Pneumonia

Question 1

see y6 cards and sfp word doc

Answer 1

for mx

Question 2

which organism is associated with;

Rusty sputum; lobar pattern, reactivate HSV

Answer 2

S. pneumoniae

Question 3

which organism is associated with;

Pre-existing lung disease (smoking/COPD), bronchoalveolar pattern (lower lobes)

Answer 3

H. influenzae

Question 4

which organism is associated with;

Recent viral infection ± cavitation CXR

Answer 4

S. Aureus

Question 5

which organism is associated with;

Red-currant jelly sputum, alcoholism, DM, elderly, haemoptysis, aspiration, cavitating upper lobes

Answer 5

Klebsiella Pneumoniae

Question 6

which organism is associated with;

Air travel, air conditioner, water towers, hepatitis, hyponatraemia

Answer 6

Legionella pneumophilia

Question 7

which organism is associated with;

Birds, haemolytic anaemia

Answer 7

Chlamydia Psittaci

Question 8

Which pneumonia’s are associated with;

Systemic symptoms, joint pain, cold agglutinin test, erythema multiforme, SJS, AIHA

Answer 8

mycoplasma pneumoniae

Question 9

how does mycoplasma pneumoniae usually present?

Answer 9

Atypically so;

persistent cough - doesnt resolve
dry cough
low grade fever
Pneumonia - mild or absent

maybe;
Pharyngitis and hoarseness
rash
hepatitis
headache

Question 10

How do we mx atypicals?

Answer 10

Flouroquionolone; Aziythromycin/clarithromycin

Question 11

how may legionella present?

Answer 11

Severe headache
Fever
Productive cough
SOB
Crackles

Question 12

likely organisms in HAP?

Answer 12

o Types:
 Early-onset (48 hours to 4 days) -> streptococcus pneumoniae
 Late onset (>4 days) -> Enterobacteria (E. coli, Klebsiella. pneumoniae) > S. aureus (MRSA) > Pseudomonas

Question 13

mx of HAP?

Answer 13

o	Non-severe (NICE)	Co-amoxiclav or doxycycline			
o	Severe (NICE)		Piptazobactam (piperacillin/tazobactam) or ceftriaxone + gentamicin 	 	

o MRSA Vancomycin
o Klebsiella Cephalosporin (resistant to most penicillin)
o Pseudomonas Piptazobactam (piperacillin/tazobactam)