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Fever with cough with dyspnea (Infection (Pneumonia (Positive finding…
Fever with cough with dyspnea
Non infection
Asthma
Positive finding
cough
Dyspnea
Respiratory rest 26 bpm.
oxygen saturation room air 95%
Negative finding
no cyanosis.
capillary refill 2 sec.
no wheezing
no chest pain
Chronic Obstructive Pulmonary Disease
Positive finding
Fever แรกรับที่ ER BT = 37.7◦C ก่อน admit BT = 38.1 C
chest X-ray fine infiltration both lungs.
cough (มีเสมหะสีเขียว)
weakness
Fatigue
CBC Neutrophill 73%
Negative finding
no chronic cough
not losing weight
CBC WBC= 9,120 cell/mm3
Infection
Pneumonia
Positive finding
Fever แรกรับที่ ER BT = 37.7◦C ก่อน admit BT = 38.1 [C] :
weakness
Fatigue
cough (เสมหะสีเขียว)
Dyspnea
chest X-ray fine infiltration both lungs.
crepitation both lungs
Heart rate = 140 Regular rhythm.
Respiratory rest 26 bpm.
oxygen saturation room air 95%
CBC Neutrophill 73%
Negative finding
no cyanosis.
CBC WBC= 9120 cell/mm3
Pulmonary tuberculosis
Positive finding
weakness
Fatigue
cough
Dyspnea
Respiratory rest 26 bpm.
oxygen saturation
room air 95%
Negative finding
no cyanosis.
no wheezing
ปฏิเสธการดื่มสุราและสูบบุหรี่
Acute Bronchitis
Positive finding
Fever แรกรับที่ ER BT = 37.7◦C ก่อน admit BT = 38.1 C
weakness
Fatigue
cough (ไอมากตอนกลางคืนร่วมกับมีเสมหะ)
Dyspnea
oxygen saturation room air 95%
Respiratory rest 26 bpm.
Negative finding
no cyanosis.
no rhonchi
CBC WBC= 9,120 cell/mm3
CBC Lymphocyte 22%
no hoarseness