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cce_paediatrics_pneumonia (physical examination (growth, development,…
cce_paediatrics_pneumonia
causes
5
Chlamydia pneumoniae
Streptococcus pneumonia, Mycoplasma pneumoniae
Mycoplasma tuberculosis
< 5
Chlamydia trochomatis, Bordetella pertussis
RSV, Streptococcus pneumonia, Hemophilus influenzae
Mycoplasma tuberculosis
newborn
Gram -ve enterococci
Group B Streptococcus
Mycoplasma tuberculosis
investigations
blood
CBC differential count
tests
sputum
(Gram stain, culture, AFB),
nasopharyngeal aspirate
(viral PCR, immunofluorescence)
imaging
(consolidation) CXR
physical examination
growth, development
respiratory
PACME
general
(resuscitation) vitals
review causative agent
complications (pleural effusion, empyema)
history, physical examination, CXR
aspirate (culture, sensitivity)
new drug
chest drain
antibiotic resistance
IV vancomycin
admit when (SaO2 <92%, severe tachypnea, difficulty in breathing)
oxygen, IV fluid, analgeics
oral augmentin
auscultation
-breath sound (vesicular/
bronchial
)
-air entry (
reduced
)
added sounds
-stridor
-wheeze
-crackles (fine, middle,
coarse
)
-vocal resonance (
increased
)
children have to be able to cough out sputum
(still fever)