Condition Info - BotMed Application

ConditionName

Community-Acquired Pneumonia

ConditionDescription

Symptoms

RUQ; LUQ abdominal pain; 
Cough that produces sputum; 
Fever;
Severe infection:
SOB, 
Vital signs(tachycardia, hypotension, tachypnea)
Or mental status changes;

Diarrhea sometimes (legionella );

Chest pain (often pleuritic);
Hypothermia;

PhysicalFindings

Auscultation; percussion;

ClinicalTests

CBC with diff; 
chest x-Ray; 
sputum culture - not good;
Blood culture - better;

Best initial test: chest xRay – 
-	lobar consolidation (typical)
-	Interstitial infiltrates (not typical)

Or CT or MRI
Etiology: sputum gram stain and sputum culture

Ddx with bronchitis:
SOB, high fever, abnormal x-ray

Dullness to percussion (with effusion)

Consolidation in lungs: bronchial sounds and egophony

Sputum color doesn’t help!

Atypical pneumonia: 
Mycoplasma, Chlamydophila, Legionella, Coxiella, 
Viruses

Blood culture is positive: S. pneumonia

RiskFactors

Ig A Deficiency; 
Diabetus; 
Heart disease
Lung disease;
Chronic kidney disease
Cancer;
Immunocompromised states (HIV);
Obesity;
Pregnancy;
Age;
COPD;

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

Causes (gram+);
H. influ (COPD);
Klebsiella p. (alcoholism, DM) currant jelly sputum;
Anaerobes – foul smelling sputum, rotten eggs;
Mycoplasma p. (young, healthy) – dry cough;
Strep A (recent viral inf);
Legionella (air conditioner) – GI symptoms;
Chlamydophila p. (hoarseness);
Coxiella (contact with animals) – dry cough;
Chlamydia p. (birds) dry cough;
Strep pneu – most common;
Viral – dry cough;

TreatmentOptions

PharmOptions

Macrolides

WebLink

https://www.merckmanuals.com/professional/pulmonary-disorders/pneumonia/community-acquired-pneumonia