Community-acquired pneumonia differential diagnosis: Difference between revisions
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{{Community-acquired pneumonia}} | {{Community-acquired pneumonia}} | ||
{{CMG}} | {{CMG}} | ||
==Overview== | |||
==Differentiating Pneumonia from other Diseases== | ==Differentiating Pneumonia from other Diseases== | ||
Revision as of 18:35, 6 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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Treatment |
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Case Studies |
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Community-acquired pneumonia differential diagnosis On the Web |
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American Roentgen Ray Society Images of Community-acquired pneumonia differential diagnosis |
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Community-acquired pneumonia differential diagnosis in the news |
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Blogs on Community-acquired pneumonia differential diagnosis |
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Directions to Hospitals Treating Community-acquired pneumonia |
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Risk calculators and risk factors for Community-acquired pneumonia differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Differentiating Pneumonia from other Diseases
| Disease | Findings |
|---|---|
| Acute bronchitis | No infiltrates seen on the CXR. |
| Asthma | Past medical history, no infiltrates seen on chest X Ray. |
| Bronchiolitis obliterans | Should be suspected in patients with pneumonia who do not respond to antibiotics treatment. |
| Congestive heart failure | Bilateral pulmonary edema, shortness of breath. |
| COPD | Past medical history, no infiltrates on chest X Ray, fever is uncommon |
| Empyema | CXR showing features of pleural effusion, inflammatory markers on thoracocentesis. |
| Endocarditis | Finding of septic pulmonary emboli |
| Gastroesophageal reflux disease (GERD) | Normal chest X ray, symptoms worsening during night and associated with meals. |
| Lung abscess | CXR showing signs of lung abscess |
| Lung cancer | Weight loss, clear sputum. 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. |
| 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[4] | |
References
- ↑ Schiele F, Muller J, Colinet E, Siest G, Arzoglou P, Brettschneider H; et al. (1992). "Interlaboratory study of the IFCC method for alanine aminotransferase performed with use of a partly purified reference material". Clin Chem. 38 (12): 2365–71. PMID 1458569.
- ↑ Castro-Guardiola A, Armengou-Arxé A, Viejo-Rodríguez A, Peñarroja-Matutano G, Garcia-Bragado F (2000). "Differential diagnosis between community-acquired pneumonia and non-pneumonia diseases of the chest in the emergency ward". Eur J Intern Med. 11 (6): 334–339. PMID 11113658.
- ↑ Ahnsjö, Sven (1935). "Contribution to the Differential Diagnosis of Pneumonia in Childhood". Acta Paediatrica. 17 (3): 439–446. doi:10.1111/j.1651-2227.1935.tb07697.x. ISSN 0803-5253.
- ↑ 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.