AKT-0048

AKT-0048

A 45-year-old unemployed woman presents to the General Practice Surgery with a persistent productive cough that has so far lasted six weeks, associated with shortness of breath and episodes of haemoptysis, as well as malaise and fatigue.
She is on lisinopril and amlodipine for hypertension. Her weight is 75 kg, a loss of 6 kg since it was last recorded at a hypertension check three months ago. She is a non-smoker and lives alone in a rented flat in a deprived area.
What is the most appropriate initial management option?