Chest Infections Flashcards
most common cause of community acquired pneumonia
strep pneumoniae
what causes pneumonia in COPD patients
H.Influenzae
what organism typically causes pneumonia following influenza
Staph. Aureus
who gets pneumonia caused by Klebsiella
alcoholics
how is pneumonia caused by coxiella burnetii acquired
from sheep
how is pneumonia caused by Chlamydia Psciati acquired
from birds
who gets pneumonia caused by pseudomonas
patients with cystic fibrosis
how do people get pneumonia from Legionella
infection water supplies / air conditioning unit
- typically holiday abroad
complication of Legionella
hyponatraemia from SIADH
which pathogen causes rusty sputum
step pneumoniae
which pathogen causes red jelly sputum
klebsiella
sign of pneumonia on chest XRAY
consolidation
complications of pneumonia caused by mycoplasma
haemolytic anaemia
erythema multiform
Guillian Barre
what is used to assess pneumonia in the community
CURB65 score
components of CURB65 score
Confusion Urea >7 Resp rate > 30 BP <90 systolic or <60 diastolic Age > 65
at what CURB65 score should you consider hospital admission
score >2
treatment of CAP score 0-2 (mild)
Oral Amoxicillin (1g three times a day) for 5 days (doxycycline if allergic)
treatment of CAP score 3-5 (mod-severe)
IV Co-Amoxiclav + Clarithromycin for 7 days
how is hospital acquired pneumonia defined
pneumonia acquired after 48 hours of admission
treatment of mild HAP
amoxicillin 5 days
treatment of severe HAP
IV amoxicillin + Gentamicin 7 days
IV co-trimoxazole + gentamicin if allergic
treatment of pneumonia caused by legionella
levofloxacin
treatment of pneumonia caused by Klebsiella
cefotaxime
treatment of pneumonia caused by psciati / burnetti
doxycycline
who gets pneumonia caused by pneumocystis jiroveci
patients with HIV
Presentation of pneumonia caused by jiroveci
dry cough
SOB on exertion
night sweats
treatment of pneumonia caused by jiroveci
co-trimoxazole
signs of pneumonia on auscultation
bronchial breath sounds
coarse crackles
dull percussion due to consolidation
common complication of pneumonia caused by pneumocystis jiroveci
pneumothorax
features of mycoplasma pneumonia
gradual onset flu like symptoms precede dry cough bilateral consolidation on xray erythema multiforme cold autoimmune haemolysis
