Description
A 76yr old woman presented to A&E with a 2 week history of increased shortness of breath and cough productive of grey sputum. She denied any other symptoms. She had been seen by her GP 2 weeks previously and been given a course of oral antibiotics for a lower respiratory tract infection with no improvement. She had a background of chronic kidney disease, schizophrenia, pernicious anaemia and panhypopituitarism following radiotherapy for an adenoma. Her medications included hydrocortisone, levothyroxine, omeprazole and amisulpiride. On examination she had a heart rate of 84bpm, respiratory rate 42, BP 109/76, SpO2 99% on air. Her chest was clear and a BM was 5.8. The rest of the examination was unremarkable.
