Saturday, February, 11, 2012

Pneumonia

Table of Contents

Alternative Names

Bronchopneumonia; Community-acquired pneumonia


Symptoms

The most common symptoms of pneumonia are:

  • Cough (with some pneumonias you may cough up greenish or yellow mucus, or even bloody mucus )
  • Fever , which may be mild or high
  • Shaking chills
  • Shortness of breath (may only occur when you climb stairs)

Additional symptoms include:

  • Confusion , especially in older people
  • Excessive sweating and clammy skin
  • Headache
  • Loss of appetite , low energy, and fatigue
  • Sharp or stabbing chest pain that gets worse when you breathe deeply or cough

Signs and tests

If you have pneumonia, you may be working hard to breathe, or breathing fast.

Crackles are heard when listening to your chest with a stethoscope. Other abnormal breathing sounds may also be heard through the stethoscope or via percussion (tapping on your chest wall).

The health care provider will likely order a chest x-ray if pneumonia is suspected.

Some patients may need other tests, including:

  • Arterial blood gases to see if enough oxygen is getting into your blood from the lungs
  • CBC to check white blood cell count
  • CT scan of the chest
  • Gram's stain and culture of your sputum to look for the organism causing your symptoms
  • Pleural fluid culture if there is fluid in the space surrounding the lungs


Review Date: 04/27/2010
Reviewed By: Allen J. Blaivas, DO, Clinical Assistant Professor of Medicine, UMDNJ-NJMS, Attending Physician in the Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Veteran Affairs, VA New Jersey Health Care System, East Orange, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)