Pneumonia (as cause of Chest Pain)

Suspect if pleuritic chest pain and fever, especially if there’s a cough.  Focal rales heighten suspicion.  With consolidation, there’s focal dullness to percussion & egophony (patient says “E-E-E-E” while you auscultate, it sounds like “A-A-A-A”).

A chest x-ray is virtually 100% sensitive (rare false-negatives in the initial 24 hours).

Mortality rate among out-patients may be under 0.5%.  For those with community-acquired pneumonia sick enough to require an ICU, up to 36% may die.

See also postings Chest Pain – 2 and Acute Cough – 2.