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.,1,Pneumonia,Team,.,2,Contents,Definition,Anatomy,.,3,Anatomy,.,4,Definition,Pneumoniaisaninflammatoryconditionofthelung.Itisoftencharacterizedasincludinginflammationoftheparenchymaofthelungandabnormalalveolarfillingwithfluid.,.,5,Epidemiology,Pneumoniaisacommonillnessinallpartsoftheworld.Itisamajorcauseofdeathamongallagegroups.Pneumoniaoccursmorecommonlyinmalesthanfemales.Themorbidityandmortalityofpneumoniaarehighespeciallyinoldpeople.,.,6,Etiology,Infectiouspneumoniaiscausedbybacteria,fungi,virus,parasiteetc.Pneumoniamayalsobecausedbyotherfactorsincludingphysical,chemical,allergen.,.,7,Classification,Lobarpneumonia:Involvementofanentirelobe.Lobularpneumonia:Involvementofpartsofthelobeonly,segmentalorofalveolicontiguoustobronchi(bronchopneumonia).Interstitialpneumonia,.,8,Lobarpneumonia,ClinicalmanifestationHaveafeversuddenly,chills,chestpain.Majorsymptomscoughinguprustysputum.Thesamelungbreathsoundsdecreasedandaaudiblewetrale.Thetotalnumberofwhitebloodcellsandneutrop-hileincreasedsignificantly.,.,9,Lobarpneumonia,X-ray:rightlungmiddlelobeexudation,.,10,Lobarpneumonia,leftlunginferiorlobeexudation,.,11,Lobarpneumonia,CT:rightlungairbranchogram,.,12,Lobarpneumonia,Mediastinalwindow:locationshapedensity,.,13,Bronchopneumonia,ClinicalcharacteristicsOccursintheelderlyfrailandinfantsandyoungchildren.Highfever,cough,chestpain,dyspnea,coughsticks.Sign:finecrackles.,.,14,Bronchopneumonia,X-ray:lungsfieldlungmarkinghilarshadow,.,15,Bronchopneumonia,CT:Underthetwolungmultiplesmallpatchyshadowsvascularenlargement,.,16,Interstitialpneumonia,Clinicalcharacteristics:Occursmoreatpediatric.Symptoms:shortofbreath,cynaosis,cough.Inflammationcancauselymphangitisandalongthelymphaticsextensionlymphnodephlogistic.,.,17,Interstitialpneumonia,X-ray:lungsfieldhilarshadowlungmarkingMeshandsmallpatchyshadows,.,18,Interstitialpneumonia,CT:BronchialbloodvesselbundleenlargementGroundglassshadowHigherdensityshadow,.,19,Diagnosis,1PrecedinghistoryofcommoncoldorotherURI2.Symptoms3.Signs4.Bloodtest5.Radiologic6.Adefinitivediagnosisrequiresdemonstrationofpneumoniainsputumexamination,bloodandlungtissue.,.,20,Therapy,AntibioticstherapySupporttherapyTherapyofcomplications,.,21,Antibioticstherapy,Forpatientswhoarebelievedtobeallergictopenicillin,onemayselectthefirstorsecondgenerationcephalosporinoradvancedmacrolide。,.,22,Supporttherapy,BedrestMonitoringvitalsignsandurineoutputAdministeringanoccasionalanalgesicReplacingfluids,.,23,Therapyofcomp

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