Pneumonia 2 - Pathogens + Ix Flashcards
1
Q
S. pneumoniae
- most common cause of CAP in those who do not have ?
- there is a ? - often given to ? patients
- classically gives a ? pneumonia, and ? coloured sputum
A
copd vaccine immcomp lobar rust
2
Q
H.influenza
- capsulated strain was a maj cause in ? prior to the HiB ?
- non-capsulated strain is an important cause of disease in ?
A
children
vaccine
copd
3
Q
M.pneumoniae
- suspect in ? patients - causes >40% in ?-44 yo’s
- can occur in ?
- presx w ? Hx of illness with prominent extra-pulm features - ?, hepatitis, ?&?, peri-?, meningo-?
- classical ? consolidation on CXR across ? lobes
- trt with ? for at least ? weeks
A
younger 17 epidemics long rash D&V carditis encephalitis patchy multiple erythro 2
4
Q
L.Pneumoniae
- causes both ? CAP and ? - classically in ? who have recently returned from holiday - resides in ? units
- often is ? - with features of ? (SIADH) and neuro inv (? palsies)
- there is often ?/?uria - and classically affects both lung ? on CXR
- trt is with ?
A
sporadic outbreaks smx AC severe hypernat - synd of inapprop ADH secretion CN palsies haematuria.proteinuria bases erythro
5
Q
C.Pneumoniae
- causes ? in infancy and CAP in ?
- the C stands for ?
CAP during an ? outbreak may be caused by SAureus, trt this with ? added to standard regimens
A
URTIs
elderly
chlamydia
influenza
fluclox
6
Q
Ix
- ? and o2 assessment
- bloods - FBC, ?, U+E, ?
- blood ?
- imaging?
- ? sample for culture - plus ? ? if suspected
- urine for ?/pneumococcal ? if mod/severe - empirical trt will not cover ?
- serum mycoplasma ? if suspected
- ? swab in ? ? medium if sev pneumonia or suspected ? pneumonia
A
obs crp lft cultures CXR sputum mycoplasma PCR legionella antigen legionella IgM throat viral transport viral
