So classic signs and symptoms of pneumonia.
Your patient will have a fever, a cough,
they'll be really tired, and
they may have chest pain.
This is different from cardiac chest pain.
This chest pain's typically when the
patient, takes a big deep breath.
And coincidentally, patients can actually
sometimes localize their pneumonia.
I will have patients come in and they'll say,
"Man, it just, you know, hurts right here,"
and they'll point to a very
specific spot on their chest.
And we'll end up listening
and doing a chest X-ray and,
more often than not, they are
able to localize their pneumonia.
Signs and symptoms of pneumonia
in pediatric populations
vary based on the patient's age.
In neonates, so < 28 day olds, pneumonia
can be fairly insidious or sneaky.
You really need to have your
radar on for these patients.
These young babies can present with a fever
or their temperature may
actually be lower than normal.
This may be the only clue
that this baby has pneumonia.
There may not be any other
abnormal physical findings.
So, as a clinician, you need
to have a very low threshold
to evaluate babies for pneumonia
because they can hide all of the
obvious signs including cough,
and they are at a major risk
for increased complications.
In infants and children,
typical symptoms of viral
or bacterial pneumonia should be present.
But when a child is sick,
it's hard to tell whether an
infection is viral or bacterial,
just based on the signs and symptoms alone
because they manifest in the same way.
So, classic signs and symptoms in children.
Fever and chills, tachypnea - where they
have an increased respiratory rate -
a cough, malaise - they're just going to be,
you know, kind of sluggish,
not feeling so good.
Pleuritic chest pain, and this is
where they take a big deep breath in
and they feel the pain in their
lungs when they breathe deeply.
Retractions, and this is where the chest
wall is pulling in with every breath,
Because they have difficulty
breathing and shortness of breath,
these children really can't relax.