The Diagnosis of Pneumonia in Adults

The Diagnosis of Pneumonia in Adults

Additional Laboratory or Radiological Tests and Their Rationale

A radiological test that should be performed is a chest x-ray with posteroanterior and lateral views. This mode is the recommended one in the assessment of typical bacterial pneumonia (Chavez et al., 2014). Diagnosis is made based on the clinical appearance and infiltrates observed on the chest x-ray. If the chest x-ray does not expose an infiltrate, it is prudent to perform a computed tomography, or if possible repeat the chest x-ray within one to two days.

Cut 15% OFF your first order
We’ll deliver a custom Diagnostics paper tailored to your requirements with a good discount
Use discount
322 specialists online


A blood culture could be conducted to pinpoint the bacterial pathogen if bacteremia were present. It is reported that approximately 12% of all patients admitted to hospital for pneumonia have bacteremia, which is brought about by S. pneumoniae in 66% of the cases (Cilloniz et al., 2015)The Diagnosis of Pneumonia in Adults.

Sputum tests such as Gram stain, culture, microscopy, and chemical tests can be done to identify the pathogen and determine the susceptibility of the microorganisms to antibiotics to determine the most appropriate drug. These tests are also useful in distinguishing between infections with overlapping symptoms, for instance, tuberculosis and pneumonia (Peto et al., 2014). However, the accuracy of these tests is complicated by the contamination of specimen by oral flora.

Sputum samples can also avail data on the presence of viral pathogens through direct fluorescence antibody testing or polymerase chain reaction. However, the interpretation of these findings should be done cautiously because more than a tenth of healthy adults have a respiratory virus or possible bacterial pathogen (Miyashita et al., 2015).

Expected Findings

Different observations would be made on the chest x-ray test depending on the causative microorganisms. The presence of multilobar infiltrates would be evident in Streptococcus pneumoniae or Legionella pneumophila infections (Musher & Thorner, 2014). In interstitial pneumonia caused by viruses or mycoplasma, the x-ray would reveal augmented interstitial markings, a subpleural reticular opaqueness that intensifies from the tip to the bottom of the right lung, as well as marginal honeycombing. Observation of cavitating pneumonia would be indicative of Staphylococcus aureus, fungal or mycobacterial causes.


The diagnosis is pneumonia, in particular, community-acquired pneumonia. Pneumonia is the inflammation of the lung tissue, which may be present in one or both lungs. It is often caused by bacterial infections though it can be as a result of viral infections. The diagnosis was arrived at because the patient presented with symptoms consistent with pneumonia such as shortness of breath, fever, chills, right-sided chest pain, and productive cough (Wyrwich, Yu, Sato, Strutton, & Powers, 2013).

In addition, he is coughing up rust-colored mucus has chest pain that has impaired his breathing. Other signs include abnormally rapid breathing, coarse rhonchi through the right lung field as well as decreased breath sounds on the right. In pneumonia, the chest pain is usually pleuritic and is next to the affected region (Wyrwich et al., 2013), which in the patient is the right lung. The Diagnosis of Pneumonia in Adults

On-Time Delivery!
Get your customized and 100% plagiarism-free paper done in as little as 3 hours
Let’s start
322 specialists online

Medication and Duration of Treatment

Antibiotic treatment is the core of treatment for community-acquired pneumonia. Empiric antibiotics should be initiated within the shortest time possible following the presentation of symptoms and a confirmed diagnosis. The choice of treatment is based on likely pathogens and severity of illness due to difficulties in the identification of the causative microbes. The recommended therapy is a macrolide such as oral azithromycin 500 mg once, followed by 250 mg once a day for four other days such that the total duration of treatment is 5 days (File, Bartlett, & Thorner, 2015).

Oral clarithromycin 250 to 500 mg twice a day for seven to 14 days. Another alternative is extended-release clarithromycin 1 g once a day for seven days. For patients who are allergic to macrolides, oral doxycycline 100 mg twice a day should be given for 10 to 21 days. Doxycycline may also be administered intravenously.


Chavez, M. A., Shams, N., Ellington, L. E., Naithani, N., Gilman, R. H., Steinhoff, M. C.,… Checkley, W. (2014). Lung ultrasound for the diagnosis of pneumonia in adults: A systematic review and meta-analysis. Respiratory Research15(1), 50.

Cilloniz, C., Albert, R. K., Liapikou, A., Gabarrus, A., Rangel, E., Bello, S.,… Torres, A. (2015). The effect of macrolide resistance on the presentation and outcome of patients hospitalized for Streptococcus pneumoniae pneumonia. American Journal of Respiratory and Critical Care Medicine191(11), 1265-1272.

Peto, L., Nadjm, B., Horby, P., Ngan, T. T. D., van Doorn, R., Van Kinh, N., & Wertheim, H. F. (2014). The bacterial etiology of adult community-acquired pneumonia in Asia: A systematic review. Transactions of the Royal Society of Tropical Medicine and Hygiene108(6), 326-337. The Diagnosis of Pneumonia in Adults

Get a custom-written paper
For only $13.00 $11/page you can get a custom-written academic paper according to your instructions
Let us help you
322 specialists online

Miyashita, N., Kawai, Y., Tanaka, T., Akaike, H., Teranishi, H., Wakabayashi, T.,… Okimoto, N. (2015). Diagnostic sensitivity of a rapid antigen test for the detection of Mycoplasma pneumoniae: Comparison with real-time PCR. Journal of Infection and Chemotherapy21(6), 473-475.

Musher, D. M., & Thorner, A. R. (2014). Community-acquired pneumonia. New England Journal of Medicine371(17), 1619-1628.

Wyrwich, K. W., Yu, H., Sato, R., Strutton, D., & Powers, J. H. (2013). Community-acquired pneumonia: Symptoms and burden of illness at diagnosis among US adults aged 50 years and older. The Patient-Patient-Centered Outcomes Research6(2), 125-134.

File, T. M., Jr., Bartlett, J. G., & Thorner, A. R. (2015). Treatment of community-acquired pneumonia in adults in the outpatient setting. Web. The Diagnosis of Pneumonia in Adults

What Will You Get?

We provide professional writing services to help you score straight A’s by submitting custom written assignments that mirror your guidelines.

Premium Quality

Get result-oriented writing and never worry about grades anymore. We follow the highest quality standards to make sure that you get perfect assignments.

Experienced Writers

Our writers have experience in dealing with papers of every educational level. You can surely rely on the expertise of our qualified professionals.

On-Time Delivery

Your deadline is our threshold for success and we take it very seriously. We make sure you receive your papers before your predefined time.

24/7 Customer Support

Someone from our customer support team is always here to respond to your questions. So, hit us up if you have got any ambiguity or concern.

Complete Confidentiality

Sit back and relax while we help you out with writing your papers. We have an ultimate policy for keeping your personal and order-related details a secret.

Authentic Sources

We assure you that your document will be thoroughly checked for plagiarism and grammatical errors as we use highly authentic and licit sources.

Moneyback Guarantee

Still reluctant about placing an order? Our 100% Moneyback Guarantee backs you up on rare occasions where you aren’t satisfied with the writing.

Order Tracking

You don’t have to wait for an update for hours; you can track the progress of your order any time you want. We share the status after each step.


Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.

Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.


Trusted Partner of 9650+ Students for Writing

From brainstorming your paper's outline to perfecting its grammar, we perform every step carefully to make your paper worthy of A grade.

Preferred Writer

Hire your preferred writer anytime. Simply specify if you want your preferred expert to write your paper and we’ll make that happen.

Grammar Check Report

Get an elaborate and authentic grammar check report with your work to have the grammar goodness sealed in your document.

One Page Summary

You can purchase this feature if you want our writers to sum up your paper in the form of a concise and well-articulated summary.

Plagiarism Report

You don’t have to worry about plagiarism anymore. Get a plagiarism report to certify the uniqueness of your work.

Free Features $66FREE

  • Most Qualified Writer $10FREE
  • Plagiarism Scan Report $10FREE
  • Unlimited Revisions $08FREE
  • Paper Formatting $05FREE
  • Cover Page $05FREE
  • Referencing & Bibliography $10FREE
  • Dedicated User Area $08FREE
  • 24/7 Order Tracking $05FREE
  • Periodic Email Alerts $05FREE

Our Services

Join us for the best experience while seeking writing assistance in your college life. A good grade is all you need to boost up your academic excellence and we are all about it.

  • On-time Delivery
  • 24/7 Order Tracking
  • Access to Authentic Sources
Academic Writing

We create perfect papers according to the guidelines.

Professional Editing

We seamlessly edit out errors from your papers.

Thorough Proofreading

We thoroughly read your final draft to identify errors.


Delegate Your Challenging Writing Tasks to Experienced Professionals

Work with ultimate peace of mind because we ensure that your academic work is our responsibility and your grades are a top concern for us!

Check Out Our Sample Work

Dedication. Quality. Commitment. Punctuality


It May Not Be Much, but It’s Honest Work!

Here is what we have achieved so far. These numbers are evidence that we go the extra mile to make your college journey successful.


Happy Clients


Words Written This Week


Ongoing Orders


Customer Satisfaction Rate

Process as Fine as Brewed Coffee

We have the most intuitive and minimalistic process so that you can easily place an order. Just follow a few steps to unlock success.

See How We Helped 9000+ Students Achieve Success


We Analyze Your Problem and Offer Customized Writing

We understand your guidelines first before delivering any writing service. You can discuss your writing needs and we will have them evaluated by our dedicated team.

  • Clear elicitation of your requirements.
  • Customized writing as per your needs.

We Mirror Your Guidelines to Deliver Quality Services

We write your papers in a standardized way. We complete your work in such a way that it turns out to be a perfect description of your guidelines.

  • Proactive analysis of your writing.
  • Active communication to understand requirements.

We Handle Your Writing Tasks to Ensure Excellent Grades

We promise you excellent grades and academic excellence that you always longed for. Our writers stay in touch with you via email.

  • Thorough research and analysis for every order.
  • Deliverance of reliable writing service to improve your grades.
Place an Order Start Chat Now