Pneumonia Flashcards

1
Q

Pneumonia with sheep/cow exposure

A

Coxiella burnetti

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2
Q

Most common causes of hospital acquired pneumonia

A

Gram negative enterobacteria or staph aureus

Also pseudomonas, klebsiella, bacteroides and clostridium

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3
Q

Patients likely to get aspiration pneumonias

A

Alcoholics
Oesophageal disease
Stroke, myasthenia

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4
Q

What is the CURB65 score and what is it used for?

A

Assess severity of pneumonia

C - confusion
U - urea > 7
R - resp rate > 30
B - blood pressure

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5
Q

Management if CURB65 score is 1

A

Management at home

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6
Q

Management if CURB65 score is 2

A

Hospital therapy

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7
Q

Management if CURB65 score is >_ 3

A

Severe pneumonia 15-40% mortality

Cknsider ITU

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8
Q

Complications of pneumonia

A
Pleural effusion 
Empyema 
Lung abscess 
Respiratory failure 
Septicaemia 
Brain abscess 
Pericarditis 
Myocarditis 
Cholestatic jaundice
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9
Q

Pneumonia after holiday abroad

A

Fluroquinolone (Ciprofloxacin) combined with clarythromycin or rifampricin (if severe)

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10
Q

Test for legionella pneumophilia

A

URINE ANTIGEN TEST

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11
Q

Treatment for chlamyophilia species

A

Tetracycline

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12
Q

Treatment for pneumocystis jiroveci

A

High dose co-trimoxazole

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13
Q

Pneumonia common in HIV patients

A

Pneumocystis

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14
Q

Pneumonia in CF and bronchiectasis patients

A

Pseudomonas

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15
Q

Treatment for pseudomonas

A

Ceftazidime/ciprofloxacin + aminoglycide

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16
Q

Treatment of Klebsiella

A

Cefotaxime

17
Q

Colour of sputum chylamdia pstacci

A

Mucous sputum

18
Q

Colour of sputum klebsiella

A

Red jelly sputum

19
Q

Colour of sputum pneumococcus

A

Rusty

20
Q

Pneumonia that occurs every 4 years

A

Mycoplasma

21
Q

Pneumonia if patient has pet bird

A

Chylamdia pstacci

22
Q

Treatment for staph aureus

A

Flucloxacillin

23
Q

Treatment of mycoplasma pneumonia

A

Clarithromycin/ciprofloxacin

24
Q

Treatment of legionella pneumonia

A

Levofloxacin/moxifloxacin/ consider rifampricin

25
Q

Treatment of chylamdia pstacci

A

Doxycycline/clarithromycin

26
Q

Treatment of pneumocystis

A

Co-trimoxazole

27
Q

Treatment of fungal pneumonia

A

Amphoterecin

28
Q

Treatment of MRSA

A

Vancomycin