General examination of the patient showed that she was alert, coherent and not visibly breathless or using accessory muscles. This visual impression was supplemented with the use of diagnostic equipment available for the patient to use while maintaining social distancing. She was found to have a moderate fever of 38.2C. Blood pressure, heart rate and oxygen saturations were measured and within the normal range. A chest examination was conducted and revealed left lower basal crackles.
A diagnosis of lower respiratory infection was confirmed. The CURB-65 score was low risk. Treatment with antibiotics in the community was given appropriately.
The patient did not have to attend for further assessment, face-to-face examination with her GP or to attend A&E. Patient safety advice was given to attend if there were signs of worsening condition or recurrence of infection.