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| {{familytree/start|summary=Community acquired pneumonia}}
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| {{familytree | | | | | | | | | A01 |A01=<div style="float: left; text-align: left; width: 20em; padding:1em;">'''Characterize the symptoms & signs:'''<br> Fever <br> Cough with sputum <br>[[Dyspnea]]<br> [[Pleuritic]] chest pain </div> }}
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| {{familytree | | | | | | | | | |!| | | | | | | | }}
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| {{familytree | | | | | | | | | B01 | | | | | |B01=<div style="float: left; text-align: left; width: 20em; padding:1em;">'''Examine the patient:''' <br> [[Fever]] and/or <br> [[Tachypnea]] and/or <br> [[Rales]] and/or <br> [[Increased TVF]]</div>}}
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| {{familytree | | | | | | | | | |!| | | | | | | | }}
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| {{familytree | | | | | | | | | C01 |-|-|-|-| |C01=<div style="float: left; text-align: left; width: 20em; padding:1em;"> Order CBC <br> Perform Sputum gram stain <br> Sputum culture <br> Blood culture</div>}}
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| {{familytree | | | | | | | | | |!| | | | |!| | | }}
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| {{familytree | | | | | | | | | D01 | | | D02 | |D01=<div style="float: left; text-align: left; width: 20em; padding:1em;">; Order a chest X-ray <br> Evaluate for severity of illness <br> Comorbid factors if any<br> Start oxygenation if needed</div>|D02=<div style="float: left; text-align: left; width: 20em; padding:1em;">; If suspecting '''[[atypical pneumonia]]''' then obtain <br> Urine [[legionella]] antigen<br> [[Enyzme Immunoassay]] (EIA) <br> [[Immunoflorescence]] <br> PCR <br> [[Fibre optic bronchoscopy]] <br> Biopsy for Histopathology</div> }}
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| {{familytree | | | | | | | | | |!| | | | | | | | }}
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| {{familytree | | | | | | | | | E01 | | | | | |E01=Start empiric therapy for<br> '''Community acquired pneumonia''' <br>while awaiting culture results}}
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| {{familytree | F01 | | F02 | | | | | | F03 | | F04 |F01='''Outpatients'''<br> with no recent antibiotic exposure <br>and no comorbidities |F02='''Outpatients'''<br> with recent antibiotic exposure <br>and no comorbidities |F03='''Hospitalized patient'''|F04='''Critically ill patients'''}}
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| {{familytree | |!| | | |!| | | | | | | |!| | | |!|}}
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| {{familytree | G01 | | G02 | | | | | | G03 | | G04 |G01=<div style="float: left; text-align: left; width: 20em; padding:1em;">; [[Azithromycin]] 500 mg PO single dose <br> followed by 250 mg PO daily for 4 more days <br> OR <br> [[Doxycycline]] 100 mg PO for 5 days </div>|G02=<div style="float: left; text-align: left; width: 20em; padding:1em;">; Respiratory fluoroquinolone ( [[Moxifloxacin]] )<br> OR <br> Macrolide ([[Azithromycin]] or [[clarithromycin]]) <br> With or Without <br> [[Amoxicillin]] 1 g PO for atleast 5 days</div>|G03=<div style="float: left; text-align: left; width: 20em; padding:1em;">; [[Ceftriaxone]] 1g IV daily <br> OR <br> [[Cefotaxime]] 1g IV q8h <br> PLUS <br> [[Azithromycin]] or [[Clarithromycin]] <br> OR <br> Respiratory fluoroquinolone ( [[Moxifloxacin]] )</div> |G04=<div style="float: left; text-align: left; width: 20em; padding:1em;">; Add [[Azithromycin]] or a Respiratory fluoroquinolone ( [[Moxifloxacin]] )to [[B-Lactam]] for [[L.pneumophila]] <br> Add [[Vancomycin]] for [[MRSA]] coverage <br> Add IV [[penicillin G]] to cover [[S.Pneumoniae]] <br> Add antipseudomonal B-Lactam to antipseudomonal fluoroquinolone <br> ( [[Ciprofloxacin]] / [[Levofloxacin]] ) <br> to cover [[Pseudomonas aeruginosa ]] </div>}}
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| {{familytree | |`|-|-|-|!|-|-| |v|-|-|-|!|-|-|-|'| | | | | | | | |}}
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| {{familytree | | | | | | | | | H01 | | | | | | | | |H01=<div style="float: left; text-align: left; width: 20em; padding:1em;">; If culture results are available then treat accordingly <br> If no response to treatment or<br> suspicion of any complication <br>then consider</div>}}
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| {{familytree | | | | | |,|-|^|-|-|-|-|-|.| | | | | | | | | | | | | | | | }}
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| {{familytree | | | | | I01 | | | | | | I02 | |I01=Pleural Effusion |I02=Empyema}}
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| {{familytree | | | | | J01 | | | | | | J02 | |J01=<div style="float: left; text-align: left; width: 20em; padding:1em;">'''Perform [[thoracocentesis]]''' and analyse <br> [[pH]] <br> [[Cell count]] <br> [[Gram stain]] <br> [[Bacterial culture]]<br> Protein <br> [[Lactate dehydrogenase]]</div>|J02=Drain the empyema}}
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