შეჯამება
განსაზღვრება
ანამნეზი და გასინჯვა
ძირითადი დიაგნოსტიკური ფაქტორები
- cough
- dyspnea
სხვა დიაგნოსტიკური ფაქტორები
- fever
- pleuritic chest pain
- tachypnea
- foul-smelling breath
- crepitations
- frothy or purulent sputum
- history of vomiting
რისკფაქტორები
- chemoradiation for head and neck cancers
- altered mental status
- swallowing dysfunction
- gastrointestinal disease
- intubation or tracheostomy tube
- older age
- poor oral hygiene
- feeding tube
- recumbent position
დიაგნოსტიკური კვლევები
1-ად შესაკვეთი გამოკვლევები
- O2 saturation
- CXR
- CBC
- sputum Gram stain
- sputum culture
გასათვალისწინებელი კვლევები
- point-of-care lung ultrasound
- ABG
- bronchoscopy
მკურნალობის ალგორითმი
all patients
Colaboradores
Autores
Michael J. Lanspa, MD, MS
Adjunct Associate Professor
Division of Pulmonary and Critical Care Medicine
Intermountain Medical Center
University of Utah
Salt Lake City
UT
Declarações
MJL declares that he has no competing interests.
Agradecimentos
Dr Michael J. Lanspa would like to gratefully acknowledge Dr Richard Kanner and Dr Krishna Sundar, previous contributors to this topic. DK and KS declares that they have no competing interests.
Revisores
Toby Maher, MB, PhD, MRCP
Consultant Respiratory Physician
Department of Respiratory Medicine
Royal Brompton Hospital
London
UK
Declarações
TM has received research funding from the Wellcome Trust and GlaxoSmithKline. He has acted as a paid consultant to GSK, Actelion, and Respironies.
Feras Hawari, MD
Chief of Pulmonary and Critical Care
King Hussein Cancer Center
Amman
Jordan
Declarações
FH declares that he has no competing interests.
Diagnósticos diferenciais
- Aspiration pneumonitis
- Atelectasis
- Pulmonary edema
Mais Diagnósticos diferenciaisDiretrizes
- Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America
- Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures
Mais DiretrizesFolhetos informativos para os pacientes
Pneumonia
Mais Folhetos informativos para os pacientesConectar-se ou assinar para acessar todo o BMJ Best Practice
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