Chronic Pulmonary Infections Flashcards
1
Q
Signs
A
Shadow on CSR Weight loss Persistant sputum production Chest pain Increasing shortness of breath
2
Q
Risk factors
A
Immunodeficiency
Immunosuppression
Abnormal innate host defence
Repeated insult
3
Q
Immunodeficiency
A
IgA Hypoglammagblobulinaemia Hypo-splenism Myeloma Lymphoma HIV
4
Q
Immunosuppression
A
Dugs: Steroids Aziathiorpine Methotrexate Infliximab Chemotherapy
5
Q
Defective Innate Host Response
A
Damaged mucosa (smoking, pneumonia, malignancy) Abnormal cilia (Kartageners syndroms, Youngs Syndrome) Abnormal secretions (CF)
6
Q
Repeated insult
A
Recurrent aspiration (NG feeding, poor swallow) Indwelling material (NG tube wrong place, chest drain, inhaled foreign body)
7
Q
Forms of Chronic Pulmonary Infection
A
Intrapulmonary abscess Empyema Chronic bronchial sepsis Bronchiectasis Cystic Fibrosis
8
Q
Intrapulmonary Abscess
A
Indolent presentation Weight loss Lethargy Cough Precedes illness High mortality
9
Q
CT for intrapulmonary abscess
A
orange
10
Q
Pathogens for intrapulmonary abscess
A
Bacteria (strep, staphy, E coli, gram -ve)
Fungi (aspergillus)
11
Q
Empyema
A
Pus in pleural space
12
Q
CT of empyema
A
banana
13
Q
Pathogens of empyema
A
Gram +ve (strep milleri, staph aureus)
Gram -ve (E coli, Klebsiella, Influenza)
14
Q
Empyema diagnosis
A
Slow to resolve pneumonia
D sign on CXR
15
Q
Treatment of empyema
A
Antibiotics
