Pneumonia Flashcards
Pneumonia with sheep/cow exposure
Coxiella burnetti
Most common causes of hospital acquired pneumonia
Gram negative enterobacteria or staph aureus
Also pseudomonas, klebsiella, bacteroides and clostridium
Patients likely to get aspiration pneumonias
Alcoholics
Oesophageal disease
Stroke, myasthenia
What is the CURB65 score and what is it used for?
Assess severity of pneumonia
C - confusion
U - urea > 7
R - resp rate > 30
B - blood pressure
Management if CURB65 score is 1
Management at home
Management if CURB65 score is 2
Hospital therapy
Management if CURB65 score is >_ 3
Severe pneumonia 15-40% mortality
Cknsider ITU
Complications of pneumonia
Pleural effusion Empyema Lung abscess Respiratory failure Septicaemia Brain abscess Pericarditis Myocarditis Cholestatic jaundice
Pneumonia after holiday abroad
Fluroquinolone (Ciprofloxacin) combined with clarythromycin or rifampricin (if severe)
Test for legionella pneumophilia
URINE ANTIGEN TEST
Treatment for chlamyophilia species
Tetracycline
Treatment for pneumocystis jiroveci
High dose co-trimoxazole
Pneumonia common in HIV patients
Pneumocystis
Pneumonia in CF and bronchiectasis patients
Pseudomonas
Treatment for pseudomonas
Ceftazidime/ciprofloxacin + aminoglycide
Treatment of Klebsiella
Cefotaxime
Colour of sputum chylamdia pstacci
Mucous sputum
Colour of sputum klebsiella
Red jelly sputum
Colour of sputum pneumococcus
Rusty
Pneumonia that occurs every 4 years
Mycoplasma
Pneumonia if patient has pet bird
Chylamdia pstacci
Treatment for staph aureus
Flucloxacillin
Treatment of mycoplasma pneumonia
Clarithromycin/ciprofloxacin
Treatment of legionella pneumonia
Levofloxacin/moxifloxacin/ consider rifampricin
Treatment of chylamdia pstacci
Doxycycline/clarithromycin
Treatment of pneumocystis
Co-trimoxazole
Treatment of fungal pneumonia
Amphoterecin
Treatment of MRSA
Vancomycin
