61. DB’s Medical Rants » Blog Archive » Unintended Consequences - More On Pn The 4 hour rule for pneumonia has made this point clearly. One Response to “Unintended consequences more on pneumonia”. Chad Shanks Says http://www.medrants.com/index.php/archives/3497

Contemplating medicine and the health care system Home Contact db db Media recommendations ... Web articles Latest Posts Latest Comments Memorial Day Answer to 30 year old jaundiced man A jaundiced 30 year old man I am an internist - I am proud ... What we lack in respect and in Search Unintended consequences - more on pneumonia By rcentor on Mar. 6, 2008. The current issue of the Archives of Internal Medicine has another important article on pneumonia diagnosis - Antibiotic Timing and Errors in Diagnosing Pneumonia They also feature this editorial - Measuring the Performance of Performance Measurement First the article - Reduction in the required TFAD (time to first antibiotic dose) from 8 to 4 hours seems to reduce the accuracy by which ED physicians diagnose pneumonia, while failing to reduce the actual TFAD achieved for patients. There is potential for negative unintended consequences associated with virtually any performance measurement. Even the most desirable intervention may be applied to inappropriate patients to ensure good scores. Therefore, focusing only on the potential negative consequences misses the point. What is most important is ensuring that any potential negative consequences are minimized and are more than balanced by improvements in care and patient outcomes. Thus, studies like these are important in that they help define the negative consequences. Only when the negative consequences are known can there be appropriate assessment of the balance of risk and benefit of using a specific performance measure.

62. Yale: Cardiothoracic Imaging - Pneumonia, Right Middle Lobe pneumonia, right middle lobe Pericardiac effusion, Pleural effusion, pneumonia, Pneumothorax, Pulmonary embolus, Pulmonary edema, Right lung mass http://www.med.yale.edu/intmed/cardio/imaging/cases/pneumonia_rml/index.html

Pneumonia, right middle lobe COMMENTS The radiograph shows subtle increased opacification in the right lung field near the hilum without loss of volume in the right hemithorax. The lateral radiograph helps define the infiltrated lobar segment involved. SHORTCUTS : See the Contents page for complete listing of all pages and topics. Anatomy Thoracic landmarks Lateral landmarks Heart radiographs Thoracic anatomy Cardiac anatomy Cardiac valves ANT view LAO view LAT view SA view Cross-sectional views Blood supply ANT coronaries LAO coronaries LAT coronaries RAO coronaries Bronchioles Breast anatomy Techniques Ionizing vs nonionizing Tomography vs projection Ionizing radiation Electromag. spectrum Tomography Radiography Radiographic density Rad. gray scales CT imaging Planar imaging Planar anatomy SPECT imaging SPECT anatomy ERNA Echocardiography Transesophageal Magnetic resonance Cases Aortic aneurysm Aortic regurgitation Atelectasis Carcinoma Carcinoma, ductal Cardiomyopathy Chronic hypertension Comedocarcinoma Dilated esophagus Emphysema Fibroadenoma Hilar adenopathy Hilar mass (melanoma) Hypertension LV aneurysm Lymphoma Metastasis from abdomen Mitral stenosis Myocardial ischemia Normal breast Normal female-1 Normal female-2 Normal male-1 Normal male-2 Pericardiac effusion Pleural effusion Pneumonia Pneumothorax Pulmonary embolus Pulmonary edema Right lung mass Sarcoidosis Tuberculosis December 18, 2004 (PL)

63. Geeksmakemehot.com » I Have A Pneumonia They say the worse time to have a pneumonia is while you are pregnant. You already have a baby pushing up on your lungs, and then you can get the abdominal http://geeksmakemehot.com/2008/03/04/i-have-a-pneumonia/

geeksmakemehot.com About I have a Pneumonia Hereditary Spherocytosis Here is the highlights of my past 2 weeks. Thursday the 21st of Feb. I start feeling very crappy and running a low grade temperature. I called the doctor again mid day. She called back and asked for me to come in for a urinalysis he next day just do double check he fever and contraction had nothing to do with each other. Friday the 22nd of Feb. Melanie called to let us know Gage tested positive for the flu. I called on my way to the lab to see if I could get a flu test while I was there. It was negative. Saturday, Feb 23rd the fever just kept creeping and creeping up. Finally it hit 102.7 and I called my doctor. She had me meet one of her partners (she was in the middle of an emergency at the time) on the OB floor of the hospital. They used the thermal thermometer and showed my fever was 98F. Once I explained what happened last night, they retook my temp under my tongue it was 103.4. I got to spend the night. Sunday, Feb 24th, Happy Birthday To me! My fever broke overnight, and I thought all was well and I was going to get to go home. Boy was I wrong. The nurse steps in to ask me my preference of ambulance services, I was heading to Little Rock. Tags: chills fever flu pneumonia ... pregnancy Posted on March 4th, 2008

64. Vitamin C For Preventing And Treating Pneumonia Hemilä H, Louhiala P. Vitamin C for preventing and treating pneumonia. Cochrane Database of Systematic Reviews 2007, Issue 1. Art. No. CD005532. http://www.cochrane.org/reviews/en/ab005532.html

activeNodeID="menu_1_0" The Cochrane Collaboration Cochrane Reviews Explore New + Updated Other languages Full Text: by topic ... Home Cochrane reviews Browse free summaries About Cochrane Reviews Example Global impact ... Getting involved Vitamin C for preventing and treating pneumonia Hemil¤ H, Louhiala P Bookmark this: more ... loading... please wait Summary Vitamin C supplementation may have preventive effects in populations with a high incidence of pneumonia and may have therapeutic effects in populations with low plasma vitamin C levels The Cochrane Library (ISSN 1464-780X). This record should be cited as: Hemil¤ H, Louhiala P. Vitamin C for preventing and treating pneumonia. Cochrane Database of Systematic Reviews 2007, Issue 1. Art. No.: CD005532. DOI: 10.1002/14651858.CD005532.pub2 This version first published online: January 24. 2007 Abstract Background Pneumonia is one of the most common serious infections, causing two million deaths annually among young children in developing countries. In developed countries pneumonia is most significantly a problem of the elderly. Objectives To assess the prophylactic and therapeutic effects of vitamin C on pneumonia.

65. Pneumonia pneumonia is an inflammation of the lungs caused by bacteria, viruses, or chemical irritants. It is a serious infection or inflammation in which the air http://www.healthsystem.virginia.edu/UVAHealth/adult_respire/pneumoni.cfm

University of Virginia Health System Skip Navigation Health System Calendars ... UVa HS Web People Home Why Choose UVa Make an Appointment Health Professionals ... Careers UVa Health.com... where Answers are found Newsletters Breast Health Diabetes Health Heart Health Men's Health ... Interactive Resources Topics All About Cancer All About Heart Blood Disorders Bone Disorders Breast Health Cancer Cardiovascular Disease Dermatology Diabetes Digestive Disorders Endocrinology Environmental Medicine Eye Care Glossary Gynecological Health Heart Infectious Diseases Kidney Disease Men's Health Mental Health Nervous System Disorders Non-Trauma Emergency Oral Health Orthopaedics Otolaryngology Pathology Pediatrics, General Health Prostate Health Radiology Respiratory Disorders Skin Cancer Stroke Surgical Care Transplant Urology Women's Health Search This Site Respiratory Disorders Pneumonia Click Image to Enlarge What is pneumonia? Pneumonia is an inflammation of the lungs caused by bacteria, viruses, or chemical irritants. It is a serious infection or inflammation in which the air sacs fill with pus and other liquid. Lobar pneumonia affects one or more sections (lobes) of the lungs.

66. Björk – Pneumonia – Listen Free At Last.fm Listen to Björk – pneumonia. pneumonia appears on the album Volta and has been tagged as singersongwriter, alternative, icelandic. http://www.last.fm/music/Björk/_/Pneumonia

Music Users Listen Events ... Log in or Sign up Upload music and videos Help English ... Similar Loading… Pneumonia full track 188,793 plays scrobbled on Last.fm Buy Amazon MP3 More Tracks by Bj¶rk Track Time Listeners Download Add this track to your playlist Army of Me full track Buy Add this track to your playlist All Is Full of Love full track Add this track to your playlist Bachelorette full track Buy Add this track to your playlist Hunter full track Related Videos Play Bjork - It's Oh So Quiet Play Bjork Army of me var togglerStrings = Array("(show all 10)", "(hide all 10)"); Bj¶rk’s Radio (show all 10) Play Bj¶rk’s Similar Artists Including: The Sugarcubes Goldfrapp Tori Amos PJ Harvey ... Portishead and more Embed Embed on Netlog Add on Bebo Add on Facebook Auto embed on MySpace Embed on LiveJournal Embed on Blogger Embed on Wordpress Embed on Typepad Embed anywhere else new DropDown('dropDowndd796905', 'dropDowndd796905Toggler', 'dropDowndd796905Body'); Play in pop up Play Bj¶rk’s Top Listeners Embed Embed on Netlog Add on Bebo Add on Facebook Auto embed on MySpace Embed on LiveJournal Embed on Blogger Embed on Wordpress Embed on Typepad Embed anywhere else new DropDown('dropDowndd484263', 'dropDowndd484263Toggler', 'dropDowndd484263Body');

67. Pneumocystis Pneumonia (PCP) And HIV -- Familydoctor.org Information about Pneumocystis carinii pneumonia from the American Academy of Family Physicians. http://familydoctor.org/online/famdocen/home/common/sexinfections/hiv/475.html

Advertisement Advanced Search familydoctor.org Home Conditions A-Z ... STIs, HIV and AIDS PCP and HIV What is PCP? How would I know if I have PCP? How do you get PCP? How can I protect myself from PCP? ... If I get PCP, how is it treated? See Also: More Information Other Organizations Advertisement Pneumocystis pneumonia (PCP) and HIV Printer-friendly version Email this page Make text bigger What is PCP? PCP is a kind of pneumonia caused by Pneumocystis jiroveci P. jiroveci ). (Say the name this way: "new-mo-sis-tis yee-row-vet-zee-eye.") It used to be called Pneumocystis carinii pneumonia. Most people infected with P. jiroveci don't get pneumonia because their immune systems are healthy and strong. People whose immune systems are weak because of HIV infection can get PCP. PCP is less common than it used to be, but it's still the most common serious infection in people with advanced HIV disease in the United States. Return to top How would I know if I have PCP? If you get PCP, you probably will have fever, cough, trouble breathing (especially with exercise) or chest tightness. See your doctor right away if you have these symptoms. Most cases are mild, but people with severe PCP may die if the infection isn't treated quickly. PCP is diagnosed by lab tests of fluid or tissue from your lungs. Return to top How do you get PCP?

68. Pneumonia Management pneumonia Management. Home The Pet Web Library Addison s Disease pneumonia Management Care of the Pregnant Dog Pregnancy Termination http://www.marvistavet.com/html/body_pneumonia_management.html

Most people have heard the term “pneumonia” and know it is a lung infection of some sort. In fact, “pneumonia” is not a very specific term and essentially actually means “lung inflammation of some sort.” Pneumonia is separate from “bronchitis” which means “inflamed airways of the lung” but these two conditions commonly go together to created what is called “bronchopneumonia.” Pneumonia is an inflammation in deep lung tissues where oxygen is absorbed into the body and waste gases are removed. It has potential to be life-threatening regardless of its cause. Usually there is an infection at the root but not necessarily. Pneumonia is commonly classified by its original cause: Fungal Pneumonia (is caused by a fungus, typically Coccidiodomyces immitis, Cryptococcus neoformans or other particularly difficult to treat fungi). Viral Pneumonia (usually the result of Canine Distemper Virus Infection or a complicated Feline Upper Respiratory Infection) Parasitic Pneumonia (from lungworms directly or from the migration of other worms through the lung.)

69. Page Not Found a CHORUS notecard document about viral pneumonia. Related CHORUS documents mycoplasma pneumonia pneumonia with chestwall involvement esophageal http://www.mcw.edu/chorus/doc/00416.html

Page Not Found We could not find the page you were looking for at www.mcw.edu. Search the Medical College of Wisconsin web site using the utility provided below: This site is powered by the Northwoods Titan Content Management System

70. College Student Dies Of Rare Ailment A college student in Whatcom County died this week from a rare case of MRSA pneumonia prompting health officials to urge state residents to be vigilant http://seattlepi.nwsource.com/health/352435_mrsa23.html

newsvinecat = '' Skip ads and navigation MomSeattle DadSeattle SPI ... My account Our network sites seattlepi.com Local Weather Transportation/Traffic Consumer ... Place an ad newsvinecat = 'health' Last updated February 22, 2008 10:45 p.m. PT College student dies of rare ailment MRSA pneumonia case brings warning By CHERIE BLACK P-I REPORTER A college student in Whatcom County died this week from a rare case of MRSA pneumonia prompting health officials to urge state residents to be vigilant about their health and to get a flu shot if they haven't. Chris Feden, 20, a student at Western Washington University, died Wednesday from what county health officials said was MRSA pneumonia, a rare staph infection that he may have contracted after getting the flu. Separately, an 18-year old Pacific County resident died last week from respiratory failure, which wasn't caused by MRSA pneumonia, although it was believed to have been flu-related. Respiratory illnesses, including the flu, typically peak in Washington in February and March and can be serious and even fatal. Cases of MRSA methicillin-resistant staph aureus are increasing in number nationwide, including in Washington, and can complicate influenza and other respiratory illnesses. MRSA pneumonia, a relatively new infection that wasn't on national health officials' radar until about five years ago, is rare, but it may also be on the increase, health officials say.

71. Pneumonia Symptoms, Pneumonia Treatment And Pneumonia Cause Information Complete study on pneumonia, it s causes, diagnosis and home remedies for pneumonia treatment. http://www.home-remedies-for-you.com/remedy/Pneumonia.html

Pneumonia Pneumonia Symptoms Causes Remedy Diet ... Pneumonia remedies suggested by our users Pneumonia refers to the inflammation of the lungs.It is one of the most serious infectious diseases. The disease assumes alarming proportions if both the lungs are affected; this condition is called double pneumonia in common parlance. Pneumonia symptoms Cold in the head or throat,shivering fever Most cases of pneumonia begin with a cold in the head or throat. The patient generally feels a chill, shivering fever, difficulty in breathing, and sharp pain in the chest. This may be followed by a cough with pinkish sputum, which may later become brownish. In young children, the disease may cause delirium and convulsions. The temperature may rise to 40.6 degree C and the pulse may go upto 150 beats per minute. A common complication of pneumonia is pleurisy. Pneumonia causes Pneumonia Symptoms, Causes, Remedy and Diet Germs and viruses Pneumonia is caused by various types of germs such as streptococcus, staphylococcus, and pneumococcus. At times, certain viruses are also responsible for this disease. Fungal infections and toxins in the body Other causes are fungal infections, irritation by worms, inhaling foreign matter, irritant dust or noxious gases. The real cause of pneumonia, however, is a constitution weakened by the presence of toxins in the body, especially in the lungs and air passages. The accumulation of toxins is due to wrong feeding habits and a faulty lifestyle.

72. A Healthy World - Pneumonia, The Silent Killer pneumonia affects the respiratory system pneumonia is an Acute Respiratory Infection (ARI) of the lower respiratory tract, specifically the bronchial tubes http://www.thequietworld.com/ahealthyworld/index.php?page=pneumoniasummary

73. Pneumonia - WrongDiagnosis.com pneumonia information including symptoms, diagnosis, misdiagnosis, treatment, causes, patient stories, videos, forums, prevention, and prognosis. http://www.wrongdiagnosis.com/p/pneumonia/intro.htm

About Us Boards Bookmark this page HOME ... External links relating to Pneumonia RESEARCH Search the latest treatment information here. Choose... Asthma Allergies Breast Cancer Cancer Diabetes Headache Heartburn Heart Disease High Cholesterol Hypertension Migraine Reflux Thyroid Disease All Diseases... Dr. Huntley's Diagnosis Checklist Have a symptom? See what questions a doctor would ask. Choose... Rash Fever Pain Headache Fatigue Diarrhea All checklists Next Diseases Pneumonia Pneumonia Contents: Pneumonia Introduction: Pneumonia Full Text Books Online Symptoms Misdiagnosis ... Full Contents list Introduction: Pneumonia Pneumonia: Pneumonia is a lung disease that can be caused by a variety of viruses, bacteria, and sometimes fungi. The U.S. Centers for Diseases ... more about Pneumonia Pneumonia: Infection of the lung by bacteria, viruses or fungus. More detailed information about the symptoms causes , and treatments of Pneumonia is available below. Symptoms of Pneumonia click here High fever Chills Chest pain on breathing ... Dry cough - in early stages Productive cough - in later stages See full list of 27 symptoms of Pneumonia Medical Textbooks Online about Pneumonia 16 MEDICAL BOOKS ONLINE! Full text.

74. Mycoplasma Infection (walking Pneumonia, Atypical Pneumonia) Communicable Disease Fact Sheet, mycoplasma infection. http://www.health.state.ny.us/diseases/communicable/mycoplasma/fact_sheet.htm

skip to main content New York State Department of Health Information for a Healthy New York Home Contact Help A-Z Index Search Search this site: Site Contents Health Insurance Programs Employment Opportunities Forms Grants/Funding Opportunities ... Related Sites Please Note Some documents on this page are saved in the Portable Document Format (PDF). If it's not already on your computer, you'll need to download the latest free version of Acrobat Reader You are Here: Home Page Communicable Disease Mycoplasma Infection (walking pneumonia, atypical pneumonia) Mycoplasma Infection (walking pneumonia, atypical pneumonia) Last Reviewed: November 2006 " Mycoplasma Infection " is also available in Portable Document Format (PDF, 16KB, 2pg.) What is mycoplasma infection? Mycoplasma infection is respiratory illness caused by Mycoplasma pneumoniae , a microscopic organism related to bacteria. Who gets mycoplasma infection? Anyone can get the disease, but it most often affects older children and young adults. When do mycoplasma infections occur? Mycoplasma infections occur sporadically throughout the year. Widespread community outbreaks may occur at intervals of four to eight years. Mycoplasma infection is most common in late summer and fall.

75. Unresolved Pneumonia Unresolved pneumonia, especially in older patients, presents a problem to the primary care physician that doesn’t go away. pneumonia strikes over 2000000 http://www.nlhep.org/books/pul_Pre/unresolved-pneumonia.html

NLHEP National Lung Health Education Program www.nlhep.org Resource Page Open Book as PDF Index: Intro Preface Pearls A. ... Postscript Biographical Sketches of Authors: John F. Murray Leonard D. Hudson Thomas L. Petty J. Roy Duke, Jr. ... - Comprehensive Respiratory Screening Form Frontline Assessment of Common Pulmonary Presentations J. Unresolved Pneumonia Introduction Table 19 . The most important of these are age, host defenses, and comorbidities. When one or more of these factors is present, it may be necessary to wait 6-8 weeks for resolution to occur, unless there are early clinical clues that raise the suspicion of an unusual infection or noninfectious process such as malignancy. If the causative organism is known, Table 20 may be useful for estimating the duration of resolution. When radiologic resolution is not satisfactory, additional evaluations are needed and the various causes of unresolved infiltrates need to be considered (see Table 21 Common Unresolved Pneumonias A review of the most distinctive features of these pneumonias can be useful in eliciting clues to the identity and, therefore, the natural history of the infectious causes of unresolved infiltrates.

76. Overview, Pneumococcal Pneumonia, Health & Science Topics, NIAID, NIH pneumonia is a lung disease. Pneumococcal pneumonia can infect the upper respiratory tract and can spread to the blood, lungs, middle ear, or nervous system http://www3.niaid.nih.gov/healthscience/healthtopics/pneumonia/overview.htm

Search Advanced Search Help Site Index Contact Us ... Related Links Pneumococcal Pneumonia Overview Pneumonia is a lung disease. Pneumococcal pneumonia can infect the upper respiratory tract and can spread to the blood, lungs, middle ear, or nervous system. Pneumococcal pneumonia mainly causes illness in children younger than 2 years old and adults 65 years of age or older. The elderly are especially at risk of getting seriously ill and dying from this disease. In addition, people with certain medical conditions such as chronic heart, lung, or liver diseases or sickle cell anemia are also at increased risk for getting pneumococcal pneumonia. People with HIV infection, AIDS, or people who have had organ transplants and are taking medicines that lower their resistance to infection are also at high risk of getting this Index Cause See Also About Pneumococcal Disease Bacterial Infections Research Bacterial Infections News Releases The Gambia Pneumococcal Vaccine Trial Neumon­a bacteriana (PDF) [en espa±ol] E-mail this page Print this page See Also About Pneumococcal Disease Bacterial Infections Research Bacterial Infections News Releases The Gambia Pneumococcal Vaccine Trial Neumon­a bacteriana (PDF) [en espa±ol] Home Help Site Index Accessibility ... Contact Us Last Updated May 9, 2007

77. Flu, Pneumonia Attack Elderly; Utah's Winter Toll Near 500 Dead - Salt Lake Trib Nearly 500 Utahns have died from pneumonia or influenza this flu season, including four elderly residents of a longterm care facility in Salt Lake County http://www.sltrib.com/ci_8322124

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78. Florida Police Stop Man With Pneumonia As He forums.fark.com/cgi/fark/comments.pl?IDLink=3461298 Similar pages Avoiding Flu and pneumoniaFlu and pneumonia pose greater dangers for people who have heart failure or any heart condition. http://forums.fark.com/cgi/fark/comments.pl?IDLink=3461298

79. Streptococcus Pneumoniae The bacterium can cause pneumonia, usually of the lobar type, paranasal sinusitis and otitis media, or meningitis, which is usually secondary to one of the http://www.textbookofbacteriology.net/S.pneumoniae.html

Todar's Online Textbook of Bacteriology Streptococcus pneumoniae Introduction Streptococcus pneumoniae is a normal inhabitant of the human upper respiratory tract. The bacterium can cause pneumonia, usually of the lobar type, paranasal sinusitis and otitis media, or meningitis, which is usually secondary to one of the former infections. It also causes osteomyelitis, septic arthritis, endocarditis, peritonitis, cellulitis and brain abscesses. Streptococcus pneumoniae is currently the leading cause of invasive bacterial disease in children and the elderly. Streptococcus pneumoniae is known in medical microbiology as the pneumococcus , referring to its morphology and its consistent involvement in pneumococcal pneumonia Pneumonia is a disease of the lung that is caused by a variety of bacteria including Streptococcus, Staphylococcus, Pseudomonas, Haemophilus, Chlamydia and Mycoplasma, several viruses, and certain fungi and protozoans. The disease may be divided into two forms, bronchial pneumonia and lobar pneumonia. Bronchial pneumonia is most prevalent in infants, young children and aged adults. It is caused by various bacteria, including Streptococcus pneumoniae.

80. Pneumonia Symptoms Review the symptoms of pneumonia in children, which often includes a cough, fever, and increased respiratory rate. http://pediatrics.about.com/od/symptoms/a/06_pneumonia.htm

zOBT=" Ads" zGCID=" test1" zGCID+=" test5" zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zDO=0 z160=zpreC(160,600);z336=zpreC(336,280);z728=zpreC(728,90);z155=zpreC(336,155);zItw=160 if(thin)gEI('abw').className='thin'; Search Pediatrics var h2=document.getElementsByTagName("h2")[0];if(h2.getElementsByTagName("a")[0].firstChild.nodeValue.length>28)h2.className="long"; Home Health Pediatrics Email ... Parenting Info More from About.com Browse Pediatrics Springtime Safety Ages and Stages Parenting Medical Advice ... Topics A-Z Search Pediatrics Newsletter - Sign up Discuss in My Forum Pneumonia Symptoms h1 = document.getElementById("title").getElementsByTagName("h1")[0];h1.innerHTML = widont(h1.innerHTML); Symptoms of Childhood Illnesses By Vincent Iannelli, M.D. , About.com Created: January 15, 2006 About.com Health's Disease and Condition content is reviewed by Kate Grossman, MD Filed In: Medical Advice Childhood Infections Pneumonia After having symptoms of a mild upper respiratory tract infection, such as a runny nose and mild cough, children who develop pneumonia may have a sudden worsening and develop other symptoms, including: worsening cough fever increased respiratory rate (tachypnea) retractions (labored breathing) wheezing (usually a sign of viral pneumonia) cyanosis decreased breath sounds crackles chest pain abdominal pain vomiting nasal flaring Keep in mind that The World Health Organization defines tachypnea as a respiratory rate of more than 50 breaths per minute for infants two to twelve months of age, more than 40 breaths per minute for children one to five years of age, and more than 30 breaths per minute for children over age five.

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