pneumonia Flashcards
define pneumonia?
acute inflammation of lung tissue
define infective pneumonia?
infection is the cause acute inflammation of lung tissue
what is most common type of pathogen causing infective pneumonia?
-bacteria, fungi, viruses
bacteria
which infective organism is most common cause of pneumonia?
which vaccine isavaialble for this?
Streptococcus pneumoniae
Pneumococcal vaccination
which infective organism is associated with smokers and COPD getting pneumonia?
Haemophilus influenzae
which infective organism causes a secondary pneumonia infection after a viral UTI or the flu?
Staphylococcus aureus
which pneumonia is more common:
hospital or community?
community
which infective organism that causes pneumonia is rapid-onset and causes high fever?
Streptococcus pneumoniae
which infective organism associated with autoimmune haemolytic anaemia and erythema multiforme causes pneumonia?
Mycoplasma pneumoniae
which infective organism associated with exposure to birds causes pneumonia?
Chlamydia psittaci
which infective organism associated with an exposure to unclean water source causes pneumonia?
Legionella pneumophila
pt has a fungal caused pneumonia and has Hx of HIV.
what is the infective organism?
Pneumocystis jiroveci
Risk factors for pneumonia?
-5
Extremes of age
Preceding viral infection
Immunosuppressed
IV drug use: staph aureus
Respiratory conditions:
asthma, copd, CF, cancer
symptoms for pneumonia?
-4
Productive cough
Pleuritic chest pain
Dyspnoea
Fever
vital signs of pt with pneumonia?
-2
Low O2 sats
Tachycardia
auscultation finding on pt with pneumonia?
-3
↓reduced breath sounds
bronchial breathing
coarse crepitations
main CXR finding of pt with pneumonia?
what is this thing?
consolidation
exudate which is fluid with pus
positive blood findings of pt with pneumonia?
-3
FBC: leukocytosis
U&Es: ↑urea
CRP: ↑
how do you check antibiotics sensitivities?
Sputum culture
Haemophilus influenzae vaccine name?
Have HiB vaccine
Haemophilus influenzae can cause what in kids?
epiglottis
person has pneumonia, now has meningitis.
which bacterial organism was it?
streptococcus pneumoniae
which pneumonia causing bacteria commonly comes as a secondary bacterial infection after a viral URTI?
Staphylococcus aureus
Child has pneumonia with mild symptoms.
bacterial or viral pneumonia?
viral (probably)
Child has pneumonia with mild symptoms.
1st line Mx?
no treatment needed (send home)
Child has bacteria caused pneumonia.
which antibiotics do you prescribe?
-2
route?
oral amoxicillin or erythromycin
Child has bacteria caused pneumonia.
which antibiotics do you prescribe?
-2
route?
do you usually manage them at home/in community or at hospital?
oral amoxicillin or erythromycin
send home
When to admit child with pneumonia into hospital?
-4
severe respiratory distress signs
dehydrated
vomiting
O2<92
child with bacterial pneumonia very unwell and admitted to hospital.
what 3 Mx steps do you do?
explain principle behind each step?
IV antibiotics - target bacteria
IV fluids - dehydration
give oxygen - low O2 sats
