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PNEUMONIA Dr. Nooruddin Jaffer Professor of Medicine.
Definition ,[object Object]
Definition ,[object Object]
Clinical Definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object],[object Object]
Epidemiology  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology of Community Acquired Pneumonia ,[object Object],[object Object],[object Object],[object Object]
Etiology of Community Acquired Pneumonia ,[object Object],[object Object],[object Object],[object Object]
Causes of community acquired pneumonia in North America ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Four patient categories have been defined on the basis of  information collected at the time  of initial evaluation
Outpatient Pneumonia without Comorbidity and 60 years or Younger ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outpatient Pneumonia with Comorbidity and/or 60 years or Older ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hospitalized Patients with Community Acquired Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Severe Hospitalized Community Acquired Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PATHOGENESIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Routes of Entry ,[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object]
Typical or Atypical  CAP ? ,[object Object],[object Object]
Clinical Features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object]
Test(s) in those who require hospital admission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Adequate Sputum Sample ,[object Object],[object Object],[object Object]
DIAGNOSIS
DIAGNOSIS Sputum Gram Stain
Invasive diagnostic techniques ,[object Object],[object Object],[object Object],[object Object]
Features of Severe Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Severity assessment in CAP in the community (CRB-65 score) UPDATED 2004 ,[object Object],[object Object],[object Object]
Severity assessment in CAP in the community (CRB-65 score) UPDATED 2004 ,[object Object],[object Object]
Additional Clinical Adverse Prognostic Features ,[object Object],[object Object]
SEVERE CAP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management (subset of patients) ,[object Object],[object Object]
Management (subset of patients) ,[object Object],[object Object],[object Object]
Management (subset of patients) ,[object Object],[object Object],[object Object]
General Management of CAP In the community ,[object Object],[object Object],[object Object]
Decision to Hospitalize ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Decision to Hospitalize ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Decision to Hospitalize ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General Management of CAP In hospital ,[object Object],[object Object],[object Object],[object Object]
Therapy Principles ,[object Object],[object Object],[object Object]
What antibiotics to use ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What antibiotics to use? ,[object Object],[object Object],[object Object],[object Object],[object Object]
What antibiotics to use? ,[object Object],[object Object],[object Object],[object Object]
What antibiotics to use? ,[object Object],[object Object],[object Object],[object Object],[object Object]
What antibiotics to use? ,[object Object],[object Object],[object Object]
ORAL OR PARENTERAL ANTIBIOTICS ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Response   ,[object Object]
Switch to oral   therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Duration of therapy ,[object Object],[object Object]
Duration of therapy ,[object Object],[object Object],[object Object],[object Object]
Complications of Pneumonia
COMPLICATIONS
 
 
Non Resolving Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Correct Diagnosis but Fail to   Respond ,[object Object],[object Object],[object Object]
SOME FACTS ABOUT CAP ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention ,[object Object],[object Object],[object Object],[object Object]
Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank You!

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