Community-acquired pneumonia: Difference between revisions

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__NOTOC__
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{{Infobox Disease |
{| class="infobox" style="float:right;"
  Name          = Pneumonia |
|-
  Image          = Streptococcus pneumoniae.jpg|
|[[File:Siren.gif|30px|link=Community acquired pneumonia resident survival guide]]||<br>||<br>
}}
|[[Community acquired pneumonia resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
{{Community-acquired pneumonia}}
|}
{{Community-acquired pneumonia|classification=Classification}}


'''For the main page on pneumonia, click [[pneumonia|here]]'''
'''For the main page on pneumonia, click [[pneumonia|here]].'''


'''For patient information on pneumonia, click [[Pneumonia (patient information)|here]]
'''For hospital-acquired pneumonia, click [[hospital-acquired pneumonia|here]].'''


'''Editor(s)-in-Chief:''' [[C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com] Phone:617-632-7753
'''For patient information on pneumonia, click [[Pneumonia (patient information)|here]].'''
 
{{CMG}}; {{AE}} {{AL}}; {{NH}}
'''Assistant Editor-In-Chief:''' Simran Singh


{{SK}} CAP
{{SK}} CAP
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==[[Community-acquired pneumonia historical perspective|Historical Perspective]]==  
==[[Community-acquired pneumonia historical perspective|Historical Perspective]]==  
==[[Community-acquired pneumonia classification|Classification]]==


==[[Community-acquired pneumonia pathophysiology|Pathophysiology]]==
==[[Community-acquired pneumonia pathophysiology|Pathophysiology]]==
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==[[Community-acquired pneumonia risk factors|Risk Factors]]==
==[[Community-acquired pneumonia risk factors|Risk Factors]]==
==[[Community-acquired pneumonia screening|Screening]]==


==[[Community-acquired pneumonia natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
==[[Community-acquired pneumonia natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
[[Community-acquired pneumonia diagnostic criteria|Criteria for Severe Community-acquired pneumonia]] | [[Community-acquired pneumonia clinical prediction rule|CURB-65 Clinical Prediction Rule]] | [[Community-acquired pneumonia severity index|Community-acquired pneumonia Severity Index]]


==Diagnosis==  
==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>
[[Community-acquired pneumonia severity criteria| Severity Criteria]] | [[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]]
*Temperature > 100 degrees F (37.8 degrees C)
*Pulse > 100 beats/min
*[[Rales|Crackles]]
*Decreased [[breath sound]]s
*''Absence'' of [[asthma]]


{| class="wikitable"
==Treatment==
|+ 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"/>
[[Community-acquired pneumonia medical therapy|Medical Therapy]] | [[Community-acquired pneumonia primary prevention|Primary Prevention]] | [[Community-acquired pneumonia cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Community-acquired pneumonia future or investigational therapies|Future or Investigational Therapies]]
|-
| 5|| 47%|| 75%
|-
| 4 || 27|| 56
|-
| 3 || 8|| 22
|-
| 2 || 4|| 11
|-
| 1 || 1|| 3
|-
| 0 || 1|| 2
|}


==Case Studies==


==Treatment==
[[Community-acquired pneumonia medical therapy|Medical Therapy]] | [[Community-acquired pneumonia primary prevention|Primary Prevention]] | [[Community-acquired pneumonia secondary prevention|Prevention]] | [[Community-acquired pneumonia cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Community-acquired pneumonia future or investigational therapies|Future or Investigational Therapies]]
==Case Studies==
[[Community-acquired pneumonia case study one|Case #1]]
[[Community-acquired pneumonia case study one|Case #1]]
==References==
<references/>


[[Category:Disease]]
[[Category:Disease]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Infectious disease]]
[[Category:Pneumonia|Pneumonia]]
[[Category:Pneumonia|Pneumonia]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:primary care]]
{{WH}}
{{WS}}

Latest revision as of 17:25, 30 November 2020



Resident
Survival
Guide

Pneumonia Main Page

Community-Acquired Pneumonia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Community-acquired pneumonia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Severity Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

Ultrasound

Other Diagnostic Studies

Treatment

Hospital Admission Decision

Medical Therapy

Primary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Community-acquired pneumonia On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Community-acquired pneumonia

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Community-acquired pneumonia

CDC on Community-acquired pneumonia

Community-acquired pneumonia in the news

Blogs on Community-acquired pneumonia

Directions to Hospitals Treating Community-acquired pneumonia

Risk calculators and risk factors for Community-acquired pneumonia

For the main page on pneumonia, click here.

For hospital-acquired pneumonia, click here.

For patient information on pneumonia, click here.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]; Nazma Hanif, MD[3]

Assistant Editor-In-Chief: Simran Singh

Synonyms and keywords: CAP

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Community-acquired pneumonia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Severity Criteria | History and Symptoms | Physical Examination | Laboratory Findings | Chest X Ray | CT | Ultrasound | Other Diagnostic Studies

Treatment

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

Case Studies

Case #1