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A 3-year-old girl has had fever and cough for two days. She is alert, sitting up and drinking, and her mother has a car and lives ten minutes from the hospital. Temperature is 39.6 degrees Celsius, respiratory rate 42 per minute, heart rate 150 per minute, and oxygen saturation 89 per cent in air on two readings ten minutes apart. There are crackles and bronchial breathing at the right base. The white cell count is 22.4 x10^9/L (5.0 to 15.0). Which one of the following findings most strongly indicates that she should be admitted?
Shared by Morniencommon

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