Goroll Ch 52- Bronchitis and Pneumonia Flashcards
What does “classic” CAP present like?
sudden chill followed by fever, pleuritic pain, productive cough
What does atypical pneumonia typically present as?
sore throat and HA then nonproductive cough and dyspnea
Are there infiltrate or signs of consolidation in an acute bronchitis x-ray?
NO
What is the most common cause of pneumonia?
Strep peneumoniae
What are classic clinical features of pneumococcal pneumonia?
abrupt onset of fever w/ single rigor, cough with rusty sputum, pleuritic chest pain
Lobar consolidation on x-ray
What is the most common complication of pneumococcal pneumonia?
bacteremia
What is the distinctive feature of pneumonia from S. aureus?
multiple small lung abscesses
How does pneumonia from GAS present?
begins abruptly with fever, cough, and severe debility
CP is prominent in most patietns
What is the distinctive lcinical feature of GAS pneumonia?
rapid spread in the lung with resultant early empyema formation
What population is prone to Klebsiella pneumonia?
alcoholics
What does the sputum from Klebsiella pneumonia look like?
dark red and mucoid (“currant jelly” sputum)
what are risk factors for moraxella catarrhalis pneumonia?
Diabetes, alcoholism, malignancy, and steroid use
What are the 3 stages of pertussis?
- catarrhal phase (URI, rhinorrhea, low-grade fever, mild congestion x1-2 weeks)
- Paroxysmal phase (last 2-4 weeks; severe nonproductive coughing, posttussive syncope and vomiting; whoop sound)
- convalescent phase (symptoms resolve over 1-3 months)
How does Legionnaires’ Disease present? (type of CAP caused by Legionella pneumophilia)
acutely high fever, nonproductive cough, dyspnea; sometimes pleuritic chest pain
What is atypical pneumonia syndrome?
fever, dry cough, nonspecific infiltrate on chest film
