SciELO - Scientific Electronic Library Online

vol.135 número4Gastrectomía laparoscópica en cáncer gástrico: Experiencia preliminarÉtica de las publicaciones en revistas médicas índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados


Revista médica de Chile

versión impresa ISSN 0034-9887


SALDIAS P, Fernando; MENDEZ C, J Ignacio; RAMIREZ R, David  y  DIAZ P, Orlando. Predictive value of history and physical examination for the diagnosis of community-acquired pneumonia in adults: A literature review. Rev. méd. Chile [online]. 2007, vol.135, n.4, pp.517-528. ISSN 0034-9887.

Distinguishing pneumonia from other causes of respiratory illnesses, such as bronchitis, influenza and upper respiratory tract infections, has important therapeutic and prognostic implications. This decision is usually made by clinical assessment alone or by performing a chest x-ray. The reference standard for diagnosing pneumonia is chest radiography, but many physicians rely on history and physical examination to diagnose or exclude this disease. A review of published studies of patients suspected of having pneumonia reveals that there are no individual clinical findings, or combination of findings, that can predict with certainty the diagnosis of pneumonia. Prediction rules have been recommended to guide the order of diagnostic tests, to maximize their clinical utility. Thus, some studies have shown that the absence of any vital sign abnormalities or any abnormalities on chest auscultation substantially reduces the likelihood of pneumonia to a point where further diagnostic evaluation may be unnecessary. This article reviews the literature on the appropriate use of the history and physical examination in diagnose community-acquired pneumonia

Palabras clave : Diagnosis, differential; Pneumonia; Radiography, thoracic.

        · texto en Español     · Español ( pdf )


Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons