Pneumonia Flashcards
what is the leading cause of death in children < 5 yo?
pneumonia
What are the risk factors for pneumonia?
- Smoking
- Premature birth
- Chronic medical conditions
A. DM
B. Heart disease
C. COPD
define Community Acquired Pneumonia
Pneumonia in patients with limited or no contact with medical/institutional setting
Define Atypical pneumonia
Pneumonia caused by certain “atypical” bacteria, including Mycoplasma, Chlamydia and Legionella
Define nosocomial pneumonia
Acquired after at least 48 hours of admission to hospital and is not incubating at the time of admission
Define HIV-related Pneumonia
Pneumonia in HIV patient
What are common bacterial pathogens for pneumonia?
- Streptococcus pneumoniae
- Hemophilus influenzae
- Moraxella catarrhalis
- Klebsiella pneumoniae
which pneumonia pathogen is Most common and
Most commonly fatal?
Streptococcus pneumoniae
What are the common viral pneumonia pathogens?
1. Influenza A.Most common in adults 2. Adenovirus A. Mild and self-limiting 3. Parainfluenza virus A.Children < 2 years 4. Respiratory Synctial Virus (RSV) A. Most common in infants < 1 yr
What are the symptoms of pneumonia?
- Fever, rigors
- Cough
- Dyspnea
- Pleuritic chest pain due to inflammed parenchyma or visceral pleura on inspiration
- Hemoptysis
- Fatigue
- Myalgias
What are the signs of pneumonia?
- Appears ill
- Tachycardia
- Tachypnea
What are the physical findings of pneumonia?
- Inspiratory Rales
- Dullness to percussion
- Bronchial breath sounds
- ↑ Tactile Fremitus
- Egophony
What are the typical sxs of Mycoplasma pneumoniae pneumonia?
HA, malaise, low grade fever, dry cough, cold agglutinins titer
“walking pneumonia”
Who contracts Pneumocystis jirovecii
pneumonia?
Immunocompromised patients (HIV)
What are the typical sxs of Legionella pneumophila
pneumonia?
Pneumonia, pleurisy, HIGH fevers (temp > 102 F)
What are the typical sxs of Chlamydia pneumoniae
pneumonia?
Pneumonia, ST, hoarseness
What are the typical sxs of Streptococcus pneumoniae
pneumonia?
Rigors, rust colored sputum
What are the typical sxs of Klebsiella pneumoniae
pneumonia?
Pneumonia, current jelly sputum, alcoholics
What is the most common pneumonia pathogen for alcoholics?
Klebsiella pneumoniae
What is the most common pneumonia pathogen for COPD pts?
Hemophilus influenzae
What is the most common pneumonia pathogen for cystic fibrosis pts?
Pseudomonas species
What is the most common pneumonia pathogen for college students and young adults?
Mycoplasma pneumoniae (most common), Chlamydia pneumonia
What is the most common pneumonia pathogen for immunocompromised pts and smokers?
Legionella pneumophila
What is the most common pneumonia pathogen for post splenectomy pts?
Strep pneumoniae (Most common), Hemophilus influenzae