Pneumonia

Question 1

streptococcus pneumoniae

Answer 1

• most common
• lobar
• rusty sputum

Question 2

haemophilus influenzae

Answer 2

• COPD

- immunocompromised

Question 3

legionella pneumophilia

Answer 3

• caught from dirty water
• GI disturbance
• confirm diagnosis by urinary antigen testing

Question 4

mycoplasma pneumoniae

Answer 4

• children and teens

- immunocompromised

Question 5

chlamydia

Answer 5

psittica - psittacosis is caught from birds
trachomatis - STI, causing infantile pneumonia
pneumoniae - person to person spread

Question 6

coxiella burnetti

Answer 6

• pneumonia and Q fever

- sheep and goats spread it

Question 7

viral pneumonia

Answer 7

• flu
• measles
• CMV
• varicella zoster

Question 8

pseudomonas

Answer 8

bronchiectasis and CF

Question 9

klebsiella

Answer 9

• elderly and diabetics
• cavitating pneumonia
• red jelly sputum
• can also be an aspiration pneumonia

Question 10

pneumocystic pneumonia

Answer 10

immunocompromised patients

Question 11

pneumonia investigations

Answer 11

• sputum culture, viral serology, PCR
• bronchoalveolar lavage or bronchoscopy (if immunocompromised)
• CXR = cavitating, pleural effusion, multilobar/lobar

Question 12

HA/aspiration severe treatment

Answer 12

amoxicillin + metronidazole + gentamicin
if penicillin allergic,
co-trimoxazole + metronidazole +/- gentamicin

Question 13

HA/aspiration non severe treatment

Answer 13

amoxicillin + metronidazole
if penicillin allergic,
co-trimoxazole + metronidazole

Question 14

what does CURB 65 stand for?

Answer 14

C new onset confusion
Urea >7
RR >30
BP systolic

Question 15

mild/mod CURB65 treatment (0-2 points)

Answer 15

amoxicillin 
or doxycycline (PO) or clarithromycin

Question 16

severe CURB65 treatment (3-5 points)

Answer 16

co amoxiclav + clarithromycin OR doxycycline (PO) or levoflaxin (IV)