Community-acquired pneumonia differential diagnosis: Difference between revisions
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==Differential Diagnosis of Community-Acquired Pneumonia Depending on Chest Radiograph== | ==Differential Diagnosis of Community-Acquired Pneumonia Depending on Chest Radiograph== | ||
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! style="background: #4479BA; color:#FFF; width: 300px;" | Normal chest X-ray | |||
! style="background: #4479BA; color:#FFF; width: 300px;" | Abormal chest X-ray | |||
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* Acute exacerbation of [[chronic obstructive pulmonary disease]] | |||
* [[Influenza]] | |||
* [[Acute bronchitis]] | |||
* [[Pertussis]] | |||
* [[Asthma]] with viral infection | |||
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* [[Congestive heart failure]] accompanied by viral infection | * [[Congestive heart failure]] accompanied by viral infection | ||
* [[Aspiration pneumonia]] | * [[Aspiration pneumonia]] | ||
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* Pulmonary [[vasculitis]] | * Pulmonary [[vasculitis]] | ||
* Cocaine-induced lung injury | * Cocaine-induced lung injury | ||
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==== | | style="padding: 0px 5px; background: #F5F5F5;" colspan=2 | Adapted from N Engl J Med 2014; 370:543-551<ref name="SolomonWunderink2014">{{cite journal|last1=Solomon|first1=Caren G.|last2=Wunderink|first2=Richard G.|last3=Waterer|first3=Grant W.|title=Community-Acquired Pneumonia|journal=New England Journal of Medicine|volume=370|issue=6|year=2014|pages=543–551|issn=0028-4793|doi=10.1056/NEJMcp1214869}}</ref> | ||
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==References== | ==References== | ||
Revision as of 15:14, 5 November 2014
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Community-Acquired Pneumonia Microchapters |
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Differentiating Community-acquired pneumonia from other Diseases |
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Diagnosis |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Differentiating Pneumonia From Other Diseases
- Acute bronchitis - No infiltrates on the CXR.
- Asthma- No infiltrates on the CXR.
- Bronchiolitis obliterans with organizing pneumonia should be suspected in patients who fail to respond to antibiotics.
- Congestive heart failure - Bilateral pulmonary edema, involving more than the lower lung fields.
- Chronic obstructive pulmonary disease - No infiltrates on the CXR.
- Empyema - Pleural effusions on the CXR; positive inflammatory markers on pleural fluid anaylsis.
- Endocarditis with septic pulmonary emboli
- Gastroesophageal reflux disease - Normal CXR, symptoms worsen at 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. CXR may be insiginificant.
- Sinusitis - Sinus tenderness, post-nasal drip.
- Upper respiratory tract infection
- Vasculitis - Systemic manifestations of collagen vascular disease may be seen.
Differential Diagnosis of Community-Acquired Pneumonia Depending on Chest Radiograph
| Normal chest X-ray | Abormal chest X-ray |
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| Adapted from N Engl J Med 2014; 370:543-551[1] | |
References
- ↑ Solomon, Caren G.; Wunderink, Richard G.; Waterer, Grant W. (2014). "Community-Acquired Pneumonia". New England Journal of Medicine. 370 (6): 543–551. doi:10.1056/NEJMcp1214869. ISSN 0028-4793.