0700 handoff. Mr. R, a 38-year-old man who moved from the Philippines 14 months ago, was admitted six hours ago to a general medical room for presumed community-acquired pneumonia. He reports a three-week productive cough with intermittent blood-streaked sputum, a 12-pound weight loss over six weeks, drenching night sweats, and fatigue. During the morning interview he adds that a coworker has pulmonary TB, diagnosed last month. Overnight, ceftriaxone and azithromycin were started and blood cultures were collected; his wife and two children visited. He shares the room and bathroom with Mr. S, age 72, a roommate on chemotherapy. At 0630: temperature 38.1 C (100.6 F), heart rate 102 beats/min, respirations 22 breaths/min, BP 118/72, and SpO2 93 percent on 2 L/min; these values are unchanged from admission. His WBC count of 12.4 x 10^9/L is noted. The 0500 chest radiograph, read at 0640, shows a right-upper-lobe cavity with surrounding infiltrate. No airborne order is active, and staff wore surgical masks overnight.
0700 交班報告。R 先生，38 歲男性，14 個月前從菲律賓移居至此，六小時前因疑似社區型肺炎入住普通病房。他主訴三週以來有痰性咳嗽，偶爾帶血絲痰，六週內體重減輕 12 磅，伴有盜汗和疲勞。在上午的訪談中，他補充說 一位同事患有肺結核，上個月確診。夜間，已開始使用頭孢曲松和阿奇黴素，並 已採集血液培養；他的妻子和兩名子女曾來探訪。他與 72 歲的 S 先生共用病房和浴室，S 先生是 正在接受化學治療的室友。0630：體溫 38.1 C (100.6 F)、心率 102 次/分、呼吸 22 次/分、血壓 118/72，以及 SpO2 93% (2 公升/分氧氣)；這些數值與入院時無變化。他的 白血球計數為 12.4 x 10^9/L。0500 的胸部 X 光片，於 0640 判讀，顯示 右上肺葉空洞 伴有周圍浸潤。目前沒有空氣傳播隔離醫囑，且夜間 工作人員佩戴外科口罩。