Medicine prudence

Here is practical application of CLINICAL DECISION SUPPORT TOOL  case 1 : 40F with known Autoimmune disorder on immunosuppression presented with cough with sputum, high grade fever.  she was started on ceftriaxone, oseltamivir and fluconazole before getting labs. PI : Primary investigator (me) CDST : clinical decision supportive tool PI TO CDST :  pretend like expert internal medicine physician with decades of experience in rheumatology, pulmonology, critical care and infectious diseases. solve me this case and generate reason analysis and differential diagnosis and workup plan. here is 40 y female with previously admitted 4 months back for viral pyrexia with myocarditis on workup diagnosed to have positive ANA with SS ro or sjogrens antibodies positive ( consider either or situation and include both in output) with moderate to severe PAH which was resolved with medical management. with rheumatologist advise she is currently on tapering dose of oral prednisone 7.5mg onc...