pneumonia

Question 1

causes of pneumonia

Answer 1

bacterial:
- streptococcus pneumoniae (most common)
- h.influenzae (most common in COPD)
- staph aureus
- atypical (mycoplasma pneumoniae , legionella, klebsiella, pneumoncystitis jiroveci)

Question 2

investigations for pneumonia

Answer 2

chest x-ray
bloods: FBC, U&Es, CRP
ABG

Question 3

management of pneumonia

Answer 3

antibiotics
- Mild/Mod Amoxicillin 1g tds PO (5 days) If penicillin allergic:Doxycycline
- Co-amoxiclav IV 1.2g tds + Doxycycline** PO 100mg bd
supportive care

Question 4

scoring system for pneumonia

Answer 4

CURB-65
Confusion
urea > 7
respiratory rate > 30
blood pressure <90/60
age > 65

home based care: score 0-1
consider hospital care: score 2 or >
consider intensive care: score of 3 or >

Question 5

management of low-severity community pneumonia

Answer 5

amox
or doxycycline

Question 6

cause of cavitating pneumonia in upper lobes in diabetic or alcoholic

Answer 6

klebsiella pneumoniae