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Year 4: Infectious Disease > Chest Infections > Flashcards

Chest Infections Flashcards

1
Q

most common cause of community acquired pneumonia

A

strep pneumoniae

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2
Q

what causes pneumonia in COPD patients

A

H.Influenzae

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3
Q

what organism typically causes pneumonia following influenza

A

Staph. Aureus

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4
Q

who gets pneumonia caused by Klebsiella

A

alcoholics

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5
Q

how is pneumonia caused by coxiella burnetii acquired

A

from sheep

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6
Q

how is pneumonia caused by Chlamydia Psciati acquired

A

from birds

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7
Q

who gets pneumonia caused by pseudomonas

A

patients with cystic fibrosis

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8
Q

how do people get pneumonia from Legionella

A

infection water supplies / air conditioning unit

- typically holiday abroad

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9
Q

complication of Legionella

A

hyponatraemia from SIADH

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10
Q

which pathogen causes rusty sputum

A

step pneumoniae

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11
Q

which pathogen causes red jelly sputum

A

klebsiella

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12
Q

sign of pneumonia on chest XRAY

A

consolidation

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13
Q

complications of pneumonia caused by mycoplasma

A

haemolytic anaemia
erythema multiform
Guillian Barre

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14
Q

what is used to assess pneumonia in the community

A

CURB65 score

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15
Q

components of CURB65 score

A 
Confusion 
Urea >7
Resp rate > 30
BP <90 systolic or <60 diastolic 
Age > 65
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16
Q

at what CURB65 score should you consider hospital admission

A

score >2

17
Q

treatment of CAP score 0-2 (mild)

A 
Oral Amoxicillin (1g three times a day) for 5 days
(doxycycline if allergic)
18
Q

treatment of CAP score 3-5 (mod-severe)

A

IV Co-Amoxiclav + Clarithromycin for 7 days

19
Q

how is hospital acquired pneumonia defined

A

pneumonia acquired after 48 hours of admission

20
Q

treatment of mild HAP

A

amoxicillin 5 days

21
Q

treatment of severe HAP

A

IV amoxicillin + Gentamicin 7 days

IV co-trimoxazole + gentamicin if allergic

22
Q

treatment of pneumonia caused by legionella

A

levofloxacin

23
Q

treatment of pneumonia caused by Klebsiella

A

cefotaxime

24
Q

treatment of pneumonia caused by psciati / burnetti

A

doxycycline

25
Q

who gets pneumonia caused by pneumocystis jiroveci

A

patients with HIV

26
Q

Presentation of pneumonia caused by jiroveci

A

dry cough
SOB on exertion
night sweats

27
Q

treatment of pneumonia caused by jiroveci

A

co-trimoxazole

28
Q

signs of pneumonia on auscultation

A

bronchial breath sounds
coarse crackles
dull percussion due to consolidation

29
Q

common complication of pneumonia caused by pneumocystis jiroveci

A

pneumothorax

30
Q

features of mycoplasma pneumonia

A 
gradual onset
flu like symptoms precede dry cough 
bilateral consolidation on xray
erythema multiforme
cold autoimmune haemolysis

Year 4: Infectious Disease (17 decks)

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