4th Year Pneumonia and Pneumothorax Flashcards
when is it categorised as HAP?
> 48 hours after hospital admission
what are bronchial breath sounds?
harsh sounds heard equally loud on inspiration and expiration
what causes bronchial breath sounds?
consolidation
CURB65 0/1
consider treating at home
CURB 2 +
hospital
associations with moraxella catarrhalis
immunocompromised
chronic pulmonary disease
associations with pseudomonas aeruginosa
CF
bronchiectasis
association with staph aureus
CF
post-influenza
define atypical pneumonia
cannot be cultured in normal ways and does not respond to penicillin
what causes legionella?
infected water
causes hyponatraemia
presentation of mycoplasma
target lesion rash
neurological symptoms
myalgia, etc.
fungal pneumonia cause
pneumocystitis jivoreci
where do you measure the size of the pneumothorax on CXR?
hilum
management of pneumothorax if no SOB and <2cm
no treatment
follow up in 2-4 weeks
management of pneumothorax is SOB and/or >2cm
aspiration and reassessment