Pathology Of Pulmonary Infection Flashcards

1
Q

What causes lung infections

A

Microorganism Pathogenicity :
-Primary
-Facultative
-Opportunistic

Capacity to Resist Infection :
-State of Host Defence Mechanisms
-Age of Patient

Population at Risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the cause of acute epiglottitus

A

H’influenza
Group A beta-haemolytic strep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the respiratory tract defense mechanisms

A

ALVEOLAR MACROPHAGES

MUCOCILIARY ESCALATOR

COUGH REFLEX

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How does the lower respiratory tract stay sterile

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the effect of infection on epithelium

A

Bronchial epithelium lost
Mucociliary escalator function lost
Predisposed pt to secondary bacterial infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the anatomical classifications of pneumonia

A

Bronchopneumonia
Segmental
Lobar

Hypostatic
Aspiration
Obstructive, retention
Endogenous lipid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does bronchopneumonia look like

A

Centre acinar region
Lower lung lobes
Bilateral
Patchy ossification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does bronchopneumonia look like on xray

A

Bilateral patchy opacification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does lobar pneumonia look like

A

Completely solid
Lacking in air

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does an xray of lobar pneumonia look like

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What complications can Pneumonia cause

A

Pleurisy, Pleural Effusion and Empyema
Organisation:
- Mass lesion
- COP(cryptogenic organising pneumonia (BOOP))
- Constrictive bronchiolitis

Lung Abscess
Bronchiectasis
Pneumonia still potentially fatal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does pleurisy look like

A

Fibrinous pleural exudate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does chronic empyema look like

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does cryptogenic organising pneumonia look like

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What can cause lung abscess

A

Obstructed bronchus
Aspiration
Some organisms
Metastatic in Pyaemia
Necrotic lung 2nd infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is bronchiactasis due to

A

Dilation of bronchi due to :
Infective episode
Recurrent infections
Proximal bronhcial obstruction
Lung parenchymal Destruction

17
Q

What does bronchiactasis look like

A
18
Q

What are some complications of bronchiectasis

A

Acute/Chronic Suppuration
Haemorrhage

19
Q

What are the causes of recurrent infection

A

Local Bronchial Obstruction - Tumour, Foreign body
Local Pulmonary Damage - Bronchiectasis
Generalised Lung Disease - Cystic Fibrosis, COPD
Non-Respiratory Disease - Immunocompromised (HIV, other), Aspiration

20
Q

What do opportunistic infections do

A

Infection by organisms not normally capable of producing disease in patients with intact lung defences - opportunistic pathogens

21
Q

What is normal and abnormal pulmonary gas exchange

A

Normal PaO2 10.5 – 13.5 kPa
Normal PaCO2 4.8 – 6.0 kPa

Respiratory Failure:

Type I PaO2 <8 kPa (PaCO2 normal or low)
Type II PaCO2 >6.5 kPa (PaO2 usually low)