A 75 years old female patient with diabetes mellitus, hypertension and ischemic heart disease presented with fever and cough for 3 days duration. She produced yellow color sputum, but there was no hemoptysis. There was right-sided chest pain on breathing. She had nausea and the appetite was poor. What are the possibilities? Fever, cough, sputum and pleuritic chest pain equals pneumonia unless proven otherwise! Many conditions can mimic pneumonia. Read and find out! On examination the patient was ill-looking. She was tachycardic and tachypnoeic. Blood pressure was 100/70mmHg. Respiratory examination revealed signs localized to the right lower zone. Reduced chest expansion Increased vocal fremitus Dull percussion note Bronchial breathing Increased vocal resonance Whispering pectoriloquy! What do these physical signs mean? Read about physical signs and how to interpret them. A consolidation in the right lower zone. With these findings, the clinic...
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