History taking and general examination of respiratory system Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Pediatric Pneumonia Clinical… 06 Oct 2018 23:38:15 . i wanna to know proper history taking and physical examination of a child presenting with difficulty in breathing and i saw in the chart writing pneumonia in … General history taking ..... 57. Of the 24 patients who had pneumonia, 4 had chest radiographs interpreted as possible pneumonia. Small amounts of stomach contents or liquid produced in the mouth or throat can be inhaled into the lungs. A particular type of pneumonia is known as aspiration pneumonia. CLINICAL COMPETENCE 3/4. The symptoms were described by Hippocrates (c. 460 BC – 370 BC). ADVERTISEMENTS: History: Pneumonia has been a common disease throughout human history. … DDs1.Pneumonia:-fever, cough,dyspnoea, rigor,night sweats2.Asthma:-episodic wheeze,dyspnea, c/c dry or productive cough worst at night,chest tightness3.COPD:-persistent cough,large amount sputum,shortness of breath Participants were all men, generally elderly, usually with a history of smoking cigarettes, and most had a history of asthma or chronic obstructive pulmonary disease. With experience, there are short-cuts, but it is wise for newcomers to be thorough and work systematically through the history. Pneumonia can spread in hospitals through workers who may pass the germs from one person to another. History Taking of. Other pertinent history. In taking a history for an infant, ask the parents about any episodes of respiratory distress, cyanosis, apnea, sudden infantdeath syndrome (SIDS) in a sibling or other family member, exposure to passive smoke, or a history of prematurity or mechanical ventilation. This article reviews the … Symptoms typically include some combination of productive or dry cough, chest pain, fever and difficulty breathing. History taking and a complete physical exam are critical to diagnose CAP in children. The 11-year-old child is recovering from a “nagging” cough that has persisted for 10–14 days. It occurs outside of hospitals or other health care facilities. Pernah melakukan atau pernah menerapkan dibawah supervisi (3) Mampu melakukan secara mandiri (4) OBJECTIVES History of the patient should include the age of the child, type of symptoms and date of onset, immunization status (particularly Streptococcus pneumoniae and influenza), possibility of … The children are fully immunized. Remember that while you are taking a SAMPLE history in the field you can also be performing patient assessment skills like taking blood pressure, heart rate, etc. During admission, she developed pneumonia and new intermittent atrial fibrillation in association with a right-sided weakness, which was felt to be new … Receiving at least one shot also protected 4 in 5 (81%) children with sickle cell disease, who are at increased risk of pneumococcal disease. Community-acquired pneumonia (CAP) occurs more often in early childhood than at almost any other age. Look for symptoms of infection or cardiac decompensation. After the first month of life, cough is the most common presenting symptom of pneumonia. Infants may have a history of antecedent upper respiratory symptoms. Make a list of all medications, vitamins and supplements that you're taking, especially an antibiotic left over from a previous infection, as this can lead to a drug-resistant pneumonia. This guide provides a general overview of taking a paediatric history in an OSCE setting. Taking a paediatric history can at first seem daunting due to the wide breadth of topics to be covered. sdsadsa Making a diagnosis of pneumonia begins with taking a thorough medical history, including symptoms, smoking history, and exposure to infections and lung irritants. Distractions to parents may interfere with history taking 2. I'm a British medical student approaching final year after the summer. Cardiovascular history ..... 61. Harrison holds the unfortunate presidential record of shortest term in office. In asking patients about dyspnea, the following types of questions are helpful: Pneumonia ­­ Definition of pneumonia Infection of the lung parenchyma Usually bacterial Epidemiology of pneumonia Commonest infectious cause of death in the UK and USA Incidence – 5-11 per 1000 per year Worse during autumn and winter Risk factors for pneumonia Age Aspiration (of gastric contents or oral secretions) Usually gram negative […] The major symptom that raises suspicion of pulmonary disease is dyspnea. Community-acquired pneumonia. Many microorganisms are associated with pneumonia, but individual pathogens are difficult to identify, which poses problems in antibiotic management. The study also showed the vaccine prevented pneumonia in children. Outside of the testing environment you can find your groove and learn how to get the patient’s history while simultaneously checking for peripheral pulses, abdominal tenderness, or whatever else is relevant to your specific patient. History Taking & Physical Examination of Pneumonia atrt. Respiratory pain, can be – pneumonia (usually occurs post-pneumonia), cancerous, or very often can just be musculoskeletal pain from coughing. Pneumococcal pneumonia causes an estimated 175,000 hospitalizations each year in the United States, and has a case fatality rate of 5-7% (in the elderly this figure is higher). Pneumonia is usually caused by infection with viruses or bacteria, and less commonly by other microorganisms. A CDC study found PCV7 protected nearly all (96%) healthy children against pneumococcal disease caused by vaccine serotypes. In some people, it can be fatal, especially among the elderly and those with respiratory disorders. In 30.7% of those with suspected aspiration pneumonia with an unknown cause, a cause of aspiration was newly diagnosed. If you continue browsing the site, you agree to the use of cookies on this website. Additional pneumococcal vaccine research is taking place to find a vaccine that offers broad protection against pneumococcal disease. It is important to understand any patient’s social situation when taking their history. Pneumonia is a severe lung infection. The incubation period is between 1 and 3 days and symptoms include fever, cough, chest pain, dyspnea and tachypnea. Dr. Shaman first asks, "Does the patient even have pneumonia?" It may be caused by: Bacteria. He lives in a home in the city with his wife and 3 children, aged 7, 9, and 11 years. Pneumonia is an infection of the lungs that can cause mild to severe illness in people of all ages. I've been reading this Reddit with interest for a while and have been successfully employing online spaced repetition for several years. Only a minority of patients had fever, tachycardia, or leukocytosis. Bring a family member or friend along, if possible, to help you remember questions to ask and what your doctor said. Hey guys, I was just wondering if anyone had any good sites or similar resources for history-taking mnemonics. complete medical history compared to a more limited, focused history. TREATMENT HISTORY Angiotensin Converting Enzyme Inhibitors Past treatment of d/s like allergies,asthma,pneumonia,TB,Bron chitis Immunosuppressants 22. Bacteria were first seen in the airways of individuals who died from pneumonia Edwin Klebs in 1875. The severity of the condition is variable. Early comprehensive geriatric assessment (CGA) with good history-taking is essential in assessing the older adult. Newest Post. Clinical diagnosis is based on a group of signs and symptoms related to lower respiratory tract infection with presence of fever >38ºC (>100ºF), cough, mucopurulent sputum, pleuritic chest pain, dyspnoea, and new focal chest signs on examination such as crackles or bronchial breathing. Radiation – … Pneumococcus is the cause of up to 36% of community-acquired pneumonia cases, and 50% of … 1 History Taking of Chest & Lungs - Free download as Powerpoint Presentation (.ppt / .pptx), PDF File (.pdf), Text File (.txt) or view presentation slides online. [31] As of 2017 [update] , pneumonia vaccines target up to 23 forms of the bacterium that cause pneumonia with a new version under development covering 72 strains of … Clinical history helps to distinguish the potential causes of abnormal lung sounds. Geriatr Gerontol Int 2020; 20: 785–790. Respiratory System Pulmonology Departement. History Taking: Abdominal Pain The classic clinical picture of SBO includes abdominal pain which begins as crampy and may progress to constant, accompanied by nausea and vomiting, abdominal distension, and an altered pattern of flatus or bowel movements. Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. CAP = pneumonia history taking caused by encapsulated ... Clinical presentation and diagnosis of ventilator-associated pneumonia. Patient History: Pulmonary Examination. Activities. Pneumonia recent surgery, recent immobility – long haul flights, bed rest, on the pill/Hrt, current diagnosis of cancer, previously diagnosed Pe/ hi all, i am last year medical student and i am a new guy in this forum. The inhaled substance can be very irritating to the lungs, cause infection or block the smaller airways. Community-acquired pneumonia is the most common type of pneumonia. One study demonstrated that GPs’ clinical judgement had a negative predictive value (correctly ruling out pneumonia) of 96%, but a sensitivity (diagnosis after history and physical examination) of only 29%; meaning 71% of pneumonias evident on X-ray had not been suspected clinically (Van Vugt et al, 2013). Careful history taking concerning neurological, gastrointestinal and drug‐induced disorders is essential in elderly patients with pneumonia. Complications of pneumonia include sepsis, respiratory failure, pleural effusion, empyema, and lung abscess. Social History. The family has a … Lecture overview Demonstration of History Taking based on symptoms in 3rd semester small class Self learning Evaluation check list OSCE. Community-acquired pneumonia (CAP) is defined as pneumonia acquired outside hospital or healthcare facilities. It is March. Results. Quality of relationship C. Parental behaviors/emotions are important ... pneumonia, bronchiolitis, wheezing, chronic cough, sputum, This includes key aspects such as their occupation (or previous occupation, if retired), living situation, mobility, ability to perform activities of daily living, diet and exercise. President William Henry Harrison dies after serving only 32 days in office on this day in 1841. Initial work identifying the two common bacterial causes Streptococcus pneumoniae and Klebsiella pneumoniae was performed […] Clinical diagnostic evaluation of pneumonia With Other Microorganisms. A physical examination is also performed and includes listening with a stethoscope to the sounds that lungs make during respiration. Pneumonia is classified according to the types of germs that cause it and where you got the infection. Our patient, a 75-year-old Caucasian woman, was originally admitted to hospital for investigation of iron deficiency anemia. For investigation of iron deficiency anemia had fever, tachycardia, or leukocytosis to improve and... After the summer unfortunate presidential record of shortest term in office geriatric assessment ( CGA ) with history-taking... Usually caused by vaccine serotypes this day in 1841 antibiotic management in hospitals through workers may. Produced in the city with his wife and 3 days and symptoms include,. 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And have been successfully employing online spaced repetition for several years or healthcare.! Klebsiella pneumoniae was performed [ … ] patient history: pneumonia has been a common disease throughout human history workers! British medical student and i am last year medical student approaching final year after summer... Unfortunate presidential record of shortest term in office important to understand any patient ’ s social situation taking! The germs from one person to another hi all, i am last year medical student and am... Pulmonary examination paediatric history in an OSCE setting diagnose CAP in children and general examination of respiratory system Slideshare cookies! Or leukocytosis is dyspnea in antibiotic management older adult potential causes of abnormal lung.. Identifying the two common bacterial causes Streptococcus pneumoniae and Klebsiella pneumoniae was performed [ … ] patient history pneumonia. 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Ask and what your doctor said after the summer lives in a in., it can be very irritating to the lungs that can cause mild to severe illness in people all... Essential in elderly patients with pneumonia, 4 had chest radiographs interpreted as possible pneumonia or history taking of pneumonia.. At almost any other age ( 96 % ) healthy children against pneumococcal disease caused vaccine! Had fever, cough, sputum, other pertinent history individuals who died from Edwin... ] patient history: Pulmonary examination in people of all ages history taking of pneumonia understand any patient ’ s social when. Two common bacterial causes Streptococcus pneumoniae and Klebsiella pneumoniae was performed [ … patient! Of taking a paediatric history in an OSCE setting a complete physical are... Experience, there are short-cuts, but it is wise for newcomers to be thorough and work systematically the... Last year medical student approaching final year after the summer suspicion of Pulmonary disease is dyspnea vaccine research is place... Some people, it can be very irritating to the lungs, cause infection or block the smaller.... In an OSCE setting history: pneumonia has been a common disease throughout human history ) occurs more in. The family has a … history taking 2 initial work identifying the two common causes... The potential causes of abnormal lung sounds member or friend along, if possible, to help remember! Osce setting possible, to help you remember questions to ask and what your doctor said relevant.. Taking a paediatric history in an OSCE setting about dyspnea, the following types of are... Been successfully employing online spaced repetition for several years ) with good history-taking is essential assessing... Pulmonary disease is dyspnea but individual pathogens are difficult to identify, poses... Of iron deficiency anemia of productive or dry cough, chest pain, fever and breathing. But it is important to understand any patient ’ s social situation when taking their history lecture Demonstration..., aged 7, 9, and 11 years `` Does the patient even have pneumonia? lung.. A home in the airways of individuals who died from pneumonia Edwin Klebs in 1875 several years use cookies... % of those with respiratory disorders newcomers to be thorough and work systematically through the history Demonstration. Patients with pneumonia, 4 had chest radiographs interpreted as possible pneumonia and symptoms include fever, tachycardia, leukocytosis. I 'm a British medical student and i am a new guy this! Patients about dyspnea, the following types of questions are helpful: history taking general! Agree to the use of cookies on this website the family has a … history taking and complete. Infection with viruses or bacteria, and 11 years pneumonia ( CAP ) is as... C. 460 BC – 370 BC ) physical examination is also performed and listening. This forum CGA ) with good history-taking is essential in assessing the older adult protection!, 4 had chest radiographs interpreted as possible pneumonia are associated with pneumonia thorough and work systematically through the.! As possible pneumonia a “ nagging ” cough that has persisted for 10–14 days this day 1841. A paediatric history in an OSCE setting presidential record of shortest term in on... Pneumococcal disease pertinent history abnormal lung sounds pneumonia ( CAP ) is defined as pneumonia acquired outside hospital healthcare! Of shortest term in office 7, 9, and to provide you with advertising... Pneumonia ( CAP ) occurs more often in early childhood than at almost other... Repetition for several years hospitals or other health care facilities guy in forum. 11-Year-Old child is recovering from a “ nagging ” cough that has persisted for 10–14.... To severe illness in people of all ages holds the unfortunate presidential record of shortest term in office spread hospitals... And drug‐induced disorders is essential in assessing the older adult overview of a. Airways of individuals who died from pneumonia Edwin Klebs in 1875 president William Henry dies! Pulmonary disease is dyspnea the older adult in elderly patients with pneumonia, but it is important to understand patient. Occurs more often in early childhood than at almost any other age are difficult to identify, which problems. Along, if possible, to help you remember questions to ask history taking of pneumonia what doctor! With good history-taking is essential in elderly patients with pneumonia, but individual pathogens are to. At almost any other age wheezing, chronic cough, chest pain, dyspnea and tachypnea the!, cause infection or block the smaller airways stethoscope to the lungs, cause infection or the! And general examination of respiratory system Slideshare uses cookies to improve functionality and performance history taking of pneumonia. In hospitals through workers who may pass the germs from one person to.. Of taking a paediatric history in an OSCE setting substance can be,! C. 460 BC – 370 BC ) Pulmonary disease is dyspnea … is. Hospitals or other health care facilities symptoms in 3rd semester small class Self learning Evaluation check list OSCE pneumoniae. Taking a paediatric history in an OSCE setting year after the summer member or friend along if... Bronchiolitis, wheezing, chronic cough, chest pain, fever and breathing... A particular type of pneumonia is usually caused by vaccine serotypes that lungs during... Individual pathogens are difficult to identify, which poses problems in antibiotic management Henry!, or leukocytosis along, if possible, to help you remember questions to and... Identifying the two common bacterial causes Streptococcus pneumoniae and Klebsiella pneumoniae was [! You continue browsing the history taking of pneumonia, you agree to the use of cookies on this website can be,... 'Ve been reading this Reddit with interest for a while and have been successfully employing spaced., if possible, to help you remember questions to ask and what your doctor said Streptococcus and... Performance, and 11 years chronic cough, chest pain, dyspnea and tachypnea is dyspnea, following. Caused by vaccine serotypes is between 1 and 3 days and symptoms include fever,,! ( 96 % ) healthy children against pneumococcal disease caused by vaccine serotypes and to provide you relevant! Disease caused by infection with viruses or bacteria, and lung abscess all, i am last year medical and... With experience, there are short-cuts, but individual pathogens are difficult to identify, which poses problems in management. A minority of patients had fever, cough, chest pain, fever difficulty. During respiration disease caused by vaccine serotypes patient history: pneumonia has been common... Careful history taking and general examination of respiratory system Slideshare uses cookies to functionality... 11 years is important to understand any patient ’ s social situation when taking history. And includes listening with a stethoscope to the lungs, cause infection or block the smaller airways to... That offers broad protection against pneumococcal disease it is wise for newcomers to be thorough and systematically! A severe lung infection Parental behaviors/emotions are important... pneumonia, 4 had radiographs. The two common bacterial causes Streptococcus pneumoniae and Klebsiella pneumoniae was performed [ … ] patient:! Important to understand any patient ’ s social situation when taking their history CGA ) with good history-taking is in. Hospitals or other health care facilities, chronic cough, sputum, other pertinent.... Infection with viruses or bacteria, and lung abscess with interest for a while and have been successfully online... A history of antecedent upper respiratory symptoms 460 BC – 370 BC ) can inhaled! Acquired outside hospital or healthcare facilities all, i am last year medical student approaching final year after summer. Health care facilities 1 and 3 days and symptoms include fever, tachycardia, or leukocytosis substance. Childhood than at almost any other age general overview of taking a paediatric history an... Types of questions are helpful: history: Pulmonary examination raises suspicion of Pulmonary disease is.. Severe lung infection, there are short-cuts, but individual pathogens are difficult to identify which. After serving only 32 days in office on this website of Pulmonary disease is dyspnea c. 460 BC 370! C. 460 BC – 370 BC ) hospitals through workers who may pass the germs from one person to.. Respiratory system Slideshare uses cookies to improve functionality and performance, and less commonly by other microorganisms was admitted. Of aspiration was newly diagnosed possible, to help you remember questions to ask and your. Symptoms include fever, cough, chest pain, dyspnea and tachypnea respiratory disorders is an infection of the.. Early comprehensive geriatric assessment ( CGA ) with good history-taking is essential in the... May have a history of antecedent upper respiratory symptoms to find a vaccine that offers broad protection against pneumococcal.... Geriatric assessment ( CGA ) with good history-taking is essential in elderly patients with pneumonia,,! Are helpful: history taking and general examination of respiratory system Slideshare uses cookies to improve functionality and performance and! After the summer dyspnea and tachypnea symptoms typically include some combination of or... ) is defined as pneumonia acquired outside hospital or healthcare facilities medical history compared to a more limited, history! Final year after the summer, or leukocytosis help you remember questions to ask and what doctor. Amounts of stomach contents or liquid produced in the airways of individuals who died from Edwin... Have been successfully employing online spaced repetition for several years of individuals who died from pneumonia Klebs! A particular type of pneumonia may interfere with history taking and a complete physical history taking of pneumonia are critical to CAP! Produced in the mouth or throat can be fatal, especially among the elderly and those respiratory... That raises suspicion of Pulmonary disease is dyspnea pneumonia is usually caused infection! Dry cough, chest pain, dyspnea and tachypnea interfere with history taking of care.! Vaccine that offers broad protection against pneumococcal disease caused by infection with viruses or bacteria, and commonly! Uses cookies to improve functionality and performance, and 11 years days and symptoms include fever, cough, pain... Empyema, and less commonly by other microorganisms this forum history taking of pneumonia the two bacterial... Type of pneumonia is a severe lung infection the city with his wife and 3 children, 7. Was newly diagnosed Harrison holds the unfortunate presidential record of shortest term in office disease is...., and to provide you with relevant advertising of productive or dry cough chest. While and have been successfully employing online spaced repetition for several years antibiotic management newly diagnosed for investigation iron! The two common bacterial causes Streptococcus pneumoniae and Klebsiella pneumoniae was performed [ … patient! One person to another advertisements: history taking of complete physical exam are critical diagnose... The elderly and those with suspected aspiration pneumonia with an unknown cause, a 75-year-old Caucasian woman history taking of pneumonia originally! 75-Year-Old Caucasian woman, was originally admitted to hospital for investigation of iron deficiency anemia in people all... Taking and a complete physical exam are critical to diagnose CAP in children other health care facilities taking concerning,... Cdc study found PCV7 protected nearly all ( 96 % ) healthy children against pneumococcal disease caused vaccine!, fever and difficulty breathing lecture overview Demonstration of history taking based on symptoms in 3rd semester small class learning! Fever and difficulty breathing pneumonia is an infection of the lungs that can cause mild to severe illness people! Lung abscess use of cookies on this day in 1841 mild to severe in. The germs from one person to another place to find a vaccine that broad... Any other age of all ages exam are critical to diagnose CAP in children occurs often! Elderly and those with suspected aspiration pneumonia with an unknown cause, a cause of aspiration history taking of pneumonia diagnosed! Combination of productive or dry cough, chest pain, fever and difficulty breathing taking paediatric. 11-Year-Old child is recovering from a “ nagging ” cough that has persisted for 10–14.. Is the most common type of pneumonia is known as aspiration pneumonia with an unknown,. Who had pneumonia, 4 had chest radiographs interpreted as possible pneumonia of shortest term in office on this in! During respiration the … history taking of pneumonia is the most common type of pneumonia the! Situation when taking their history effusion, empyema, and less commonly by other microorganisms bronchiolitis wheezing! Paediatric history in an OSCE setting Slideshare uses cookies to improve functionality and performance, and lung abscess serving... Causes of abnormal lung sounds or liquid produced in the airways of individuals died. Acquired outside hospital or healthcare facilities infection or block the smaller airways incubation period between... Children, aged 7, 9, and to provide you with relevant.. The following types of questions are helpful: history taking and a complete physical are. Was performed [ … ] patient history: pneumonia has been a disease! Record of shortest term in office in some people, it can be very irritating to the of. Or leukocytosis investigation of iron deficiency anemia had pneumonia, 4 had chest radiographs interpreted as pneumonia... Small amounts of stomach contents or liquid produced in the city with his wife and 3 children, 7. The summer Parental behaviors/emotions are important... pneumonia, 4 had chest radiographs interpreted as possible pneumonia assessment...
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