Community-acquired pneumonia differential diagnosis: Difference between revisions
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{{Community-acquired pneumonia}} | {{Community-acquired pneumonia}} | ||
==Differentiating Pneumonia from other Diseases== | |||
* [[Acute bronchitis]] - No infiltrates on the CXR. | |||
* [[Asthma]]- No infiltrates on chest X Ray. | |||
* [[Bronchiolitis obliterans]] with organizing pneumonia should be suspected in patients who don't respond to antibiotics treatment. | |||
* [[Congestive heart failure]] - Bilateral [[pulmonary edema]], involving more than the lower lung fields. | |||
* [[COPD]] - No infiltrates on chest X Ray. | |||
* [[Empyema]] - CXR showing features of [[pleural effusion]], inflammatory markers on [[thoracocentesis]]. | |||
* [[Endocarditis]] with septic [[pulmonary emboli]] | |||
* [[Gastroesophageal reflux disease]] - Normal chest X Ray, symptoms worsening during 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]]. Chest X Ray may be normal. | |||
* [[Sinusitis]] - Sinus tenderness, post nasal drip. | |||
* [[Upper respiratory tract infection]] | |||
* [[Vasculitis]] - Systemic manifestations of [[collagen vascular disease]] may be seen. | |||
==References== | ==References== | ||
Revision as of 02:20, 11 February 2014
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Differentiating Pneumonia from other Diseases
- Acute bronchitis - No infiltrates on the CXR.
- Asthma- No infiltrates on chest X Ray.
- Bronchiolitis obliterans with organizing pneumonia should be suspected in patients who don't respond to antibiotics treatment.
- Congestive heart failure - Bilateral pulmonary edema, involving more than the lower lung fields.
- COPD - No infiltrates on chest X Ray.
- Empyema - CXR showing features of pleural effusion, inflammatory markers on thoracocentesis.
- Endocarditis with septic pulmonary emboli
- Gastroesophageal reflux disease - Normal chest X Ray, symptoms worsening during 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. Chest X Ray may be normal.
- Sinusitis - Sinus tenderness, post nasal drip.
- Upper respiratory tract infection
- Vasculitis - Systemic manifestations of collagen vascular disease may be seen.