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Tests and diagnosis

By Mayo Clinic staff

Your doctor may first suspect pneumonia based on your medical history and a physical exam. You may undergo some or all of these tests:

  • Physical exam. During the exam, your doctor listens to your lungs with a stethoscope to check for abnormal bubbling or crackling sounds (rales) and for rumblings (rhonchi) that signal the presence of thick liquid.
  • Chest X-rays. X-rays can confirm the presence of pneumonia and determine the extent and location of the infection.
  • Blood and mucus tests. You may have a blood test to measure your white cell count and look for the presence of viruses, bacteria or other organisms. Your doctor also may examine a sample of your mucus or your blood to help identify the particular microorganism that's causing your illness.
References
  1. Pneumonia. The Merck Manuals: 00The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec05/ch052/ch052a.html. Accessed March 25, 2009.
  2. Pneumonia fact sheet. American Lung Association. http://www.lungusa.org/site/apps/nlnet/content3.aspx?c=dvLUK9O0E&b=2060321&content_id={08C669B0-E845-4C9C-8B1E-285348BC83BD}¬oc=1. Accessed March 28, 2009.
  3. Durrington H, et al. Recent changes in the management of community-acquired pneumonia in adults. British Medical Journal. 2008;336:1429.
  4. Pneumonia. American Lung Association. http://www.lungusa.org/site/apps/nlnet/content3.aspx?c=dvLUK9O0E&b=4294229&ct=3052571. Accessed March 28, 2009.
  5. Menendez R, et al. Treatment failure in community-acquired pneumonia. Chest. 2007;132:1348.
  6. Singh S, et al. Long-term use of inhaled corticosteroids and the risk of pneumonia in chronic obstructive pulmonary disease: A meta-analysis. Archives of Internal Medicine. 2009;169;219.
  7. Chong C, et al. Pneumonia in the elderly: A review of the epidemiology, pathogenesis, microbiology and clinical features. Southern Medical Journal. 2008;101;1141.
  8. Chong C, et al. Pneumonia in the elderly: A review of severity assessment, prognosis, mortality, prevention and treatment. Southern Medical Journal. 2008;101;1134.

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May 9, 2009

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