Pneumonia Flashcards
Pneumonia strain most commonly found in diabetics and aloholics?
Klebsiella pneumonia
* red sputum
* lung abcess formation
* empyema
How does pneumonia show up on an X-ray?
Consolidation
Characteristic chest signs of pneumonia?
- Bronchial breath sounds (due to consolidation)
- Focal coarse crackles
- Dullness to percussion
What does the CURB-65 score predict and stand for?
Predicts mortality in pneumonia
* Recent confusion
* Urea
* Resp rate of 30 breaths/min or greater
* BP
* Over 65
Socre >2- medium risk- consider hosp
Score >3 high risk- consider intensive care
Type of a typical pneumonia that farmers may get?
Coxiella burnetii (Q fever)
Patient with poorly controlled HIV presents with dry cough, SOB on excertion and night sweats. What are they infected with?
Treatment?
Pneumocystis jirovecii pneumonia (PCP)
Treated with co-trimoxazole
Patient has recently been on a cheap holiday and presents with pneumonia like symptoms and hyponatraemia (low sodium). What are they infected with?
Legionella pneumophila (legionnaires’ disease)
Most common cause of bacterial pneumonia?
Streptococcus pneumoniae
Gram +ve
Colour of sputum in pneumococcal pneumonia?
Rust/red coloured
Neutrophils level in FBC can indicate?
Neutrophilia (high)= bacterial infection
Neutropenia (low)= viral infection
Patient lives with parrots and pigeons- most likely cause of pneumonia?
Chlamydia psittaci
Treatment of low severity pneumonia?
1st line- amoxicillin - 5 days
Treatment fo moderate/high severity pneumonia?
Amoxicllin/co-amoxiclav and clarithromycin 7-10 days
Give IV until stable
Which lung lobe is usually involved in aspiration pneumonia?
Right lower lobe
Definiton of community acquired pneumonia?
Fever/cough/phlegm/crepitations and CXR changes
