Infection - Pneumonia

Question 1

Name some types of pneumonia

Answer 1

Community acquired
Hospital acquired
Aspiration

Question 2

What are some common differentials for CXR consolidation?

Answer 2

Pneumonia 
TB (upper)
Lung cancer
Lobar collapse
Haemorrhage

Question 3

What is CURB 65 useful for?

Answer 3

Guide management and risk stratify in pneumonia

Question 4

What investigations should be performed if suspected CAP?

Answer 4

CXR
FBC, U&E, CRP, sputum cultures
Blood cultures if febrile

Question 5

What should be done if CURB 65 score is high?

Answer 5

ITU referral

Atypical pneumonia screen (serology and urine legionalla test)

Question 6

What should be done in pneumonia follow up?

Answer 6

HIV test
Immunoglobulins
Pneumococcal IgG serotype
Haemophilus influenae b IgG
Clinic in 6 weeks with repeat CXR

Question 7

What are the causes of non resolving pneumonia?

Answer 7

CHAOS
Complication - empyema, lung abscess
Host - immunocompromised
Antibiotic - inadequate dose, poor oral absorption
Organism - resistant or unexpected
Second diagnosis - PR, cancer, organising pneumonia

Question 8

In CURB 65, urea is..

Answer 8

> 7

Question 9

In CURB 65, RR is..

Answer 9

> 30

Question 10

In CURB 65, BP is..

Answer 10

<90 systolic, <60 diastolic