Pneumonia Flashcards
1
Q
why is pneu important (2)
A
- 6th leading cause of death
2. #1 reason for admissions from ER
2
Q
def. pneu
A
infection of the lungs with proliferation of micobes in the alveoli, resulting in inflamm. response
3
Q
3 ways of pneu entrance
A
- aspiration
- inhalation
- hematogenous
4
Q
4 pulmonary defence mechs.
A
- nasal filtration
- upper airway reflexes
- mucocilliary function
- alveolar macrophages, IgA, Cā
5
Q
3 types of pneu
A
- community aquired
- hosp. aquired
- immunosupressed - weird species
6
Q
2 types of comm. aquired
A
- typical - fever, prod. cough, CXR consolidaiton
2. atypical - vagaries of Sx
7
Q
1 organism for comm. aquires
A
S. pneumoniae
8
Q
what is important organism for children
A
mycoplasma pneummiae
9
Q
1 hospital aquired
A
Gr- bacilli - E.coli
10
Q
3 things in initial investigation
A
- clincial assessment - Hx + phsycial
- CXR
- lab tests
11
Q
typical Sx
A
fever, cough, sputum, chills, pleuritic chest pain
12
Q
typical physical findings
A
fever, tachypnea, crepitaitons, broncial breathing
13
Q
what cannot be differentiated with CXR
A
organismic etiology
14
Q
value of CXR (4)
A
- confirmaiton
- detect other pulmonary issues
- document complications
- monitor response
15
Q
3 possible complications
A
- lung abscess
- empyema (pus in cavity), pleural effusion
- bacteremia, metasteses
