OnlineMedEd: Pulmonology - "Pneumonia"

Question 1

Go through the workup of pneumonia.

Answer 1

If someone comes in with a fever and a productive cough, it’s likely either bronchitis (if the chest x-ray is negative), pneumonia (if the CXR is positive), or a cavitation (if the CXR is positive for abscess).

Question 2

What is the technical differentiation between community-acquired pneumonia and hospital-acquired pneumonia?

Answer 2

Hospital-acquired pneumonia is when someone doesn’t have pneumonia upon arrival to the hospital but develops it 48 or more hours later (and up to 90 days after discharge).

Question 3

Review the kinds of CAP and their risk factors.

Answer 3

• S. pneumoniae, M. catarrhalis: average Joe
• S. aureus: postviral
• Klebsiella: alcoholics
• Legionnaires: older smokers or the immunosuppressed

Question 4

List the two treatment protocols for CAP.

Answer 4

• 3rd-generation cephalosporin and macrolide

* Moxifloxacin

Question 5

Which two organisms make HCAP a helpful entity?

Answer 5

Pseudomonas and MRSA

Pip/tazo + vancomycin

Question 6

How are lung abscesses treated?

Answer 6

3rd-gen cephalosporin and clindamycin

Question 7

List the three treatment options for bronchitis.

Answer 7

• Doxycycline
• Macrolide
• Moxifloxacin

Question 8

If the patient has AIDS with pneumonia, then you should give steroids if _____________.

Answer 8

they are hypoxemic