00:01
So classic signs and symptoms of pneumonia.
00:03
Your patient will have a fever, a cough,
they'll be really tired, and
they may have chest pain.
00:10
This is different from cardiac chest pain.
00:12
This chest pain's typically when the
patient, takes a big deep breath.
00:17
And coincidentally, patients can actually
sometimes localize their pneumonia.
00:21
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.
00:27
And we'll end up listening
and doing a chest X-ray and,
more often than not, they are
able to localize their pneumonia.
00:35
Signs and symptoms of pneumonia
in pediatric populations
vary based on the patient's age.
00:40
In neonates, so < 28 day olds, pneumonia
can be fairly insidious or sneaky.
00:45
You really need to have your
radar on for these patients.
00:49
These young babies can present with a fever
or their temperature may
actually be lower than normal.
00:54
This may be the only clue
that this baby has pneumonia.
00:58
There may not be any other
abnormal physical findings.
01:01
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.
01:14
In infants and children,
typical symptoms of viral
or bacterial pneumonia should be present.
01:20
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.
01:30
So, classic signs and symptoms in children.
01:33
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.
01:44
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.
01:51
Retractions, and this is where the chest
wall is pulling in with every breath,
and apprehension.
01:57
Because they have difficulty
breathing and shortness of breath,
these children really can't relax.