PNEUMONIA PT ASSESSMENT AND MANAGEMENT

IT CONTAINS PHYSIOTHERAPY ASSESSMENT AND MGMT OF PNEUMONIA. THIS PRESENTATION IS MADE ONLY FOR LEARNING PURPOSE FOR FINAL BPT.

1. PNEUMONIA PT ASSESSMEMENT MANAGEMENT DR.SAMIR JADAV (PT)

2. DEFINITION Pneumonia is defined as an acute inflammation of lung parenchyma involving respiratory bronchioles and alveolar unit which may fill with fluid.

3. ASSESSMENT (MOCK) DEMOGRAPHIC DETAILS CHIEF COMPLAINTS - Patient complaints of dry and painful cough which is irritating and hacking initially. - difficulty in breathing. - patient also complaints of sputum, fever and chills.

4. HISTORY H/O PRESENT ILLNESS: Patient presents with the history of common cold or upper respiratory tract infection. There may be a history of fever with chills or rigor. PAST MEDICAL HISTORY - No other medical conditions in past. DRUG HISTORY

5. FAMILY HISTORY - No similar illness in family. SOCIAL HISTORY - Patient belongs to the middleclass family. PERSONAL HISTORY - (smoke, alcohol)

6. SUBJECTIVE ASSESSMENT COUGH : Dry, painfull , hacking and irritating DYSPNOEA : Present Grade-1(NYHA scale) SPUTUM : Purulent HAEMOPTYSIS : Present WHEEZE : Present OTHER SYMPTOMS : Chest pain, Fatigue, pyrexia, etc.

7. OBJECTIVE ASSESSMENT GENERAL OBSERVATION - Patient seems to be breathless. LEVEL OF CONSCIOUSNESS - GCS scale BODY BUILT OBSERVATION OF CHEST CHEST SHAPE :- Asymmetrical CHEST MOVEMENT :- Bilateral diminished BREATHING PATTERN :- According to gender TYPE OF BREATHING :- Tachypnea

8. ON EXAMINATION (VITALS) TEMPERATURE :- Increased RESPI. RATE :- Tachypnea HEART RATE :- Increased/tachycardia BLOOD PRESSURE :- Decreased/hypotension ON PALPATION TRACHEA : Normal/Central TENDERNESS : Absent TVF : Increased CHEST EXPANSION : Reduced

9. ON PERCUSSION - Dull note due to lung consolidation. ON AUSCULTATION -BREATH SOUNDS : Bronchial -FOREIGN SOUNDS : Crackles INVESTIGATIONS

10. CHEST X-RAY :- The area of consolidation appears absolutely white which is diagnostic. SPUTUM :- Culture shows responsible microorganism. BLOOD :- will show Leucocytosis . Increased WBC count. DIAGNOSIS : PNEUMONIA PT MGMT - SEE ‘PULMONARY DISEASE PT MGMT’ PRESENTATION.