Pneumonia Flashcards
Typical or atypical: no response to beta-lactams
atypical
typical or atypical: no leukocytosis
atypical
also known as “walking pneumonia”
atypical
typical or atypical: acute onset
typical
typical or atypical: diffuse interstitial filtrates with ground glass appearance
atypical
typical or atypical: dense focal/lobular consolidation
typical
Typical or atypical effects young healthy people more frequently?
atypical
typical or atypical: productive cough is biggest complaint
typical
typical or atypical: constitutional symptoms may outweigh resp ones
atypical
What are you typical PNA offending agents?
Staph, strep, klebsiella, H. influenza
What are your atypical PNA offending agents?
mycoplasma, chlamydia
To diagnosis viral bronchitis, the cough has lasted how many weeks?
3
What would you see on a cxr in viral bronchitis?
nothing :)
Most common CAP
strep
How can you confirm the diagnosis of strep PNA?
urinary antigen test
Most common HAP
staph
Treated with nafacillin
mssa
treated with vancomyocin or linezolid
mrsa
Usually follow a URI
H. influenza
Which types of pneumonia can you vaccinate against?
H. influenza and strep
Is klebsiella hospital or community acquired?
hospital acquired
Seen most commonly in patients with DM, alcoholism and diabetes
klebsiella
red currant jelly sputum
klebsiella
This atypical pneumonia is diagnosed via MIF test
chlamydia
outbreaks associated with contaminated water sources such as shower heads and faucets and air conditioners
legionella
most common form of atypical pneumonia
mycoplasma
Foul-smelling sputum and poor dentition
anaerobic pneumonia
Who is at risk for developing an anaerobic pneumonia?
those are risk for aspiration
Is anaerobic acute or insidious onset?
insidious
How do you treat anaerobic pna?
clindamycin IV then orally until FULL resolution of symptoms
Where would you expect to see infiltrate or abscess in a patient with anaerobic pna?
in DEPENDENT lung zones, i.e. how the patient was positioned during aspiration
What are the five components of CURB 65?
age (>65), hypotension (19), confusion, respiration (30),BUN (19)
What CURB score requires hospital admission ?
3-5
Define hospital acquired
Symptoms developing AFTER 48 hours or more in the hospital
Occurs outside the hospital or within 48 hours of admission is defined as?
community acquired pneumonia
Which is more likely to be drug resistant: CAP or HAP?
hospital acquired!
Community acquired or hospital acquired has the potential to be more harmful to the patient?
hospital acquired given less susceptible to antibiotics
Rust colored sputum
strep pneumonia
