Hospital-acquired pneumonia physical examination: Difference between revisions

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{{Hospital-acquired pneumonia}}
{{CMG}}; {{AE}} {{AL}}
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{{Ventilator-associated pneumonia}}
 
==Overview==
Physical examination is important in diagnosing  hospital-acquired pneumonia, finding include [[fever]], [[tachypnea]], [[rhonchi]], [[crackles]] and [[wheezing|wheezes]].  For [[ventilator-associated pneumonia]], a deterioration in ventilator parameters such as, [[tachypnea]], decreased [[tidal volume]], increased [[minute ventilation]], or decreased oxygen saturation could be the first indicators of a new onset ventilator-associated pneumonia.
 
==Physical Examination==
{|style="float:right"
|
{| style="border: 0px; font-size: 85%; margin: 3px; width:200px;" align=center
|valign=top|
|+ '''Criteria for Tachypnea'''<ref name="Russell2001">{{cite journal|last1=Russell|first1=G.|title=Community acquired pneumonia|journal=Archives of Disease in Childhood|volume=85|issue=6|year=2001|pages=445–446|issn=00039888|doi=10.1136/adc.85.6.445}}</ref>
! style="background: #4479BA; color:#FFF;  width: 100px;" | Age
! style="background: #4479BA; color:#FFF;  width: 100px;" | Breaths/min
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |  < 2 months
| style="padding: 5px 5px; background: #F5F5F5;" | > 60
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |  2-12 months
| style="padding: 5px 5px; background: #F5F5F5;" | > 50
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | 1- 5 years
| style="padding: 5px 5px; background: #F5F5F5;" | > 40
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | > 5 years
| style="padding: 5px 5px; background: #F5F5F5;" | > 20
|}
|style="width: 600px"|         
|}
===Vitals ===
* [[Decreased oxygen saturation]]
* [[Fever]]
* [[Hypotension]] < 90 mm Hg
* [[Tachycardia]] > 125 beats/min
* [[Tachypnea]]
 
===Lungs===
====Palpation====
* Increased tactile fremitus
 
====Percussion====
* Dullness on percussion
 
====Auscultation====
* Decreased breath sounds
* Bronchial breath sounds
* [[Rhonchi]]
* Crackles, [[Rales]]
* Increased [[vocal fremitus]]


==References==
==References==
 
{{reflist|2}}
{{Reflist|2}}
[[Category:Needs content]]


[[Category:Disease]]
[[Category:Disease]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
[[Category:Pneumonia]]
[[Category:Pneumonia|Pneumonia]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]


{{WH}}
{{WH}}
{{WS}}
{{WS}}

Revision as of 14:57, 16 December 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2] Template:Ventilator-associated pneumonia

Overview

Physical examination is important in diagnosing hospital-acquired pneumonia, finding include fever, tachypnea, rhonchi, crackles and wheezes. For ventilator-associated pneumonia, a deterioration in ventilator parameters such as, tachypnea, decreased tidal volume, increased minute ventilation, or decreased oxygen saturation could be the first indicators of a new onset ventilator-associated pneumonia.

Physical Examination

Criteria for Tachypnea[1]
Age Breaths/min
< 2 months > 60
2-12 months > 50
1- 5 years > 40
> 5 years > 20

Vitals

Lungs

Palpation

  • Increased tactile fremitus

Percussion

  • Dullness on percussion

Auscultation

References

  1. ↑ Russell, G. (2001). "Community acquired pneumonia". Archives of Disease in Childhood. 85 (6): 445–446. doi:10.1136/adc.85.6.445. ISSN 0003-9888.

Template:WH Template:WS

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