Pmeumonia Flashcards
4 symptoms of pneumonia:
- Fever
- Reproductive cough (yellowish greenish)
- SOB
- Pleuritic chest pain
CXR of Typical pneumonia: […]
CXR of Atypical pneumonia : […]
Typical: consolidation
Atypical: bilateral infiltration
You must obtain […] for diagnosis of pneumonia
Sputum culture & gram stain
It takes […] weeks for patches on CXR of lobar pneumonia to disappear
6 weeks
Most common causative organism of CAP:
Strep pneumonia
Most common causative organism of HAP:
Pseudomonas
E.coli
Klebsiella
MRSA
Most common causative organism of Ventilation associated pneumonia:
Pseudomonas
Expect […] as causative organism of pneumonia in HIV patients with CD4<200
PCP
Pneumocystic Carinii or Jirovici
[…] test to detect Mycoplasma pneumonia
IgM cold agglutinin
[…] test to detect Legionella
Urinary antigen
[…] test to detect PCP
Silver stain
[…] is common pneumonia organism in alcoholic
Klebsiella
CURB-65 stands for
Confusion
Urea >7
RR >30
BP <90/60
Age 65+
Air-fluid level on CXR
Lung abscess
Lung abscess mostly caused by […] organism
Aneorobics
Tx of lung abscess:
Clindamycin
Antibiotic of choice for Atypical pneumonia:
Macrolides (Azithromycin)
or Doxycyclin
Inpatient treatment of pneumonia (CURB:2)
Antibiotics choice: […]
Ceftriaxone
or FQ
Inpatient treatment of pneumonia (CURB>2)
Pseudomonas -ve
Antibiotics choice: […]
Ceftriaxone + Macrolide (Azithro)
Inpatient treatment of pneumonia (CURB>2)
Pseudomonas +ve
Antibiotics choice: […]
Imepenem
+ FQ
62 yo male diabetic present with pneumonia CXR small pleural effusion. What is considered poor prognostic factor?
A. Age
B. DM
C. Crackles
D. Pleural effusion
DM
Debatable
69 YO DM, present with pneumonia, RR:23 BP: 120/80 Temp: 38.5 WBC: 12 BUN: 5
CXR: Rt lower lobe infiltration.
Best management:
A. Admit to ward, IV abx
B. Admit to ICU, IV abx
C. Oral abx & observe in ER for 24hr
D. Oral abx & follow outpatient in 7 d
D. Oral abx & follow outpatient in 7 d
CURB-65 : 1
✅Age 65+
✖️ Confusion
✖️ Urea >7
✖️ RR >30
✖️ BP <90/60
Which patient with lobar pneumonia treated as outpatient?
A. 88 YO, BP: 90/59, T: 40, RR:20, HR: 116
B. 88 YO, BP: 88/60, T: 37, RR:25, HR: 120
C. 50 YO, BP: 80/60, T: 34, RR:31, HR: 120
D. 55 YO, BP: 100/90, T: 39, RR:30, HR: 100
D. 55 YO, BP: 100/90, T: 39, RR:30, HR: 100
CURB-65 : 1
A. 2 (age, BP)
B. 2 (age, BP)
C. 2 (BP, RR)
Young male healthy
presented with pneumonia CXR: bilateral lower lobe infiltration. Vitally stable. Choice of ABX:
A. Moxifloxacin 400 mg IV OD
B. Ceftazidime 1 g IV q8h
C. Meropenem 1 g IV q8h
D. Piptazo
Moxifloxacin
Is FQ (CURB-65: 0-1) should be outpatient !
Pneumonia in the ICU
Best empiric treatment is Azithromycin + […]
Vancomycin
To cover MRSA
