Pneumonia differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
* [[Acute bronchitis]] - No infiltrates on the CXR. | * [[Acute bronchitis]] - No infiltrates on the CXR. | ||
* [[Asthma]]- No infiltrates on chest | * [[Asthma]]- No infiltrates on chest X Ray. | ||
* [[Bronchiolitis obliterans]] with organizing pneumonia should be suspected in patients who don't respond to antibiotics treatment. | * [[Bronchiolitis obliterans]] with organizing pneumonia should be suspected in patients who don't respond to antibiotics treatment. | ||
* [[Congestive heart failure]] - Bilateral [[pulmonary edema]], involving more the lower lung fields. | * [[Congestive heart failure]] - Bilateral [[pulmonary edema]], involving more than the lower lung fields. | ||
* [[COPD]] - No infiltrates on chest | * [[COPD]] - No infiltrates on chest X Ray. | ||
* [[Empyema]] - CXR showing features of [[pleural effusion]], inflammatory markers on [[thoracocentesis]]. | * [[Empyema]] - CXR showing features of [[pleural effusion]], inflammatory markers on [[thoracocentesis]]. | ||
* [[Endocarditis]] with septic [[pulmonary emboli]] | * [[Endocarditis]] with septic [[pulmonary emboli]] | ||
* [[Gastroesophageal reflux disease]] - Normal chest | * [[Gastroesophageal reflux disease]] - Normal chest X Ray, symptoms worsening during night. | ||
* [[Influenza]] | * [[Influenza]] | ||
* [[Lung abscess]] - CXR showing signs of [[lung abscess]]. | * [[Lung abscess]] - CXR showing signs of [[lung abscess]]. | ||
* [[Malignancy]] - CT scan and biopsy are helpful in ruling out malignancy. | * [[Malignancy]] - CT scan and biopsy are helpful in ruling out malignancy. | ||
* [[Pertussis]] - | * [[Pertussis]] - Productive cough for weeks, nasopharyngeal aspirate aids in diagnosis. | ||
* [[Pulmonary embolus]] - A high degree of suspicion should be kept for [[pulmonary embolus]]. Chest X | * [[Pulmonary embolus]] - A high degree of suspicion should be kept for [[pulmonary embolus]]. Chest X Ray may be normal. | ||
* [[Sinusitis]] - Sinus tenderness, post | * [[Sinusitis]] - Sinus tenderness, post nasal drip. | ||
* [[Upper respiratory tract infection]] | * [[Upper respiratory tract infection]] | ||
* [[Vasculitis]] - Systemic manifestations of [[collagen vascular disease]] may be seen. | * [[Vasculitis]] - Systemic manifestations of [[collagen vascular disease]] may be seen. | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 16:44, 18 September 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.D. [2]
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Risk calculators and risk factors for Pneumonia differential diagnosis |
Overview
- Acute bronchitis - No infiltrates on the CXR.
- Asthma- No infiltrates on chest X Ray.
- Bronchiolitis obliterans with organizing pneumonia should be suspected in patients who don't respond to antibiotics treatment.
- Congestive heart failure - Bilateral pulmonary edema, involving more than the lower lung fields.
- COPD - No infiltrates on chest X Ray.
- Empyema - CXR showing features of pleural effusion, inflammatory markers on thoracocentesis.
- Endocarditis with septic pulmonary emboli
- Gastroesophageal reflux disease - Normal chest X Ray, symptoms worsening during night.
- Influenza
- Lung abscess - CXR showing signs of lung abscess.
- Malignancy - CT scan and biopsy are helpful in ruling out malignancy.
- Pertussis - Productive cough for weeks, nasopharyngeal aspirate aids in diagnosis.
- Pulmonary embolus - A high degree of suspicion should be kept for pulmonary embolus. Chest X Ray may be normal.
- Sinusitis - Sinus tenderness, post nasal drip.
- Upper respiratory tract infection
- Vasculitis - Systemic manifestations of collagen vascular disease may be seen.