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MRCP Resp > ATYPICAL PNEUMONIA > Flashcards

ATYPICAL PNEUMONIA Flashcards

1
Q

what are the atypical pneumonia ?

A

mycoplasma pneumonia

legionella pneumonia

chlaymydia pneumonia

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2
Q

x

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3
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x

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4
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x

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5
Q

x

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6
Q

risk factors for Legionnaire’s disease

A

typically colonizes water tanks and hence questions may hint at air-conditioning systems or foreign holidays.

Person-to-person transmission is not seen!!

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7
Q

clinical features of legionella ?

A

flu-like symptoms including fever

NON productive dry cough

RELATIVE BRADYCARDIA

CONFUSION/ DROWSY

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8
Q

on blood investigation what can suggest legionella ?

A

hyponatraemia <136mmol/l

deranged LFT

lymphopaenia

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9
Q

on radiology what is seen among 30 percent of patient in legionella ?

A

pleural effusion!!!

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10
Q

how to diagnose legionella ?

A

legionella urinary antigen

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11
Q

MX of Legionnaire’s disease same as mycoplasma ?

A

treat with erythromycin/clarithromycin

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12
Q

In what SPECIFIC WAYS are legionellaand mycoplasma the same ?

A

Flu like symptoms to begin with

DRY NON PRODUCTIVE COUGH

deranged eft

tx

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13
Q

CXR features of legionella ?

A

patchy features

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14
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x

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15
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x

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16
Q

Klebsiella pneumoniae is

A

gram-negative bacillus
associated with pneumonia in alcoholics

17
Q

Klebsiella pneumonia clinical features ?

A

cough with haemoptysis

18
Q

blood findings for klebseilla pneumonia

A

deranged liver markers

19
Q

cxr findings for klebseillapneumonia

A
20
Q

what other atypical organism causes blood in cough ?

A

Pseudomonas aeruginosa

21
Q

cxr findings in klebsiella ?

A

cavitating lesions

22
Q

X

A
23
Q

X

A
24
Q

X

A
25
Q

X

A
26
Q

D

A
27
Q

X

A
28
Q

Clinical manifestations of mycoplasma pneumonia

A

prolonged and gradual onset

Preceded by flu
Dry cough
Erythema multiforme - target spots on skin

29
Q

CXR finding of mycoplasma pneumonia ?

A

B/L consolidation

30
Q

Diagnosis of Mycoplasma pneumonia ?

A

Serology !

Positive cold agglutin test

31
Q

What type of hemolytic anemia is aaaociated with mycoplasma pneumonia ?

A

cold autoimmune haemolytic anaemia

32
Q

Other complication of mycoplasma

A

thrombocytopenia

erythema nodosum

meningoencephalitis,

Guillain-Barre syndrome

and other immune-mediated neurological diseases

pericarditis/myocarditis

gastrointestinal: hepatitis, pancreatitis
renal: acute glomerulonephritis

33
Q

ENT complications of mycoplasma ?

A

bullous myringitis: painful vesicles on the tympanic membrane

34
Q

Management of Mycoplasma

A

Doxycline
Or macrolide - erythro or clarithromycin

MRCP Resp (28 decks)

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