The Rational Clinical Examination
David L. Simel, Drummond Rennie
Pneumonia, Adult, Community-Acquired
Joshua P. Metlay, Wishwa N. Kapoor, Michael J. Fine
Sections:
Clinical Scenario, Why Is This an Important Question to Answer With a Clinical Examination?, Pathophysiology of Community-Acquired Pneumonia, How to Elicit These Symptoms and Signs, Methods, Results, Clinical Scenario—Resolution, The Bottom Line, References
Topics Discussed:
community acquired pneumonia, pneumonia
Excerpt:
"A 53-year-old woman comes to your office with a cough of more
than 1 week's duration. She was in excellent health until
7 days ago, when she developed a nonproductive cough, mild sore
throat, and myalgia. She recalls no history of asthma or chronic
obstructive pulmonary disease, and she does not smoke. Despite staying
home from work for the last 2 days, she has noted increasing sputum
production with her cough and worsening fatigue. She has felt warm
but has not documented any fever or night sweats. On physical examination,
her oral temperature is 38.3°C (101°F), her heart rate is 110/min,
and auscultation of her chest reveals inspiratory crackles on the
left side. ..."
Log in to read the full chapter:
Get full access to JAMAevidence two ways:
Subscribe to JAMAevidence
JAMAevidence is a subscription-
based website dedicated to the learning, teaching, and practicing of evidence-based medicine.
Pay Per View
Timed access to all of JAMAevidence
24 hours for $29.95
48 hours for $49.95