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Pneumonia in OPD? Don’t Just Think Antibiotics — Think Admission

As clinicians, the first decision in pneumonia is not just which antibiotic to start. The key question is: Does this patient need admission?

The CURB-65 score is a quick, reliable way to assess severity:

C – Confusion: Any new disorientation or altered sensorium
U – Urea greater than 20 mg/dL: Indicates dehydration or severe infection
R – Respiratory Rate 30 or more per minute: A red flag
B – Blood Pressure less than 90/60 mmHg: Sign of severe disease
65 – Age 65 years or older: Higher risk patients

How to interpret CURB-65:
Score 1: Consider admission or close follow-up based on clinical judgment
Score 2 or more: Hospital admission recommended, sometimes ICU care

Making timely admission decisions improves patient outcomes, especially in busy OPDs in Tier 2 cities. Save this video for quick reference in your daily practice.

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