonia
b. Aspiration pneumonia
c. Community-acquired pneumonia
d. Tuberculosis
ANS: C
The clinical presentation of community-acquired pneumonia in elderly patients deserves special mention because it may be subtle. Older individuals with pneumonia may not have a fever or cough and may simply present with shortness of breath, confusion, worsening congestive heart failure (CHF), or failure to thrive.
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