#Bronchitis vs pneumonia lung sounds free#

If their clinical wisdom/experience/vibes are that patient appears 'toxic' and has a focal lung on auscultation, and/or known history of risk factors for developing severe PNA, then they treat with azithro +/- Augmentin/cephalosporin, add on PO steroid burst if they have COPD or poorly controlled asthma. You are on track with what I see older FM docs doing in the USA with patients who won't be able to make it from our underserved clinic to the hospital with the XR machine 1 mile across town. My thoughts (for purely educational purposes) are that: PGY2 FM here, keen to see responses from more experienced users.

#Bronchitis vs pneumonia lung sounds free#

However, seeing a patient with a fever and diminished lung sounds in a particular lobe, I’m wondering „surely this has to be pneumonia?” and in such situations often prescribe an antibiotic, usually a macrolide, azithromycin.Įxcuse me for asking this in the residency subreddit, but y’all are geniuses, and I know CXR would make things simple, but without it, how would you distinguish between a bad case of viral bronchitis/bad case of bacterial bronchitis vs lobar/atypical pneumonia?Īnd on top of that, since bacterial pneumonia can complicate COVID, if a patient comes in to my office with a positive COVID test, fever and a cough, how do I know whether its COVID complicated by pneumonia, or just bad COVID? tests can be positive for weeks…Īny tips or suggestions are HIGHLY appreciated! If I’m completely wrong please feel free to criticise me as well, as long as I learn I’m having difficulty in distinguishing pneumonia from bronchitis, especially after conversations with fellow colleagues and specialists who say „unless there’s a fever, crackles and tachypnoe you can’t diagnose pneumonia”. I work independently straight out of med school, so things are tough because I want to provide good care for my patients but have no supervisor to ask things. I work in my home country outside of the US without easy access to a CXR. Related subs: /r/premed /r/medicalschool /r/medicine /r/physicians Studying for Step 3? Here's the most useful resources. UCSD Practical guide to clinical medicine Links for help with getting through residency: No links or images linking to the NP or PA subs posted for targeted harassment. No targeted harassment against individuals or organizations.Ĩ. No personal agendas, spam, or links to websites for brigading.ħ. B) If you message the moderators about a removed post you must link the post in your message or will be ignoredĦ. A) New and anonymous accounts are welcome but posts and comments may be delayed as they must be approved manually.ĥ. No protected health information or personal information.ĥ.

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