Pneumonia

In the picture is J.A., a 5 years old boy complaining of on and off fever for 3 days accompanied by productive cough. Physical examination revealed increased respiratory rate, harsh breath sounds, with rales on both lung fields. His grandparents who were with him when he visited my clinic have already given him paracetamol but to no avail. They were asking why is it that the fever keeps on coming back even though paracetamol is already being given? I said its because of the infection. I started him with antibiotics and mucolytics and advised them to continue with the paracetamol. They will go back to me for follow up after 3 days.

I know its Maundy Thursday and I am not supposed to be working today. But since some patients keep on texting me last night, I opted to open my clinic just for two hours.