Symptoms: Fever, Cough (Dry cough->productive), Body Malaise

Physical Examination:

Differentials

Acute Bronchitis

Community Acquired Pneumonia

Hypersensitivity Pneumonitis

Influenza

Differential Diagnosis
Acute Bronchitis Hypersensitivity Pneumonitis Community Acquired Pneumonia Influenza Similar Signs and Symptoms Cough (Productive or non-productive), Body Malaise, Fever except for Acute Bronchitis, Tachypnea

Differentiating Features

Fever is Uncommon

Dyspnea is Striking Feature

Presentations Depends on Classification Acute, Subacute

Nasal Discharge, Watery Eyes

Onset

Acute

Can be acute, subacute, chronic

Acute

Physical Examination

Rhonchi and Wheezes in Auscultation, Use of Accessory Muscles

Nonspecific, Rales in Auscultation, Cyanosis in Advanced Cases, (+)Fever

Rhonchi, Rales, Wheezes are common Findings in Typical CAP (Atypical-Later Presentation) (+) Fever

Clear Lung Fields, Sometimes Rhonchi, Watery Eyes (+) Fever 100104 F

Symptoms: Fever, Cough, Body Malaise

Without Dyspnea

With Dyspnea

Hypersensitivity Pneumonitis

CAP Acute Bronchitis Influenza

With associated fever

Productive cough without fever

Acute Bronchitis

CAP Influenza
Nasal discharge uncommon

Nasal discharge

Influenza

Watery eyes

CAP

Community Acquired Pneumonia

Viral Similar Signs and Symptoms Cough Characteristic Onset Physical Examination Typical Fever, Cough, Body Malaise, Tachypnea With or without Sputum Acute Wheezing, Crackles, Increased Fremitus, and Bronchial Breaths Sounds, Dullness to Percussion, Egophony Purulent Sputum is Characteristic Acute Wheezing, Crackles, Increased Fremitus, and Bronchial Breaths Sounds, Dullness to Percussion, Egophony (+) Consolidation Dry Hacking Cough but can be Productive as Disease Progresses Acute - Subacute Normal Lung Fields in Earlier Stage, Rhonchi, Rales, and/or Wheezes Several Days Later, Extrapulmonary Findings are present Mycoplasma pneumonia, Chlamydophilia pneumoniae Atypical

Most Probable Etiology

Influenza Virus, Adeno Virus

S. pneumoniae H. influenza