Pneumonia diagnostic algorithm: Difference between revisions
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Shown below is an algorithm for the diagnostic approach of pneumonia.<ref name="cid.oxfordjournals.org">{{Cite web | last = | first = | title = http://cid.oxfordjournals.org/content/44/Supplement_2/S27.full.pdf+html | url = http://cid.oxfordjournals.org/content/44/Supplement_2/S27.full.pdf+html | publisher = | date = | accessdate = 13 March 2014 }}</ref><ref name="www.nejm.org">{{Cite web | last = | first = | title = MMS: Error | url = http://www.nejm.org/doi/full/10.1056/NEJMcp1214869 | publisher = | date = | accessdate = }}</ref> | Shown below is an algorithm for the diagnostic approach of pneumonia.<ref name="cid.oxfordjournals.org">{{Cite web | last = | first = | title = http://cid.oxfordjournals.org/content/44/Supplement_2/S27.full.pdf+html | url = http://cid.oxfordjournals.org/content/44/Supplement_2/S27.full.pdf+html | publisher = | date = | accessdate = 13 March 2014 }}</ref><ref name="www.nejm.org">{{Cite web | last = | first = | title = MMS: Error | url = http://www.nejm.org/doi/full/10.1056/NEJMcp1214869 | publisher = | date = | accessdate = }}</ref> | ||
<br><small>'''Abbreviations:''' HCAP: Healthcare-associated Pneumonia </small> | <br><small>'''Abbreviations:''' HCAP: Healthcare-associated Pneumonia </small> | ||
<div style= font-size:85%> | <div style="font-size:85%; float:center"> | ||
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{{familytree | | | | | | | | | A01 | | | | | | | | | | | | | | | | | A01=<div style="float: left; text-align: left; width: 30em; padding:1em;"> '''Respiratory Tract Infection Symptoms:'''<br>❑ [[Fever]] <br>❑ [[Cough]] with sputum <br>❑ [[Dyspnea]]<br>❑ [[Pleuritic]] chest pain</div> }} | {{familytree | | | | | | | | | A01 | | | | | | | | | | | | | | | | | A01=<div style="float: left; text-align: left; width: 30em; padding:1em;"> '''Respiratory Tract Infection Symptoms:'''<br>❑ [[Fever]] <br>❑ [[Cough]] with sputum <br>❑ [[Dyspnea]]<br>❑ [[Pleuritic]] chest pain</div> }} | ||
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* Attended a hospital or hemodialysis clinic</div>}} | * Attended a hospital or hemodialysis clinic</div>}} | ||
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{{familytree | | | | F01 | | | | | | | | F02 | | | | | | | F01=<div style="float: left; text-align: | {{familytree | | | | F01 | | | | | | | | F02 | | | | | | | F01=<div style="float: left; text-align: center; width: 10em; padding:1em;">'''YES'''</div> |F02=<div style="float: left; text-align: center; width: 10em; padding:1em;">'''NO'''</div>}} | ||
{{familytree | | | | |!| | | | | | | | | |!| | | | | | | | | | | | | }} | |||
{{familytree | | | | G01 | | | | | | | | G02 | | | | | | | G01=<div style="float: left; text-align: left; width: 10em; padding:1em;">Does the infection occurred ≥48 hours after admission and it was not present at admission?</div> |G02=<div style="float: left; text-align: left; width: 10em; padding:1em;">The patient has '''CAP''' <br> Severity Criteria</div>}} | |||
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{{familytree | H01 | | | | H02 | | H03 | | | | H04 | | | | | | | | | H01=<div style="float: left; text-align: center; width: 10em; padding:1em;"> </div> |H02=<div style="float: left; text-align: center; width: 10em; padding:1em;"> </div> |H03=<div style="float: left; text-align: center; width: 10em; padding:1em;"> </div> |H04=<div style="float: left; text-align: center; width: 10em; padding:1em;"> </div>}} | |||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 16:47, 8 December 2014
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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Pneumonia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Pneumonia diagnostic algorithm On the Web |
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American Roentgen Ray Society Images of Pneumonia diagnostic algorithm |
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Risk calculators and risk factors for Pneumonia diagnostic algorithm |
Overview
Diagnostic Algorithm
Shown below is an algorithm for the diagnostic approach of pneumonia.[1][2]
Abbreviations: HCAP: Healthcare-associated Pneumonia
Physical Examination: ❑ Fever | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Order Labs: ❑ Complete blood count (CBC) ❑ Blood urea nitrogen (BUN) ❑ Sputum gram stain ❑ Sputum culture ❑ Blood culture if necessary ❑ If suspecting atypical pneumonia obtain:
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❑ Order a chest X-ray if the patient presents with any of the following:[3]
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Does the patient meets any of the following criteria for HCAP?[4]
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YES | NO | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Does the infection occurred ≥48 hours after admission and it was not present at admission? | The patient has CAP Severity Criteria | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
References
- ↑ "http://cid.oxfordjournals.org/content/44/Supplement_2/S27.full.pdf+html". Retrieved 13 March 2014. External link in
|title=(help) - ↑ "MMS: Error".
- ↑ Watkins RR, Lemonovich TL (2011). "Diagnosis and management of community-acquired pneumonia in adults". Am Fam Physician. 83 (11): 1299–306. PMID 21661712.
- ↑ Attridge RT, Frei CR (2011). "Health care-associated pneumonia: an evidence-based review". The American Journal of Medicine. 124 (8): 689–97. doi:10.1016/j.amjmed.2011.01.023. PMID 21663884. Retrieved 2012-09-02. Unknown parameter
|month=ignored (help)