How to auscultate for pediatric pneumonia?

Patient's question:

The child from the family often feels a bit sick occasionally and can be slightly better with just a little medicine. But this time, the cold has been causing persistent coughing, and even after taking medicine, it hasn't been very effective. What are the symptoms of pneumonia in children?

Doctor's answer:

The main manifestations of pediatric pneumonia are initially irritating and then accompanied by phlegm. In cases of severe breathing difficulties, the nostrils flared, the head nodded, and cyanosis appeared around the lips. A careful examination of peripheral blood in viral pneumonia shows most white blood cells are normal or decreased, while in bacterial pneumonia, the total white blood cell count and neutrophils increase with left shift of the nucleus. A chest X-ray examination initially reveals increased lung, followed by the appearance of patchy shadows of varying sizes that merge into larger patches. Wishing the patient a speedy recovery and good health!

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