Pediatric Evaluation of Parapneumonic Effusion with Community Acquired Pneumonia (CAP)

Purpose: To evaluate a pediatric patient with a community-acquired pneumonia (CAP) and a parapneumonic effusion using the PIDS/IDSA.

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Evaluation

Are you evaluating a pediatric patient with community-acquired pneumonia and a parapneumonic effusion?

Yes

Percent of the hemithorax opacified by the effusion (enter from 0 to 100)

Thickness of the effusion in mm on a lateral decubitus film

Is the effusion associated with respiratory compromise?

Yes

Selete the appropriate answer to indicate the results of Gram stain and culture of the fluid

Microbiology of the pleural effusion

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

The size of the effusion is considered

The risk associated with the effusion is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Risk Factors of Seppa et al for Identifying a Severe Community Acquired Lower Respiratory Tract Infection in an Elderly Patient
Imaging Studies
- Community-Acquired Pneumonia (CAP) - Indications for Initial Chest X-Ray in Infant or Child
- Community-Acquired Pneumonia (CAP) - Indications for Follow-up Chest X-Rays in Infant
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
- Complications for Community Acquired Pneumonia (CAP)
- Criteria for Parapneumonic Effusion or Empyema in Pediatric Patient with Community-Acquired Pneumonia (CAP)

Therapy

Options
Selection
Surgery
- Indications for VATS or Open Decortication in Pediatric Patient with CAP and Chest Tube
- Community-Acquired Pneumonia (CAP) - Drainage Options for Parapneumonic Effusion in Pediatric Patient
Referral And Transfer

Monitoring

Response To Therapy
Disease Progression
- Community Acquired Pneumonia (SMART-COP) Decision Tool
- Pediatric Criteria for Nonresponse to Therapy for Community Acquired Pneumonia (CAP)

Specialty

Infectious Diseases
Pulmonology

Objective

other testing
complications

ICD-10

J12 - Viral pneumonia, not elsewhere classified
J13 - Pneumonia due to Streptococcus pneumoniae
J14 - Pneumonia due to Haemophilus influenzae
J15 - Bacterial pneumonia, not elsewhere classified
J16 - Pneumonia due to other infectious organisms, not elsewhere classified
J17 - Pneumonia in diseases classified elsewhere
J18 - Pneumonia, organism unspecified

Info

Purpose: To evaluate a pediatric patient with a community-acquired pneumonia (CAP) and a parapneumonic effusion using the PIDS/IDSA.

Specialty: Infectious Diseases, Pulmonology

Objective: other testing, complications

ICD-10: J12, J13, J14, J15, J16, J17, J18,

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