Levine's Pneumonia Flashcards
Why is age pathogenic factor for pneumonia?
Diminished mucociliary clearance
abnormal elastic recoil
alteration of humoral and cell mediated immunity
What factors interfere with normal host defenses?
Altered consciousness (loss of cough reflex!)
Cigarette
Viral infection (messes with natural flora)
Alcohol (loss of cough)
iatrogenic
drugs
ALMOST all pneumonia patients present with…
COUGH!!! productive or non
What is Dr. Levine’s favorite test?
Sputum Gram stain!
What are the common physical findings of CAP?
Tachypnea
Tachycardia
Rales
Consolidation signs
What is the most common cause of CAP?
Streptococcus Pneumonia
What is the leading factor for Strep Pneumo?
Age!
What are the risk factors for SEVERE disease from Streptococcus Pneumonia
Asplenia (important for encapsulated orgs)
Abnormal immunologlobulin
What is the most common bug causing pneumonia post influenza?
Staph Aureus
What is the most likely diagnosis/bug for showing XRAY pneumonia but feeling reasonably well, living in close community?
Walking Pneumonia
most likely- Mycoplasma pneumoniae
What are the risk factors for aspiration pneumonia?
Loss of consciousness! abnormal gag reflex!
Alcoholics or seizure patients
Aspiration pneumonia is most often caused by…
anaerobic bacteria
Distinguishing characteristics of aspiration pneumonia include…
foul smelling sputum
lung abscess
Patients with underlying chronic lung disease tend to have pneumonia caused by…
Moraxella catarrhalis
tend to be g- colonization
What gram negative bacteria cause CAP?
not common-
Klebsiella
E coli
Proteus mirabilis