Nevertheless, some clinical signs, such as confusion, should be specifically noted because of their prognostic value 1415 see Risk stratification. However, congestive heart failure or other types of lung damage can mimic CAP on x-rays.
Thus, if pneumonia is being considered, a chest x-ray is needed. Abscess : A pocket of fluid and bacteria may be seen on an X-ray as a cavity in the lung.
Patients with chest pain require pain control to facilitate coughing and clearance of secretions, but routine chest physiotherapy is probably not useful unless secretions are copious. It is now suggested that risk factors for MDR organisms should be reviewed on a case-by-case basis to determine the antibiotic coverage needed.
What laboratory studies should you order to help make the diagnosis, and how should you interpret the results? Bacterial causes of pneumonia The most common bacterial causes of community-acquired pneumonia are Streptococcus pneumoniae Chlamydophila pneumoniae Mycoplasma pneumoniae Streptococcus pneumoniae pneumococcus causes aboutcases of pneumonia in the United States each year.
By Shari J. Haemophilus influenzae pneumonia may occur in adults but is more common among children.