1. AUGUST 6, 2010 Morning Report

6. Pneumonia Risk Factors  Cold months  Cigarette or wood stove smoke  Low socioeconomic status  Boys  Underlying medical conditions

8. Clinical Features Fever and cough Tachypnea  >50 – 2-12mo  >40 – 1-5 years  >20 - >5y Retractions Nasal flaring Grunting O2 sat <95%

9. Physical Exam Dullness to percussion Crackles Decreased breath sounds Bronchial breath sounds

10. Lab CBC CXR Blood Cultures Chemistry

17. In a Perfect World... Everyone would read the textbook Clinical features may overlap Simultaneous infection may occur

18. Treatment Admission  < 3 months  Persistent hypoxemia requring O2  Complicating factors  Dehydration  Severe vomiting  Toxic appearance  Chronic Illness

21. Complications Parapneumonic Effusion Lung Abscess Necrotizing PNA

22. Prevention Handwashing Respiratory hygiene Breastfeeding Immunization  Hib, Pertussis, Pneumococcus NO exposure to cigarettes