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Morning Report

Morning Report. August 6, 2010. Pneumonia. Risk Factors Cold months Cigarette or wood stove smoke Low socioeconomic status Boys Underlying medical conditions. Clinical Features. Fever and cough Tachypnea >50 – 2-12mo >40 – 1-5 years >20 - >5y Retractions Nasal flaring Grunting

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Morning Report

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  1. Morning Report August 6, 2010

  2. Pneumonia • Risk Factors • Cold months • Cigarette or wood stove smoke • Low socioeconomic status • Boys • Underlying medical conditions

  3. Clinical Features • Fever and cough • Tachypnea • >50 – 2-12mo • >40 – 1-5 years • >20 - >5y • Retractions • Nasal flaring • Grunting • O2 sat <95%

  4. Physical Exam Dullness to percussion Crackles Decreased breath sounds Bronchial breath sounds

  5. Lab CBC CXR Blood Cultures Chemistry

  6. In a Perfect World . . . Everyone would read the textbook Clinical features may overlap Simultaneous infection may occur

  7. Treatment • Admission • < 3 months • Persistent hypoxemia requring O2 • Complicating factors • Dehydration • Severe vomiting • Toxic appearance • Chronic Illness

  8. Complications Parapneumonic Effusion Lung Abscess Necrotizing PNA

  9. Prevention • Handwashing • Respiratory hygiene • Breastfeeding • Immunization • Hib, Pertussis, Pneumococcus • NO exposure to cigarettes

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