Normal vital signs and pulmonary exam results rule out CAP in adults with acute respiratory infection

Question clinique

What signs and symptoms are most useful for excluding the diagnosis of pneumonia in community-dwelling adults with an acute respiratory infection?

L’Essentiel

Community-dwelling adults who present to a primary care office with acute respiratory infection symptoms but normal vital signs and normal findings on a pulmonary examination have only a 0.4% likelihood of community-acquired pneumonia (CAP). 1a

Plan de l'etude: Systematic review

Financement: Self-funded or unfunded

Cadre: Various (meta-analysis)

Reviewer

David C. Slawson, MD
Professor and Vice Chair of Family Medicine for Education and Scholarship
Atrium Health
Professor of Family Medicine, UNC Chapel Hill
Charlotte, NC


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Commentaires

Marilyn Crabtree

Patients need this information more than physicians

Could we get this in a Facebook info graphic and handout please!! It would save thousands of chest X-rays every year!