Class 6 - Respiratory 2 Flashcards
Pneumonia
Inflammation of the lungs. Can be infection (bacterial/viral) that affects one or both lungs
Pneumonia Incidence
Very common, worldwide leading cause of death. Viral m/c in children, Bacterial m/c in adults
Pneumonia Risk Factors
Smoking, acute respiratory infections, chronic bronchitis, illness, age (young or old)
Community acquired pneumonia
Streptococcus (m/c), haemophilus influenza
Hospital-acquired pneumonia
Staphylococcus aureus
Alveolar pneumonia
involves alveoli
Interstitial pneumonia
involves septa
Bronchopneumonia
limited to segmental bronchi
Lobar pneumonia
widespread or diffuse
Pneumonia upper respiratory flora
Streptococcus, Staphylococcus, Haemophilus
Pneumonia Enteric Saphrophytes
*
* Candida albicans (rare)
Pneumonia Extraneous pathogens
- Mycobacterium tuberculosis, viruses
Pneumonia routes of infection Inhalation
pathogens in air droplets
Pneumonia routes of infection Aspiration
Of infected secretion from URT, infected particles from GI
Pneumonia routes of infection Hematogenous
Spread from sepsis
Pneumonia Clinical Manifestations
chest pain, productive cough, brown/green sputum, dyspnea, headache, chills, fever
Pneumonia Diagnosis
- Culture, chest films, physical examination
Pneumonia Treatment
Antibiotics, rest, fluids, medications, vaccinations
Pneumonia Complications Pleuritis
pus can fill pleural cavity (empyema). Lungs cannot expand during inspiration (fibrosis), leading to restrictive lung disease
Pneumonia Complications Abscesses
Highly virulent bacteria, destroys lung parenchyma. Pus causes destruction of walls, leads to bronchial dilation.
Pneumonia Complications Chronic Inflammation
Pneumonia unresponsive to treatment, destruction of lung parenchyma and fibrosis - looks like honeycomb lungs on x-ray
Pneumocystis Jirovecii Pneumonia (PCP)
- Idiopathic, often fatal fungal pneumonia
Pneumocystis Jirovecii Pneumonia (PCP) Risk factors
immunosupression , chemo, transplantation, malnutrition
Pneumocystis Jirovecii Pneumonia (PCP) Diagnosis/Treatment
culture lab tests, antifungal meds