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Year 1 - Respiratory (DP) > Pneumonia > Flashcards

Pneumonia Flashcards

0
Q

What are common causes of hospital acquired pneumonia?

A

Staph. aureus
Gram negatives
- Pseudomonas
- Escherichia

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1
Q

What is the most common causative agent of pneumonia?

A

Strep. pneumoniae

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2
Q

What type of bacteria cause aspiration pneumonia?

A

Anaerobic eg Klebsiella and Enterobacter

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3
Q

What other causative agents of CAP are rarer?

A

Mycoplasma pneumoniae
Coxiella burnetti (Q-Fever)
Chlamydia

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4
Q

How would we treat a Mycoplasma, Coxiella or Chlamydia pneumonia?

A

Clarithromycin

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5
Q

Pneumonia in a person who works with sheep/goats?

A

Coxiella burnetti

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6
Q

Pneumonia in a patient who has a pet parrot?

A

Chlamydia psittaci

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7
Q

How do we treat a severe hospital-acquired (staph or gram negatives) or aspiration (klebsiella and enterobacter) pneumonia?

A

IV amoxicillin + metronidazole + gentamicin
STEP DOWN TO PO Co-trimoxazole + metronidazole

IF PENICILLIN ALLERGIC
IV co-trimoxazole + metronidazole +/- gentamicin
SAME STEP DOWN

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8
Q

How would we treat a non-severe hospital acquired or aspiration pneumonia?

A

PO amoxicillin and metronidazole

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9
Q

How would we treat a mild strep pneumoniae infection?

A

Amoxicillin

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10
Q

Pneumonia in a patient who recently travelled abroad?

A

Legionella

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11
Q

How is legionella pneumonia detected and treated?

A

Urinary antigen

Erythromycin or Clarythromycin or Levofloxacin

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12
Q

Pneumonia in a patient with AIDS

A

Pneumocystis jiroveci

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13
Q

Treatment of pneumocystis pneumonia?

A

Co-trimoxazole

Second line is pentamidine

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14
Q

Treatment of fungal aspergillus pneumonia?

A

IV amphotericin B

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15
Q

How would we treat pseudomonas pneumonia?

A

Oral fluoroquinolone
OR
IV gentamicin

16
Q

What is lobar pneumonia?

A

Complete consolidation of entire lung lobe

17
Q

What happens in bronchopneumonia?

A

Starts in airways and spreads to alveoli

Widespread infiltrates

18
Q

What is the clinical context of a lobar pneumonia?

A

Community acquired by healthy, young adults in close proximity

19
Q

What is the clinical context of bronchopneumonia?

A

COPD
Elderly
Viral
Aspiration

Year 1 - Respiratory (DP) (16 decks)

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