Pneumonia

Question 1

pneumonia

Answer 1

 Pneumonia is an air space disease and
consolidation
 It is also described as an inflammation of lung
parenchyma
 Lung air space can be filled with pus, microorganisms, fluid, cancer cells, proteins and blood
from pulmonary haemorrhage
 Does not cause volume loss-no lung collapse
 Pleural effusion and lymphnode enlargement are
rare

Question 2

TYPES PNEUMONIA

Answer 2

 Lobar : concentrates in one lobe, lobe
consolidation, air bronchograms
 Broncho pneumonia: affects bilateral lobes
 Interstitial: no air bronchograms, perihilar
 Aspiration : alcohol, post anaesthesia etc
 Diffuse pulmonary infections :PCP, Ventilated
patients etc

Question 3

clinical manifestations of PNA

Answer 3

 Depends on the cause
 Cough
 Chest pains
 fever

Question 4

COMMON PNEUMONIA PATTERNS ON
CHEST X RAY

Answer 4

 Consolidations
 Interstitial shadowing
 Cavitations
 Pleural effusions…rare(complicated pneumonia)
 Diffuse lung shadowing
 cavitation

Question 5

AIR BRONCHOGRAM IN PNEUMONIA

Answer 5

 Dense lung
 Prominent air vessels
with honey comb
patterns
 Trachea and brochi
are visible up to the
peripheral

Question 6

Dyspnoea

Answer 6

 Diffuse bilateral fluffy
lung shadowing
 Clear costophrenic
angles
 No pleural effusions
 CTR<50%
 Bilateral interstitial
lung shadowing
 Dense lung fields

Question 6

PNEUMOCYST CARINI PNEUMONIA (PCP)

Answer 6

MANIFESTATION
 Chest pains
 Dry cough
 Bilateral interstitial
shadowing from the
bronchi
 Air broncho grams
noted
 PCP..interstitial
disease

Question 7

ADULT RESPIRATORY DISTRESS
SYNDROME

Answer 7

Manifestation
 Damage to pulmonary
capillary endothelium
 Leakages occurs
 Multiple diffuse
opacities in the lungs
 Pcp are among the
causative agents