Levine's Pneumonia Flashcards

1
Q

Why is age pathogenic factor for pneumonia?

A

Diminished mucociliary clearance
abnormal elastic recoil
alteration of humoral and cell mediated immunity

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2
Q

What factors interfere with normal host defenses?

A

Altered consciousness (loss of cough reflex!)
Cigarette
Viral infection (messes with natural flora)
Alcohol (loss of cough)
iatrogenic
drugs

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3
Q

ALMOST all pneumonia patients present with…

A

COUGH!!! productive or non

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4
Q

What is Dr. Levine’s favorite test?

A

Sputum Gram stain!

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5
Q

What are the common physical findings of CAP?

A

Tachypnea
Tachycardia
Rales
Consolidation signs

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6
Q

What is the most common cause of CAP?

A

Streptococcus Pneumonia

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7
Q

What is the leading factor for Strep Pneumo?

A

Age!

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8
Q

What are the risk factors for SEVERE disease from Streptococcus Pneumonia

A

Asplenia (important for encapsulated orgs)

Abnormal immunologlobulin

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9
Q

What is the most common bug causing pneumonia post influenza?

A

Staph Aureus

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10
Q

What is the most likely diagnosis/bug for showing XRAY pneumonia but feeling reasonably well, living in close community?

A

Walking Pneumonia

most likely- Mycoplasma pneumoniae

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11
Q

What are the risk factors for aspiration pneumonia?

A

Loss of consciousness! abnormal gag reflex!

Alcoholics or seizure patients

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12
Q

Aspiration pneumonia is most often caused by…

A

anaerobic bacteria

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13
Q

Distinguishing characteristics of aspiration pneumonia include…

A

foul smelling sputum

lung abscess

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14
Q

Patients with underlying chronic lung disease tend to have pneumonia caused by…

A

Moraxella catarrhalis

tend to be g- colonization

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15
Q

What gram negative bacteria cause CAP?

A

not common-
Klebsiella
E coli
Proteus mirabilis

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16
Q

What are the most common viruses causing CAP?

A

RSV, parainfluzena, Adenovirus, influenza, CMV in compromised, VZV

17
Q

What defines atypical pneumonia?

A

atypical severity and clinical presentation:
Mild resp illness… non productive cough
no organisms on gram stain

18
Q

Common patterns of pneumonia absent in atypical pneumonia include?

A

pleuritic pain, splinting, respiratory distress

19
Q

Most common pathogen causing walking pneumonia is?

A

Mycoplasma pneumoniae

20
Q

What is the common microbiology for nosocomial pneumonia?

A

Gram negative aerobes
most likely staph aureus
anaerobes uncommon

21
Q

A physician cultures a sputum sample and finds candida. Is this indicative of pneumonia?

A

Candida is frequently cultured but DOES NOT cause pneumonia! just a frequent colonizer of the respiratory tract. NOT worth treating.