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ALGORITHM FOR DIAGNOSIS OF PCP
Dr. Ira Shah
M.D, DNB, DCH(Gold Medalist), FCPS



Child presents with tachypnea, fever and cough

Resource poor
Setting
Resources limited
Setting
Resourceful
Setting
X-ray chest
ABG
X-ray chest
ABG
GL/Sputum for PCP*

X-ray chest
ABG
Bronchoscopy with BAL*

      
Suspicion of PCP Not suggestive of PCP Suggestive
of PCP
Positive

Negative

May consider

Transbronchial biopsy

or Open lung biopsy

Negative

Treat Look for Treat Treat

Look for other causes
of pneumonia

Other causes
Of pneumonia

         * Special Stains required. Minimum of 2 stains. Preferably methenamine silver stain and Wright stain.

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