TABLE 2

Prevalence of Examination Findings by Radiographic Pneumonia Diagnosis and Age

FindingRadiographic Pneumonia, n (%)Age, n (%)
No Pneumonia (n = 105)Pneumonia (n = 23)<5 y (n = 81)≥ 5 y (n = 47)
General examination
 General appearance
  Well31 (30)4 (17)19 (23)16 (34)
  Mildly ill or distressed39 (37)10 (43)34 (42)15 (32)
  Moderately ill or distressed32 (30)8 (35)25 (31)15 (32)
  Severely ill or distressed3 (3)1 (4)3 (4)1 (2)
 Behavior
  Playing and appropriate28 (27)5 (22)17 (21)16 (34)
  Quiet but appropriate45 (43)12 (52)31 (38)26 (55)
  Sleeping but easily arousable10 (10)1 (4)9 (11)2 (4)
  Fussy but consolable17 (16)3 (13)18 (22)2 (4)
  Irritable5 (5)1 (4)6 (7)0
  Lethargic, confused, or reduced response to pain01 (4)01 (2)
Respiratory examination
 Crackles35 (33)14 (61)35 (43)14 (30)
 Decreased breath sounds36 (34)19 (83)24 (30)31 (66)
 Wheezing36 (34)5 (22)30 (37)11 (23)
 Retractions60 (57)13 (57)55 (68)18 (38)
 Rhonchi38 (36)5 (22)35 (43)8 (17)
 Tachypneic72 (69)17 (74)61 (75)28 (60)
 Pleuritic chest pain7 (20)7 (41)0 (0)14 (33)
 Nasal flaring24 (23)6 (26)21 (26)9 (19)
 Grunting11 (10)3 (13)10 (12)4 (9)
 Head bobbing9 (9)0 (0)8 (10)1 (2)
 Observed cough51 (49)17 (74)44 (54)24 (51)
Cardiovascular and perfusion examination
 Cool extremities2 (2)2 (9)4 (5)0 (0)
 Skin color
  Pink and/or normal91 (87)18 (78)69 (85)40 (85)
  Pale or dusky13 (12)5 (22)11 (14)7 (15)
  Mottled1 (1)01 (1)0
 Capillary refill time (s)
  1–2 91 (87)18 (78)69 (85)40 (85)
  3 14 (13)5 (22)12 (15)7 (15)
 Peripheral pulses
  Normal102 (97)22 (96)80 (99)44 (96)
  Bounding2 (2)1 (4)1 (1)2 (4)
Abdominal examination
 Abdominal pain10 (10)4 (17)4 (5)10 (22)
Overall impression
 Mild51 (49)4 (17)35 (43)20 (44)
 Moderate46 (44)17 (74)40 (49)23 (50)
 Severe8 (8)1 (4)6 (7)3 (6)
  • Findings reflect the examination of the primary treating clinician (ie, first assessor).