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Aspiration pneumonia most often develops due to micro-aspiration of saliva, or bacteria carried on food and liquids, in combination with impaired host immune function. [30] Chronic inflammation of the lungs is a key feature in aspiration pneumonia in elderly nursing home residents and presents as a sporadic fever (one day per week for several ...
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Since pneumonitis manifests in all areas of the lungs, imaging such as chest x-rays and Computerized tomography (CT) scans are useful diagnostic tools. [3] While pneumonia is a localized infection, pneumonitis is widespread. [3] A spirometer may also be used to measure pulmonary function.
Chest X-rays can be useful in the diagnosis of aspiration pneumonia but may be negative early in the course. [12] Chest CT Scan can identify the presence of a pneumonia as well, and can also assist in characterizing abscesses, foreign objects, or pleural disease. Aspiration seen on barium swallow study.
X-ray of focal pneumonia in lower right lung lobe (bottom left of chest in image) due to aspiration and airway obstruction. The most important aspect of the assessment for a clinician is an accurate history provided by an event witness. [7] Unfortunately, this is not always available.
This includes fungal infections, mycobacterial infections such as tuberculosis or mycobacterium avium intracellulare, bronchopneumonia, chronic aspiration pneumonia, cystic fibrosis or cellular impaction from bronchovascular spread of malignancy, as can occur with breast cancer, leukemia or lymphoma. [2]
A routine chest X-ray is not always necessary for people who have symptoms of a lower respiratory tract infection. [4] Influenza affects both the upper and lower respiratory tracts. [citation needed] Antibiotics are the first line treatment for pneumonia; however, they are neither effective nor indicated for parasitic or viral infections. Acute ...
The additional cells are sometimes a clue to the cause of the granuloma. For example, granulomas with numerous eosinophils may be a clue to coccidioidomycosis or allergic bronchopulmonary fungal disease, and granulomas with numerous neutrophils suggest blastomycosis, granulomatosis with polyangiitis, aspiration pneumonia, or cat-scratch disease.