Pneumonia

Question 1

Two divisions of Community acquired pneumonia

Answer 1

Typical and atypical

Question 2

HCAP

Answer 2

Health Care Acquired pneumonia

Question 3

HAP

Answer 3

Hospital Acquired Pneumonia

Question 4

Ventillator acquired pneumonia

Answer 4

Yeah

Question 5

Gold standard for diagnosis

Answer 5

Must have one opacity on chest x-ray

Question 6

50% of CAP cases have an unknown pathogen

Answer 6

True

Question 7

The common causes of CAP

Answer 7

Smoking Pot Makes me Cough Hard…

Strep Pneumo, Mycoplasma, Chlamydia pneumoniae, Haemophillus Influenzae

Question 8

Staph Aureus

Answer 8

Think about it when you hear about a CA pneumoniae that is not getting better. Has PVL gene. Usually affects young adults. Multi-lobar.

Question 9

Think viral pneumonia when

Answer 9

It seems to be a seasonal outbreak or when a lot of ppl get it at once. Influenza, H1N1

Question 10

Most common route to lung

Answer 10

Aspiration is most common (we aspirate just a little almost every night), inhalation

Question 11

Pneumonia most often occurs when natural defenses are impaired such as coughing (paralysis), Sneezing (stroke), mucociliary escalator (smoking)

Answer 11

true

Question 12

Findings

Answer 12

Fever, Tachypnea (resp rate over 25), tachycardia can be a sign. Heart rate over 100, fever over 37.8, and RR over 20 inc the likelihood by 3 in one study. And of course the proper findings on lung exam
BRONCHIAL SOUNDS—Loud airway like sounds heard in the lungs. Normally heard over large bronchi

Question 13

Two main tools to grade severity of pneumonia

Answer 13

PSI : Pneumoniae severity index- depends on age, comorbidities, sickness on presentation. Points are assigned and you classify based on point total.

Curb- 65: Consciousness, Urea, Resp Rate over 30 Blood Pressure less than 90, Age over 65