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Y4R7 - Medicine III 🩺 > L8: Suppurative Lung Diseases > Flashcards

L8: Suppurative Lung Diseases Flashcards

1
Q

Def of Lung Abscess

A
  • A localized pus containing cavity, in the lung, due to necrotizing lung infection leading to destruction of lung parenchyma.
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2
Q

Etiology of Lung Abscess

A
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3
Q

Etiology of Lung Abscess

  • Aspiration of infected material from the oropharynx
A
  • The most common cause of lung abscess
  • As in periodontal or nasal sinus infection, neurological and esophageal diseases
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4
Q

Etiology of Lung Abscess

  • Pre-existing Lung Disease
A

bronchogenic cyst

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5
Q

Etiology of Lung Abscess

  • Hematogenous Spread
A

from intra- or extrathoracic sites.

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6
Q

Etiology of Lung Abscess

  • Necrotizing (cavitating) Pneumonia
A
  • Staph aureus
  • Klebsiella
  • Pseudomonas aeuroginosa
  • Anaerobic organisms.
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7
Q

Etiology of Lung Abscess

  • Inhalation of an infected material (uncommon source)
A
  • Contaminated respiratory equipment such as nebulizers or ventilators.
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8
Q

Causative Organism of Lung Abscess

A
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9
Q

Types of Lung Abscess

A
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10
Q

CP of Acute Lung Abscess

A
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11
Q

CP of Acute Lung Abscess

  • Symptoms
A
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12
Q

CP of Acute Lung Abscess

  • Signs
A
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13
Q

CP of Chronic Lung Abscess

A
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14
Q

CP of Chronic Lung Abscess

  • Symptoms
A
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15
Q

CP of Chronic Lung Abscess

  • Signs
A
  • Less toxemic manifestations
  • Digital Clubbing
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16
Q

Complications of Lung Abscess

A
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17
Q

INVx in Lung Abscess

A
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18
Q

INVx in Lung Abscess

  • Rads
A
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19
Q

INVx in Lung Abscess

  • X-Ray
A
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20
Q

INVx in Lung Abscess

  • CT Chest
A
  • for suspected bronchial carcinoma.
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21
Q

INVx in Lung Abscess

  • Labs
A
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22
Q

INVx in Lung Abscess

  • Sputum Ex
A
  • Gram- stain and culture
  • Ziehl- Neelsen staining to exclude TB
  • Fungal culture.
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23
Q

INVx in Lung Abscess

  • Sputum Cytology
A

For malignant cells.

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24
Q

INVx in Lung Abscess

  • CBC
A
  • Leucocytosis
  • Anemia.
25
Q

INVx in Lung Abscess

  • Bronchoscopy
26
Q

TTT of Lung Abscess

27
Q

TTT of Lung Abscess

  • Acute Abcess
28
Q

TTT of Acute Lung Abscess

  • Antibiotics
29
Q

Antibiotics in TTT of Acute Lung Abscess

  • duration
A
  • Must be extended for at least 4 weeks with changing the type of antibiotics according to the culture and sensitivity results.
30
Q

Antibiotics in TTT of Acute Lung Abscess

  • Regimen
31
Q

Antibiotics in TTT of Acute Lung Abscess

  • Examples
32
Q

Antibiotics in TTT of Acute Lung Abscess

  • When to switch?
A
  • Once the patient has defervesced, Consider switching to an equivalent oral regimen.
33
Q

TTT of Acute Lung Abscess

  • Anti-fungal or anti-TB drugs
A
  • Can be given if there are evidence of fungal or mycobacterial infections.
34
Q

TTT of Acute Lung Abscess

  • Postural Drainage
A

an important item in the management of lung abscess

35
Q

TTT of Acute Lung Abscess

  • Symptomatic TTT
A

Analgesics for pain and Expectorants.

36
Q

TTT of Acute Lung Abscess

  • Others
A

Rest, good nutrition with high protein diet.

37
Q

TTT of Chronic Lung Abscess

38
Q

TTT of Chronic Lung Abscess

  • Medical
A

Continued for another 6 weeks.

39
Q

TTT of Chronic Lung Abscess

  • Surgery
A

Indicated in chronic situation with:

  • Failure to respond to medical management.
  • Suspected neoplasm, or congenital lung malformation
  • Others life-threatening complications like uncontrolled hemoptysis.
40
Q

Prevention of Lung Abscess

41
Q

Def of Empyema with BPF

A
  • Pus in the pleural space or infected pleural fluid with fistula (opening) between the pleural space and the bronchial tree.
  • It may be loculated or free.
42
Q

Etiology of Empyema with BPF

43
Q

Types of Empyema with BPF

A

Empyema may be acute or chronic (> 3 months)

44
Q

Common Pathogens in Empyema with BPF

45
Q

CP of Empyema with BPF

46
Q

CP of Empyema with BPF

  • Symptoms
47
Q

CP of Empyema with BPF

  • Signs
A
  • Digital Clubbing
  • Pleural Rub
48
Q

INVx of Empyema with BPF

49
Q

INVx of Empyema with BPF

  • Rads
50
Q

INVx of Empyema with BPF

  • Thoracentesis
51
Q

INVx of Empyema with BPF

  • Special tests
52
Q

TTT of Empyema with BPF

53
Q

TTT of Empyema with BPF

  • Antimicrobials
A

According to the type of organisms as described in ttt of lung abscess

54
Q

TTT of Empyema with BPF

  • Chest tube under water seal
A

To drain pus.

55
Q

TTT of Empyema with BPF

  • Fibrinolytics
A

Intrapleural instillation of fibrinolytic drugs to lyse adhesions.

56
Q

TTT of Empyema with BPF

  • Thoracoscopic Drain
A

In loculated empyema.

57
Q

TTT of Empyema with BPF

  • Surgery
A
  • Pleural decortication.
  • Pleuro-pneumonectomy
58
Q

Incidenec of Infected Cystic Lung

A

Cystic lesions of the lung parenchyma:
- Congenital cystic lesions are rare in comparison with acquired cysts.

59
Q

Types of Infected Cystic Lung

Y4R7 - Medicine III 🩺 (28 decks)

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