me again, get studying these pls x Flashcards
Complications of pneumonia
PEASAP Pneumothorax Empyema Abscess Septicaemia AF Post-infective bronchiectasis
Investigation of empyema
Thoracentesis and pleural fluid analysis
CURB65 0-1
Home with amoxcillin/macrolide for 5 days
CURB65 2
Hospital with dual antibiotic therapy amoxicillin and macrolide 7-10 days
CURB65 3+
Hospital/ITU with dual antibiotic therapy macrolide and co-amoxiclav/ceftriaxone/tazocin
U of CURB65
Blood urea nitrogen over 7mmol/l
R of CURB65
RR over 30
B of CURB65
Less than 90/60
Acute pneumonia investigations
ABG, Bloods, Blood Culture, Sputum culture. PCR, Urine antigen and CXR
PUB CABS
PUB CABS
PCR for mycoplasma
Urine antigen for legionella/pneumococcal
Bloods
CXR for lobar, multi-lobar, cavitation, pleural effusion
ABGs
Blood culture
Sputum
Pneumonia
Inflammatory condition of the lungs leading to fluid and blood cells leaking into alveoli, spread leads to consolidation
Legionella pneumonia results
Hyponatraemia, deranged LFTs and legionella antigen in urine
Cavitating pneumonia and red-currant sputum
Klebsiella pneumonia
Pneumocystis jirovecii results
Silver stain showing cysts
Rash associated with mycoplasma pneumoniae
Erythema multiforme
Difference between HAP and CAP
HAP tends to be gram negative such as klebsiella and e. coli
Bilateral cavitating bronchopneumonia
Staphylococcal pneumonia
3 most common pneumonia causes
Strep pneumoniae, Haemophilus influenzae and mycoplasma pnuemoniae
3 most common pneumonia causes
Strep pneumoniae, Haemophilus influenzae and mycoplasma pnuemoniae
Raised ALP suggest
Posthepatic obstruction
Drugs that can cause haemolysis
Anti-malarials
Gilberts syndrome
Causes jaundice you don’t need to treat, liver functions well but bilirubin is building up. Decreased activity of glucuronyl transferase
Carcinoid syndrome
Symptoms someone with neuroendocrine tumours may experience