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Pneumonia Flashcards

1
Q

CAP

A

step.pneumonia, haemophilia influenzae, mycoplasma pnuemoniae

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2
Q

Hospital acquired

A

gram -ve enterobacteria, pseudomonas

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3
Q

Aspiration

A

stroke, decrease consciousness–> risk of aspiring oropharyngeal anaerobes

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4
Q

First 5 micro-organisms

A
  1. pneumococcal
  2. staphylococcal
  3. klebsiella
  4. pseudomonas
  5. mycoplasma
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5
Q

Next 6 micro-organisms

A
  1. legionella pneumophila
  2. chlamydia pneumoniae
  3. chlamydia psittaci
  4. viral pneumonia
  5. pneumococytis pneumoniae (PCP)
  6. haemophilus influenzae
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6
Q

symptoms of pneumococcal (strep)

A

rapid onset, fever, pleuritic chest pain, herpes labioles

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7
Q

sputum of pneumococcal

A

rusty sputum

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8
Q

CXR of pneumococcal

A

lobar consolidation

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9
Q

Treatment of pneumococcal

A

ABC (amoxicillin, benzypenicillin, cephlasporin)

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10
Q

complications of staphylococcal

A

influenza virus, IV drug users, leukaemia, lymphoma, CF

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11
Q

CXR of staphylococcal

A

bilateral bronchopneumonia

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12
Q

treatment of staphylococcal

A

FV (fluloxacillin, Vancomycin)

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13
Q

Klebsiella found in…

A

alcoholics, diabetics

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14
Q

sputum of klebsiella

A

jelly red

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15
Q

treatment of klebsiella

A

CI (cefuroximine, imipenem)

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16
Q

pseudomonas common in…

A

bronchiectasis and CF

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17
Q

treatment for pseudomonas

A

anti-pseudomal penicillin

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18
Q

symptoms of mycoplasma

A

flu-like symptoms (headaches, myalgia, arthralgia) followed by dry cough, erthyema maliforme

19
Q

CXR of mycoplasma

A

reticular nodular shadowing or patchy consolidation of 1 lower lobe

20
Q

diagnosis of mycoplasma

21
Q

complications of mycoplasma

A

erythema maliforme

22
Q

treatment of mycoplasma

A

clarithromycin, tetracycline

23
Q

legionella

A

holiday- water

24
Q

symptoms of legionella

A

flu-like symptoms then dry cough and dyspnoea, anorexia, hepatitis, renal failure

25
Q

CXR of legionella

A

bi-basal consolidation

26
Q

bloods of legionella

A

lymphopenia, hyponatraemia (decrease Na+)

27
Q

diagnosis of legionella

A

urinary antigen

28
Q

treatment of legionella

A

fluoroquinolone 2-3 weeks

29
Q

chlamydophila pneumoniae spread

A

person-person

30
Q

diagnosis of chlamydophila pneumoniae

31
Q

treatment of chlamydophila pneumoniae

A

tetracycline

32
Q

chlamydia psittaci

33
Q

symptoms of chlamydia psittaci

A

fever, dry cough, lethargy, arthralgia, anorexia

34
Q

chlamydia psittaci sputum

35
Q

CXR of chlamydia psittaci

A

patchy consoliation

36
Q

treatment of chlamydia psittaci

A

doxycycline

37
Q

commonest cause of viral pneumonia

38
Q

PCP organism

A

pneumocystis carinu/jiroveci

39
Q

symptoms of PCP

A

fever, dry cough, extertional dyspnoea, decrease PaCO2, bilateral crepitations

40
Q

CXR PCP

A

normal/bilateral perihilar interstitial shadow

41
Q

diagnosis of PCP

A

sputum, lung biopsy

42
Q

treatment of PCP

A

high dose co-trimoxazole

43
Q

complications of pneumonia

A
  1. pleural effusion
  2. empyema
  3. resp failure
  4. hypotension
  5. lung abcess
  6. septicaemia (blood poisoning)
44
Q

CURB-65

A

Confusion (new)
Urea ≤ 7mmol/L
Resp rate ≥ 30/min
BP

Respiratory (own) (13 decks)

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