Lobar pneumonia Flashcards

1
Q

Why is gas exchange impaired in pneumonia

A

Reduced ventilation

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2
Q

What practice increases the risk of aspiration pneumonia

A

Unsafe swallowing

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3
Q

Lung mostly affected by aspiration pneumonia

A

Right

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4
Q

Chest pain in pneumonia

A

Pleuritic

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5
Q

CV responses in pneumonia

A
  • tachycardia
  • tachypnoea
  • hypoxia
  • hypotension
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6
Q

Microbe leading to abscess in pneumonia

A

S aureus

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7
Q

Why is there dull percussion in pneumonia

A

Tissue collapse/consolidation

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8
Q

Why is there focal coarse crackles in pneumonia

A

Air passing through sputum

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9
Q

Why is there bronchial breath sounds in pneumonia

A

Consolidation

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10
Q

Symptoms of strep pneumoniae +ve in CAP

A
  • rusty sputum
  • right lower lobe consolidation
  • cold sores
  • chest pain
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11
Q

Symptoms of haemophillus influenza -ve in CAP

A
  • bronchitis
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12
Q

Epi of moraxellia caterrhalis In CAP

A
  • immunocompromised

- chronic disease

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13
Q

What two conditions increase the risk of HAP caused by pseudomonas aeruginosa

A
  • CF

- bronchiectasis

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14
Q

Which age group does pseudomonas aeruginosa affect more

A

Young

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15
Q

Epi of s aureus in HAP

A
  • CF
  • IVDU
  • eld >inf
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16
Q

Features of organisms that cause atypical pneumonia

A
  • cannot be cultured
  • cannot detected by gram
  • do not respond to penicillin
17
Q

(Neurological) symptoms of mycoplasma pneumonia (atypical)

A
  • transverse myelitis
  • back pain
  • rash of erythema multiforme
18
Q

MCQ presentation of atypical pneumonia caused by coxiella burnetii

A
  • farmer

- flu-like symptoms

19
Q

MCQ presentations of atypical pneumonia caused by legionella pneumophila

A
  • hypoK

- cheap holiday

20
Q

MCQ presentation of atypical pneumonia caused by chlamydia psittaci

A

Parrot owner

21
Q

How does legionella pneumophila spread

A
  • water supply

- air conditioning

22
Q

Atypical pneumonia pathogen found in school-aged children

A

Chlamydia pneumoniae

23
Q

Percussion in pneumonia

24
Q

Vocal resonance in pneumonia

25
Points of CURB-65
- Confusion - Urea >7mmol/L - RR>30 - BP <90/60 - >65 age
26
Causative agent of fungal pneumonia
PCP
27
Why is PCP common amongst immunocompromised
Low CD4+
28
Symptoms of fungal pneumonia
- DRY cough - SOB on EXERTION - night sweats
29
Treatment of fungal pneumonia
Co-trimoxazole
30
Default Abx for CAP
PO amoxicillin (or doxycyline)
31
Abx in severe CAP
- cefuroxime + erythromycin
32
Typical Abx in HAP
IV Ceftazidime (3rd gen)
33
Abx if staph
Flucloxacillin
34
Abx if MRSA
Vancomycin
35
Abx if pseudomonas
Tazocin + gentamicin
36
Abx if atypical pneumonia
- cefuroxime - macrolides - levofloxacin - doxycycline
37
Abx if chlamydia pneumoniae
Tetracycline
38
Abx if aspiration pneumonia
Co-amoxiclav