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Clinical Practice
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Volume 347:2039-2045 December 19, 2002 Number 25
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Management of Community-Acquired Pneumonia
Ethan A. Halm, M.D., M.P.H., and Alvin S. Teirstein, M.D.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 65-year-old man with hypertension and degenerative joint disease presents to the emergency department with a three-day history of a productive cough and fever. He has a temperature of 38.3°C (101°F), a blood pressure of 144/92 mm Hg, a respiratory rate of 22 breaths per minute, a heart rate of 90 beats per minute, and oxygen saturation of 92 percent while breathing . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Diagnosis and Treatment of Pneumonia

Risk Stratification and the Decision to Hospitalize

Criteria for Clinical Stability and Discharge

Guidelines

Areas of Uncertainty

Conclusions and Recommendations


Source Information

From the Department of Health Policy (E.A.H.) and the Divisions of General Internal Medicine (E.A.H.) and Pulmonary and Critical Care Medicine (A.S.T.), Department of Medicine, Mount Sinai School of Medicine, New York.

Address reprint requests to Dr. Halm at the Department of Health Policy, Box 1077, Mount Sinai School of Medicine, 1 Gustave L. Levy Pl., New York, NY 10029, or at ethan.halm@mountsinai.org.


Related Letters:

Community-Acquired Pneumonia
Luh J. Y., Karnath B. M., Halm E. A., Teirstein A. S.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:1408-1409, Apr 3, 2003. Correspondence

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