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| Line 91: |
Line 91: |
| * Score ≥ 4: High risk for VTE | | * Score ≥ 4: High risk for VTE |
| * Score < 4: Low risk for VTE | | * Score < 4: Low risk for VTE |
| {| class="wikitable"
| |
| |+
| |
| !
| |
| !Clinical manifestations
| |
| !Laboratory abnormalities
| |
| !Radiographic features
| |
| |-
| |
| |Legionnaires' disease
| |
| |
| |
| *[[Adult respiratory distress syndrome]]
| |
| *[[Breath sounds|Bronchial breath sounds]]
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| *[[Dry cough]]
| |
| *[[Fever|High grade fever]]
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| *[[Dyspnea|Progressive dyspnea]]
| |
| |
| |
| *Legionella urinary antigen positive
| |
| *[[Leukocytosis]] with relative [[lymphopenia]]
| |
| *[[Hyponatremia]]
| |
| *[[Hypophosphatemia]]
| |
| |
| |
| *[[Alveoli|Alveolar consolidation]] on chest radiograph
| |
| *[[Consolidation (medicine)|Lobar consolidation]] on chest radiograph
| |
| |-
| |
| |Acute interstitial pneumonia
| |
| |
| |
| *[[Dry cough]]
| |
| *[[Dyspnea|Progressive dyspnea]]
| |
| |
| |
| * Nonspecific
| |
| |
| |
| *Disseminated [[Consolidation (medicine)|consolidation]] on [[chest radiograph]]
| |
| *Interstitial infiltrate on chest radiograph
| |
| *Increased uptake on gallium scan
| |
| |-
| |
| |Mycoplasma pneumonia
| |
| |
| |
| *[[Dry cough]]
| |
| *[[Pleuritic chest pain]]
| |
| *Bronchial [[breath sounds]]
| |
| *[[Inflamed]], opaque, hypomobile [[tympanic membrane]]
| |
| |
| |
| *[[Lymphocytosis]]
| |
| *[[Cold agglutinins]] positive
| |
| |
| |
| *[[Alveolar]] [[Consolidation (medicine)|consolidation]] on [[chest radiograph]]
| |
| *Interstitial infiltrate on [[chest radiograph]]
| |
| *Lobar [[Consolidation (medicine)|consolidation]] on [[chest radiograph]]
| |
| |-
| |
| |Pneumococcal pneumonia
| |
| |
| |
| *[[Fever|High grade fever]]
| |
| *[[Hemoptysis]]
| |
| *[[Rales|Fine rales]]
| |
| *[[Pleuritic chest pain]]
| |
| *Increased [[breath sounds]]
| |
| *Bronchial b[[Breath sounds|reath sounds]]
| |
| *Dullness on chest percussion
| |
| *[[Sputum|Purulent sputum]]
| |
| *[[Shallow respiration]]
| |
| *Pectoriloquy
| |
| *Increased [[tactile fremitus]]
| |
| *[[Productive cough]]
| |
| *[[Egophony]]
| |
| |
| |
| *[[Gram positive bacteria|Gram positive]] [[diplococci]] on sputum Gram stain
| |
| *[[Pleural effusion]] ([[exudative]])
| |
| *Respiratory alkalosis
| |
| |
| |
| *Parenchymal hyperlucency on [[chest radiograph]]
| |
| *Increased uptake on [[gallium scan]]
| |
| *Unilateral diaphragm elevation on [[chest radiograph]]
| |
| *Alveolar [[Consolidation (medicine)|consolidation]] on [[chest radiograph]]
| |
| *Lobar [[Consolidation (medicine)|consolidation]] on [[chest radiograph]]
| |
| |-
| |
| |Pneumocystis carinii pneumonia
| |
| |
| |
| *[[Immunosuppressive]] state
| |
| *[[Subcutaneous emphysema]]
| |
| *[[Cough|Hacking cough]]
| |
| *[[Dyspnea|Progressive dyspnea]]
| |
| |
| |
| *[[Respiratory alkalosis]]
| |
| *Serum beta-D-glucan elevation
| |
| |
| |
| *[[Alveolar]] [[Consolidation (medicine)|consolidation]] on [[chest radiograph]]
| |
| *Lobar [[Consolidation (medicine)|consolidation]] on [[chest radiograph]]
| |
| *Interstitial infiltrate on [[chest radiograph]]
| |
| *[[Pneumomediastinum]] on [[chest radiograph]]
| |
| |-
| |
| |Pulmonary embolism
| |
| |
| |
| *Calf [[pain]] or [[swelling]]
| |
| *Decreased [[pulse pressure]]
| |
| *[[Dyspnea]]
| |
| *[[Hemoptysis]]
| |
| *[[Hyperventilation]]
| |
| *[[Immobility]]
| |
| *Increased pulmonic component of heart sound
| |
| *[[Pleuritic chest pain]]
| |
| *Prior [[Deep vein thrombosis|DVT]]
| |
| *[[Pulmonary hypertension]]
| |
| *Right ventricular heave
| |
| *[[Right-to-left shunt]]
| |
| *[[Substernal chest pain]]
| |
| *[[Tachypnea]]
| |
| *[[Thrombophlebitis]]
| |
| *[[Venous stasis]]
| |
| *[[Bone fracture]]
| |
| |
| |
| *[[D-dimer]] elevation
| |
| *[[Hypocapnia]]
| |
| *[[Hypoxia]]
| |
| *[[Pleural effusion]] (exudative or bloody)
| |
| *[[Atrial fibrillation]] on ECG
| |
| *[[Right axis deviation]] on ECG
| |
| *Right ventricular overload on ECG
| |
| |
| |
| *Normal [[chest radiograph]]
| |
| *[[Atelectasis]] on [[chest radiograph]]
| |
| *Lobar consolidation on [[chest radiograph]]
| |
| *Prominent [[pulmonary artery]] on [[chest radiograph]]
| |
| *[[Hampton's hump]] on [[chest radiograph]]
| |
| *Right ventricular enlargement on [[echocardiography]]
| |
| *[[Thrombus]] on echocardiography
| |
| *Segmental [[perfusion]] defect on lung scan
| |
| *[[V/Q scan|V/Q]] mismatch on lung scan
| |
| |-
| |
| |Streptococcal pneumonia
| |
| |
| |
| *Pectoriloquy
| |
| *Bronchial [[breath sounds]]
| |
| *[[Erythema nodosum]]
| |
| *Purulent [[sputum]]
| |
| *[[Shallow respiration]]
| |
| *Increased [[tactile fremitus]]
| |
| *[[Pleuritic chest pain]]
| |
| *[[Egophony]]
| |
| |
| |
| *[[Gram-positive cocci]] in chains on sputum [[Gram stain]]
| |
| *[[Respiratory alkalosis]]
| |
| *[[Pleural effusion]] (exudative)
| |
| |
| |
| *Alveolar consolidation on chest radiograph
| |
| *Lobar consolidation on chest radiograph
| |
| *[[Empyema]] on chest radiograph
| |
| *Increased uptake on [[gallium scan]]
| |
| |-
| |
| |Viral pneumonia
| |
| |
| |
| *[[Pleuritic chest pain]]
| |
| *[[Breath sounds|Bronchial breath sounds]]
| |
| *Recent [[influenza]]
| |
| *Fine [[rales]]
| |
| *[[Breath sounds|Bronchovesicular breath sounds]]
| |
| |
| |
| *[[Lymphocytosis]]
| |
| *[[Respiratory alkalosis]]
| |
| |
| |
| *Lobar [[Consolidation (medicine)|consolidation]] on [[chest radiograph]]
| |
| *Interstitial infiltrate on [[chest radiograph]]
| |
| |}
| |
|
| |
| ==References== | | ==References== |
| <references /> | | <references /> |