Community-acquired pneumonia: Difference between revisions

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Revision as of 16:51, 20 May 2013

For the main page on pneumonia, click here

For patient information on pneumonia, click here

Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753; Associate Editor(s)-In-Chief: Priyamvada Singh, M.D. [2]

Synonyms and keywords: CAP

Differentiating Community-acquired pneumonia from other Diseases

Natural History, Complications and Prognosis

Criteria for Severe Community-acquired pneumonia | CURB-65 Clinical Prediction Rule | Community-acquired pneumonia Severity Index

Diagnosis

A clinical prediction rule found the five following signs from the medical history and physical examination best predicted infiltrates on the chest radiograph of 1134 patients presenting to an emergency room:^[1]

Temperature > 100 degrees F (37.8 degrees C)
Pulse > 100 beats/min
Crackles
Decreased breath sounds
Absence of asthma

The probability of an infiltrate based on the number of findings.^[2] ^[1]
Number of findings	Primary care^[2]	Emergency Room^[1]
5	47%	75%
4	27	56
3	8	22
2	4	11
1	1	3
0	1	2

Treatment

Medical Therapy | Primary Prevention | Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

References

↑ ^1.0 ^1.1 ^1.2 Heckerling PS, Tape TG, Wigton RS; et al. (1990). "Clinical prediction rule for pulmonary infiltrates". Ann. Intern. Med. 113 (9): 664–70. PMID 2221647.
↑ ^2.0 ^2.1 Ebell MH (2007). "Predicting pneumonia in adults with respiratory illness". Am Fam Physician. 76 (4): 560–2. PMID 17853631.

Template:WH Template:WS

[pmid2221647-1] 1.0 ^1.1 ^1.2 Heckerling PS, Tape TG, Wigton RS; et al. (1990). "Clinical prediction rule for pulmonary infiltrates". Ann. Intern. Med. 113 (9): 664–70. PMID 2221647.

[pmid17853631-2] 2.0 ^2.1 Ebell MH (2007). "Predicting pneumonia in adults with respiratory illness". Am Fam Physician. 76 (4): 560–2. PMID 17853631.

[1]

[2]

@@ Line 33: / Line 33: @@
 ==Diagnosis==
 [[Community-acquired pneumonia history and symptoms| History and Symptoms]] | [[Community-acquired pneumonia physical examination | Physical Examination]] | [[Community-acquired pneumonia laboratory findings |Laboratory Findings]] | [[Community-acquired pneumonia chest x ray|Chest X Ray]] | [[Community-acquired pneumonia CT|CT]] | [[Community-acquired pneumonia ultrasound|Ultrasound]] | [[Community-acquired pneumonia other diagnostic studies|Other Diagnostic Studies]]
+A [[clinical prediction rule]] found the five following signs from the medical history and [[physical examination]] best predicted infiltrates on the chest [[radiography|radiograph]] of 1134 patients presenting to an emergency room:<ref name="pmid2221647">{{cite journal |author=Heckerling PS, Tape TG, Wigton RS, ''et al'' |title=Clinical prediction rule for pulmonary infiltrates |journal=Ann. Intern. Med. |volume=113 |issue=9 |pages=664–70 |year=1990 |pmid=2221647 |doi=}}</ref>
+*Temperature > 100 degrees F (37.8 degrees C)
+*Pulse > 100 beats/min
+*[[Rales|Crackles]]
+*Decreased [[breath sound]]s
+*''Absence'' of [[asthma]]
+{| class="wikitable"
+|+ The probability of an infiltrate based on the number of findings.<ref name="pmid17853631">{{cite journal| author=Ebell MH| title=Predicting pneumonia in adults with respiratory illness. | journal=Am Fam Physician | year= 2007 | volume= 76 | issue= 4 | pages= 560-2 | pmid=17853631 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17853631  }} </ref> <ref name="pmid2221647">{{cite journal |author=Heckerling PS, Tape TG, Wigton RS, ''et al'' |title=Clinical prediction rule for pulmonary infiltrates |journal=Ann. Intern. Med. |volume=113 |issue=9 |pages=664–70 |year=1990 |pmid=2221647 |doi=}}</ref>
+! Number of findings!!Primary care<ref name="pmid17853631"/>!! Emergency Room<ref name="pmid2221647"/>
+|-
+| 5|| 47%|| 75%
+|-
+| 4 || 27|| 56
+|-
+| 3 || 8|| 22
+|-
+| 2 || 4|| 11
+|-
+| 1 || 1|| 3
+|-
+| 0 || 1|| 2
+|}
 ==Treatment==
@@ Line 39: / Line 65: @@
 ==Case Studies==
 [[Community-acquired pneumonia case study one|Case #1]]
+==References==
+<references/>
 [[Category:Disease]]