Pneumonia Flashcards

1
Q

What does CURB 65 stand for?

A
C - onset of confusion 
U - Urea >7
R - Respiratory rate >30
B - Systolic BP 
65 - over this age
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2
Q

What is the commonest cause of community acquired pneumonia?

A

Streptococcus pneumonia

pneumococcus

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3
Q

How does streptococcus pneumonia present?

A

Fever, pleurisy and herpes labialis

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4
Q

Which organism is associated with pneumonia following influenza?

A

Stapholococcus aureus

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5
Q

Which organism is commonest in patients who have COPD?

A

Haemophilus influenzae

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6
Q

Who is most likely to get staphylococcal pneumonia?

A

Elderly, IV drug users or patients with an underlying disease

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7
Q

What is the commonest cause of pneumonia in alcoholics?

A

Klebsiella pneumonia

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8
Q

Which is commonest in those with bronchiectasis and CF?

A

Pseudemonas

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9
Q

Which pneumonia generally has epidemics about every four years?

A

Mycoplasma pneumonia

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10
Q

What are the symptoms of mycoplasma pneumonia?

A

Flu like symptoms and a dry cough

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11
Q

What are the complications of mycoplasma pneumonia?

A

Guillian-Barre syndrome

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12
Q

Where is legionella pneumonia colonised?

A

Water tanks typically

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13
Q

What are the clinic features of legionella pneumonia?

A

Flu like symptoms, deranged LFTs and haematuria

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14
Q

Which pneumonia usually follows a hoarseness of voice?

A

Chlamoydophila pneumonia

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15
Q

How is chlamydophilia pneumonia spread?

A

Person to person

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16
Q

Which is commonly associated with birds?

A

Chlamydophila psittaci

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17
Q

What would a CXR show in chlamoydophila psittaci?

A

Patchy consolidation

18
Q

How would chlamoydophila psittaci present clinically?

A

Headache, fever, dry cough and lethargy

19
Q

Which is commonest in those who are immunosuppressed e.g. have HIV?

A

Pneumocystic pneumonia

20
Q

How is pneumocystis pneumonia diagnosed?

A

Bronchioalveolar lavage or lung biopsy

21
Q

What is the treatment for pneumococcal pneumonia?

A

Amoxicillin (Cephalosporin if penicillin allergic)

22
Q

What is the treatment for staphlococcal pneumonia?

A

Flucloxacillin +/- Rifampacin

23
Q

If MRSA, what should be used?

A

Vancomycin

24
Q

What is the treatment for Klebsiella?

A

Cefotaxime

25
Q

What is the treatment for pseudomonas pneumonia?

A

Ceftazidine/meropenem/ciprofloaxin + aminoglycoside

26
Q

what is the treatment for mycoplasma pneumonia?

A

Clarythromycin or doxycycline

27
Q

What is the treatment for legionella pneumophillia?

A

Fluoroquinolone for 2/3 weeks

28
Q

What is the treatment for chlamoydophila pneumonia?

A

Doxycycline or clarythromycin

29
Q

what is the treatment for chlamoydophila psittaci?

A

Doxycycline or clarythromycin

30
Q

What is the treatment for pneumocystis pneumonia?

A

High dose co-trimoxazole + steroids

31
Q

What is the treatment for mild/moderate CAP?

A

Oral/IV amoxicillin

32
Q

What is the treatment for sever CAP?

A

Co-amoxiclav + clarythromycin

33
Q

What is the treatment for mild/moderate HAP?

A

Amoxicillin + metronidazole

34
Q

What is the treatment for severe HAP?

A

Amoxicillin + metronidazole + gentamicin

35
Q

Investigations for pneumonia

A
Blood culture
Serology
ABGs
FBCs
Urea
Liver function
CXR
36
Q

What are the 3 classifications of pneumonia

A

Clinical setting
Organism
Morphology - lobar etc.

37
Q

What is the most common cause of lobar pneumonia?

A

Streptococcus pneumonia

38
Q

Which two cells infiltrate in pneumonia?

A

Neutrophils and macrophages

39
Q

Define bronchopneumonia

A

Infection starting in the airways and spreading to adjacent alveolar lung

40
Q

Patients with which conditions most often present with bronchopneumonia

A

COPD
Cardiac failure
Those who have had a viral infection
Those who aspirate gastric contents

41
Q

Main organisms in bronchopneumonia

A

Strep.
H. Influenza
Staph anaerobes

42
Q

What is usually the cause of bronchiectasis

A

Fibrous scarring following infection