Mehr et al reported clinical findings associated with radiographic pneumonia in a nursing home resident. The presentation of pneumonia in a nursing home resident may be subtle with few symptoms. The authors are from the University of Missouri-Columbia, Washington University, and Boston University.
Clinical findings associated with pneumonia:
(1) tachycardia
(2) respiratory rate >= 30 breaths per minute
(3) temperature >= 38°C
(4) somnolence or decreased alertness
(5) acute onset of confusion
(6) lung crackles on auscultation
(7) absence of wheezes
(8) increased white blood cell count
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