FN: Specific Pneumonias Flashcards

1
Q

Pneumococcus RF

A
Elderly
EtOH
Immunosuppressed
CHF
Pulmonary disease
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2
Q

Pneumococcus Pulmonary features

A

Lobar consolidation

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3
Q

Pneumococcus extrapulmonary

A

Herpes labialis

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4
Q

Pneumococcus Mx

A

Amoxicillin
Benpen
Cehalosporins

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5
Q

S. aureus Pulmonary features

A

Bilateral cavitating bronchopneumonia

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6
Q

S. aureus Mx

A

Fluclox

Vancomycin

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7
Q

Klebsiella RF

A

Rare
Elderly
EtOH
DM

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8
Q

Klebsiella Pulmonary features

A

Cavitating pneumonia

Esp. upper lobes

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9
Q

Klebsiella Mx

A

Cefotaxime

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10
Q

Mycoplasma RF

A

Epidemics

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11
Q

Mycoplasma Pulmonary features

A

Dry cough

Reticulo-nodular shadowing or patchy consolidation

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12
Q

Mycoplasma Extra pulmonary

A
Flu-like prodrome
- headache
- myalgia/arthralgia
Cold agglutinins → AIHA Cryoglobulin
Erythema multiforme SJS
GBS Hepatitis
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13
Q

Mycoplasma Ix and Mx

A

Dx: serology

Clarithro Cipro

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14
Q

Legionella RF

A

Travel

Air conditioning

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15
Q

Legionella Pulmonary features

A

Dry cough Dyspnoea

Bi-basal consolidation

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16
Q

Legionella extrapulmonary

A

Flu-like prodrome
Anorexia
D&V
Hepatitis Renal Failure Confusion SIADH → ↓Na

17
Q

Legionella Mx

A

Lymphopenia ↓Na+
Deranged LFTs
Dx: Urinary Ag or serology
Clarithro ± rifa

18
Q

Chlam pneumoniae pulmonary features

A

Pharyngitis, otitis􏰂pneumonia

19
Q

Chlam pneumoniae exrapulmonary features

A

sinus pain

20
Q

Chlam pneumoniae Dx and M

A

Serology

Clarithro

21
Q

Chlam pneumoniae RF

A

Parrots

22
Q

PCP RF

A

Immunocomprimised

23
Q

PCP Pulmonary features

A

Dry cough Exertional dyspnoea Bilateral creps

CXR: normal or bilateral perihilar interstitial shadowing

24
Q

PCP Dx and Mx

A

Dx: visualisation from BAL, sputum, biopsy
High dose co- trimoxazole or pentamidine
Prophylaxis if CD4