Community-acquired pneumonia physical examination

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Overview

An acute infection of the lung parenchyma in a previously normal individual who acuired infection from the community is termed as community acquired pneumonia.OIt is different than ventilator and healthcare associated pneumonia. It is a more serious condition and has a high morbidity.

History and Symptoms

• The common features of community acquired pneumonia are:

1. Fever
2. Cough
3. Chest pain mainly pleuritic type
4. Dyspnea
5. Sputum production

• Sputum color may help in detecting the causative agent of the pneumonia.

1. Mucopurulent is a typical feature suggesting bacterial etiology
2. Watery or clear fluid points out towards atypical bacteria and virus.
3. Rusty coloured sputum is more typical of pneumococal pneumonia.

• The other atypical or less common features of pneumonia are:

1. Fever with chills or rigors
2. Other system may also be involved like gastrointestinal which present with nausea , vomiting and diarrhea.
3. If pneumonia is very severe the patient may also have altered consciousness.