Hospital-acquired pneumonia physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination is important in diagnosing hospital-acquired pneumonia, finding include [[fever]], [[tachypnea]], [[rhonchi]], [[crackles]] and [[wheezing|wheezes]]. For [[ventilator-associated pneumonia]], a deterioration in ventilator parameters such as, [[tachypnea]], decreased [[tidal volume]], increased [[minute ventilation]], or decreased oxygen saturation could be the first indicators of a new onset ventilator-associated pneumonia. | Physical examination is important in diagnosing hospital-acquired pneumonia, finding include [[fever]], [[tachypnea]], [[rhonchi]], [[crackles]] and [[wheezing|wheezes]]. For [[ventilator-associated pneumonia]], a deterioration in ventilator parameters such as, [[tachypnea]], decreased [[tidal volume]], increased [[minute ventilation]], or decreased oxygen saturation could be the first indicators of a new onset ventilator-associated pneumonia.<ref name="KoenigTruwit2006">{{cite journal|last1=Koenig|first1=S. M.|last2=Truwit|first2=J. D.|title=Ventilator-Associated Pneumonia: Diagnosis, Treatment, and Prevention|journal=Clinical Microbiology Reviews|volume=19|issue=4|year=2006|pages=637–657|issn=0893-8512|doi=10.1128/CMR.00051-05}}</ref> | ||
==Physical Examination== | ==Physical Examination== | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:Pneumonia|Pneumonia]] | [[Category:Pneumonia|Pneumonia]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
Latest revision as of 18:03, 18 September 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
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Hospital-acquired pneumonia Microchapters |
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Differentiating Hospital-Acquired Pneumonia from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Hospital-acquired pneumonia physical examination On the Web |
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American Roentgen Ray Society Images of Hospital-acquired pneumonia physical examination |
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Hospital-acquired pneumonia physical examination in the news |
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Directions to Hospitals Treating Hospital-acquired pneumonia |
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Risk calculators and risk factors for Hospital-acquired pneumonia physical examination |
Overview
Physical examination is important in diagnosing hospital-acquired pneumonia, finding include fever, tachypnea, rhonchi, crackles and wheezes. For ventilator-associated pneumonia, a deterioration in ventilator parameters such as, tachypnea, decreased tidal volume, increased minute ventilation, or decreased oxygen saturation could be the first indicators of a new onset ventilator-associated pneumonia.[1]
Physical Examination
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Vitals
- Decreased oxygen saturation
- Fever
- Hypotension < 90 mm Hg
- Tachycardia > 125 beats/min
- Tachypnea
Lungs
Palpation
- Increased tactile fremitus
Percussion
- Dullness on percussion
Auscultation
- Decreased breath sounds
- Bronchial breath sounds
- Rhonchi
- Crackles, Rales
- Increased vocal fremitus
References
- ↑ Koenig, S. M.; Truwit, J. D. (2006). "Ventilator-Associated Pneumonia: Diagnosis, Treatment, and Prevention". Clinical Microbiology Reviews. 19 (4): 637–657. doi:10.1128/CMR.00051-05. ISSN 0893-8512.
- ↑ Russell, G. (2001). "Community acquired pneumonia". Archives of Disease in Childhood. 85 (6): 445–446. doi:10.1136/adc.85.6.445. ISSN 0003-9888.