Aspiration pneumonia lung sounds4/17/2024 Relatively high agreement among examiners (κ ≈ 0.5) occurred for rales in the lateral decubitus position and for wheezes. Abnormal lung sounds were common in both groups the most frequently detected were rales in the upright seated position and bronchial breath sounds. Twenty-eight patients did not have pneumonia. ![]() Results Twenty-four patients had pneumonia confirmed by chest x-ray films. Chest x-ray films were read by a radiologist. Examination findings by lung site and whether the examiner diagnosed pneumonia were recorded on a standard form. A comprehensive lung physical examination was performed sequentially by 3 physicians who were blind to clinical history, laboratory findings, and x-ray results. Methods Fifty-two male patients presenting to the emergency department of a university-affiliated Veterans Affairs medical center with symptoms of lower respiratory tract infection (cough and change in sputum) were prospectively examined. Objectives To determine the accuracy of various physical examination maneuvers in diagnosing pneumonia and to compare the interobserver reliability of the maneuvers among 3 examiners. Shared Decision Making and Communicationīackground The reliability of chest physical examination and the degree of agreement among examiners in diagnosing pneumonia based on these findings are largely unknown.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.increased coughing on saliva or loss from lips – it is important to discuss with your GP in case of a treatable infection/condition. If you notice any changes in saliva appearance or management e.g. Give oral care to clear thick saliva – use toothbrush (avoid pink swabs – choking risk) This in turn creates a higher risk of aspiration Dry mouthĬan be caused by medication, dehydration, mouth breathing at night causing saliva can become thick and sticky making it difficult to swallow. Reflux may increase production of saliva. Some medications can increase saliva production, making it harder to swallow Swallowing problems can also make it difficult to swallow saliva, and you may see saliva loss from lips large heavy meals or seek advice from a GP for medication/further investigation.coughing outside meals, especially in the mornings.pain/rubbing chest during/straight after meals.If stomach contents are inhaled into the lungs instead of swallowed back into stomach, this can increase the risk of getting aspiration pneumonia. Stomach acid/contents can come back up into the back of your mouth, this can be due to positioning/posture, weak muscles (incl. ![]()
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