Clinical mimics

an emergency medicine focused review of pneumonia mimics

Drew Alan Long, Brit Long, Alex Koyfman

Research output: Contribution to journalArticle

Abstract

Pneumonia is a common cause of morbidity and mortality in adults in the United States. While pneumonia classically presents with a fever, cough, and shortness of breath, the presentation can vary widely in adults. This review evaluates history and physical examination findings of pneumonia and several conditions that mimic pneumonia. Pneumonia is a potentially deadly disease. History and examination findings are variable in pneumonia, and many conditions mimic pneumonia. These conditions include pulmonary embolism, diffuse interstitial lung disease, endocarditis, vasculitis, diffuse alveolar hemorrhage, acute decompensated heart failure, tuberculosis, lung cancer, and acute respiratory distress syndrome. Emergency clinicians should assess the patient while resuscitation occurs. Early antibiotics and the diagnosis of pneumonia can improve outcomes. Key historical and physical examination findings may lead the clinician to consider other conditions that require immediate management. Using clinical evaluation and adjunctive imaging, these conditions can be diagnosed and treated. Knowledge of pneumonia mimics is vital for the care of patients with respiratory complaints. Pneumonia is common and may be deadly, and emergency clinicians must differentiate conditions that mimic pneumonia. Rapid evaluation and management may alleviate morbidity and mortality for each of these conditions. The history and physical examination, in addition to utilizing imaging modalities such as ultrasound and computed tomography, are vital in diagnosis of pneumonia mimics.

Original languageEnglish (US)
Pages (from-to)1-9
Number of pages9
JournalInternal and Emergency Medicine
DOIs
StateAccepted/In press - Mar 26 2018

Fingerprint

Emergency Medicine
Pneumonia
Physical Examination
History
Emergencies
Morbidity
Mortality
Interstitial Lung Diseases
Adult Respiratory Distress Syndrome
Vasculitis
Endocarditis
Pulmonary Embolism
Cough
Resuscitation
Dyspnea
Early Diagnosis
Lung Neoplasms
Patient Care
Tuberculosis
Fever

Keywords

  • Acute respiratory distress syndrome
  • Endocarditis
  • Interstitial
  • Lung cancer
  • Mimic
  • Pneumonia
  • Tuberculosis
  • Vasculitis

ASJC Scopus subject areas

  • Internal Medicine
  • Emergency Medicine

Cite this

Clinical mimics : an emergency medicine focused review of pneumonia mimics. / Long, Drew Alan; Long, Brit; Koyfman, Alex.

In: Internal and Emergency Medicine, 26.03.2018, p. 1-9.

Research output: Contribution to journalArticle

@article{2948d553a2a4495d8c62e9f99c6dfd4c,
title = "Clinical mimics: an emergency medicine focused review of pneumonia mimics",
abstract = "Pneumonia is a common cause of morbidity and mortality in adults in the United States. While pneumonia classically presents with a fever, cough, and shortness of breath, the presentation can vary widely in adults. This review evaluates history and physical examination findings of pneumonia and several conditions that mimic pneumonia. Pneumonia is a potentially deadly disease. History and examination findings are variable in pneumonia, and many conditions mimic pneumonia. These conditions include pulmonary embolism, diffuse interstitial lung disease, endocarditis, vasculitis, diffuse alveolar hemorrhage, acute decompensated heart failure, tuberculosis, lung cancer, and acute respiratory distress syndrome. Emergency clinicians should assess the patient while resuscitation occurs. Early antibiotics and the diagnosis of pneumonia can improve outcomes. Key historical and physical examination findings may lead the clinician to consider other conditions that require immediate management. Using clinical evaluation and adjunctive imaging, these conditions can be diagnosed and treated. Knowledge of pneumonia mimics is vital for the care of patients with respiratory complaints. Pneumonia is common and may be deadly, and emergency clinicians must differentiate conditions that mimic pneumonia. Rapid evaluation and management may alleviate morbidity and mortality for each of these conditions. The history and physical examination, in addition to utilizing imaging modalities such as ultrasound and computed tomography, are vital in diagnosis of pneumonia mimics.",
keywords = "Acute respiratory distress syndrome, Endocarditis, Interstitial, Lung cancer, Mimic, Pneumonia, Tuberculosis, Vasculitis",
author = "Long, {Drew Alan} and Brit Long and Alex Koyfman",
year = "2018",
month = "3",
day = "26",
doi = "10.1007/s11739-018-1840-z",
language = "English (US)",
pages = "1--9",
journal = "Internal and Emergency Medicine",
issn = "1828-0447",
publisher = "Springer-Verlag Italia",

}

TY - JOUR

T1 - Clinical mimics

T2 - an emergency medicine focused review of pneumonia mimics

AU - Long, Drew Alan

AU - Long, Brit

AU - Koyfman, Alex

PY - 2018/3/26

Y1 - 2018/3/26

N2 - Pneumonia is a common cause of morbidity and mortality in adults in the United States. While pneumonia classically presents with a fever, cough, and shortness of breath, the presentation can vary widely in adults. This review evaluates history and physical examination findings of pneumonia and several conditions that mimic pneumonia. Pneumonia is a potentially deadly disease. History and examination findings are variable in pneumonia, and many conditions mimic pneumonia. These conditions include pulmonary embolism, diffuse interstitial lung disease, endocarditis, vasculitis, diffuse alveolar hemorrhage, acute decompensated heart failure, tuberculosis, lung cancer, and acute respiratory distress syndrome. Emergency clinicians should assess the patient while resuscitation occurs. Early antibiotics and the diagnosis of pneumonia can improve outcomes. Key historical and physical examination findings may lead the clinician to consider other conditions that require immediate management. Using clinical evaluation and adjunctive imaging, these conditions can be diagnosed and treated. Knowledge of pneumonia mimics is vital for the care of patients with respiratory complaints. Pneumonia is common and may be deadly, and emergency clinicians must differentiate conditions that mimic pneumonia. Rapid evaluation and management may alleviate morbidity and mortality for each of these conditions. The history and physical examination, in addition to utilizing imaging modalities such as ultrasound and computed tomography, are vital in diagnosis of pneumonia mimics.

AB - Pneumonia is a common cause of morbidity and mortality in adults in the United States. While pneumonia classically presents with a fever, cough, and shortness of breath, the presentation can vary widely in adults. This review evaluates history and physical examination findings of pneumonia and several conditions that mimic pneumonia. Pneumonia is a potentially deadly disease. History and examination findings are variable in pneumonia, and many conditions mimic pneumonia. These conditions include pulmonary embolism, diffuse interstitial lung disease, endocarditis, vasculitis, diffuse alveolar hemorrhage, acute decompensated heart failure, tuberculosis, lung cancer, and acute respiratory distress syndrome. Emergency clinicians should assess the patient while resuscitation occurs. Early antibiotics and the diagnosis of pneumonia can improve outcomes. Key historical and physical examination findings may lead the clinician to consider other conditions that require immediate management. Using clinical evaluation and adjunctive imaging, these conditions can be diagnosed and treated. Knowledge of pneumonia mimics is vital for the care of patients with respiratory complaints. Pneumonia is common and may be deadly, and emergency clinicians must differentiate conditions that mimic pneumonia. Rapid evaluation and management may alleviate morbidity and mortality for each of these conditions. The history and physical examination, in addition to utilizing imaging modalities such as ultrasound and computed tomography, are vital in diagnosis of pneumonia mimics.

KW - Acute respiratory distress syndrome

KW - Endocarditis

KW - Interstitial

KW - Lung cancer

KW - Mimic

KW - Pneumonia

KW - Tuberculosis

KW - Vasculitis

UR - http://www.scopus.com/inward/record.url?scp=85044437248&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044437248&partnerID=8YFLogxK

U2 - 10.1007/s11739-018-1840-z

DO - 10.1007/s11739-018-1840-z

M3 - Article

SP - 1

EP - 9

JO - Internal and Emergency Medicine

JF - Internal and Emergency Medicine

SN - 1828-0447

ER -