PNEUMONIA Flashcards

1
Q

What is Pneumonia

A

Infection & inflammation of lungs

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2
Q

Causes of Pneumonia

A

1) BACTERIA
Streptococcus pneumoniae
Staphylococcus aureus
Mycoplasma
Hemophilus influenza
Chlamydia
Pseudonymonas pneumonia
Legionella
Klebsiella
Anaerobic bacterias

2) VIRUS
Parainfluenza virus
Influenza virus
Cytomegalovirus
Varicella Zoster

3) FUNGI
Pneumocystic pneumonia
Candida Albicans
Histoplasmosis
Cocciodes

4) PHYSICAL FACTORS
Allergens
Radiation
Chemicals
Drugs

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3
Q

Types of Pneumonia according to environment

A

Community acquired pneumonia
Hospital acquired pneumonia
Ventilator acquired pneumonia
Healthcare associated pneumonia

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4
Q

Types of Pneumonia according to Anatomy

A

Lobar/ Alveolar Pneumonia
Lobular/ Bronchopneumonia
Interstitial Pneumonia

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5
Q

Types of Pneumonia according to etiology

A

Bacterial Pneumonia
Viral Pneumonia
Fungal Pneumonia
Radiation Pneumonia
Chemical Pneumonia

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6
Q

Classifications of Pneumonia

A

According to environment acquired
According to anatomic position
According to etiology
According to clinical manifestations

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7
Q

Differential diagnosis of Pneumonia

A

Pulmonary Tuberculosis
Pulmonary Thromboembolism
Noninfectious pulmonary infiltration
Lung cancer
Lung abscess

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8
Q

ICU admissions criteria for Community Acquired Pneumonia (CAP)

A

*Mechanical Ventilation
*Septic Shock
- Respiratory rate>30/min
- Bp<90/60mmHg
- PaO2/FiO2 ratio<250
- Blood urea nitrogen (BUN)>7.0mM or 19.1mg/dl
- multilobar disease
- Confusion

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9
Q

What is the severity assessment for pneumonia

A

(CURB-65)
CURB-65 = 0-1 STAY HOME
CURB 65 = 2-3 HOSPITALIZATION/ OUTPATIENT FOLLOW UP
CURB-65 >3 HOSPITALIZATION/ ICU

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10
Q

What is CURB-65

A
  • CONFUSION<8 on abbreviated mental test score
  • UREA >7mmol/l
  • RESPIRATORY RATE >30/min
  • BP<90/60mmHg
  • 65yrs or more
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11
Q

What is CAP

A
  • Community Acquired Pneumonia

Only in patients outside hospital or hospitalized<48hrs

Usually streptococcus pneumoniae

Responds to antibiotics

Symptoms: fever, rales, elevated WBC, cough with/without sputum & dyspnea with/ without chest pain

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12
Q

What is HAP

A

Hospital acquired pneumonia

Obtained when hospitalized>48hrs

Usually staphylococcus aureus

Can be drug resistant

Symptoms: purulent cough, fever, leukocytosis & progressive parenchymal infiltration on x-ray

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13
Q

Streptococcus pneumonia

A
  • common in CAP
  • Gram positive
  • responds to antibiotics
  • Penicillin or 3rd gen cephalosporins/ vancomycin
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14
Q

Staphylococcus aureus pneumonia

A

Common in HAP
Gram positive & coagulase positive
usually drug resistant
Semisynthetic penicillin/ cephalosporins with aminoglycosides
MRSA - VANCOMYCIN

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15
Q

Types of pneumonia according to clinical manifestations

A

Typical
Atypical

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