Community-Acquired Pneumonia

General
Facts and Figures
Classification

Presentation
History
Physical Exam
Labs
Radiology

Diagnosis
Criteria for diagnosis
Differential

Microbiology
General
Specific organisms

Pharmacology
Drug classes
Mechanism of action
Resistance

Treatment
General
Site of care
Medication
Duration
Assessment of response
Prevention

References
Literature cited
Complete bibliography

Links
More...






Presentation

Physical Exam
  • usually not helpful for determining the etiology of the infection

  • the exam reveals fever in approximately 80%, most patients have a respiratory rate > 20/min, there are crackles on exam in 80%, and up to 30% have signs of consolidation 8

  • signs of consolidation include the presence of localized dullness to percussion, egophony, unequal fremitus, crackles or rales on auscultation (see the R.A.L.E. Repository for examples of lung sounds)

  • extrapulmonary findings may be present (examples include GI disturbances, rashes, pericarditis, etc.)




Footnotes:

8) Marrie TJ, New aspects of old pathogens of pneumonia, Medical Clinics of North America 1994, 78:987-995.
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