Pneumonia Flashcards
1
Q
What are the common causative organisms of pneumonia in a person who is normally healthy?
A
- streptococci pneumoniae
- haemophilus influenzae
- mycoplasma pneumoniae
- legionella
- chlamydia psittaci
- staphylococcus aureus
2
Q
What are the symptoms of pneumonia?
A
- pleuritic chest pain
- cough
- fever
- malaise
- dyspnoea
- purulent sputum
- rusty sputum
3
Q
What are the signs of pneumonia?
A
- pyrexia
- tachypnoea
- central cyanosis
- dullness to percussion of affected lobe(s)
- bronchial breathing
- inspiratory crepitations
- increased vocal resonance
4
Q
What investigations would you do for pneumonia?
A
- serum biochemistry
- FBC (would expect elevated WBC due to neutrophilia)
- CXR
- blood cultures
- sputum microscopy and culture
- urinary legionella antigen
- throat swab
5
Q
What complications might occur with pneumonia?
A
- septicaemia
- acute kidney injury
- empyema
- lung abscess
- haemolytic anaemia
- ARDS
6
Q
What is the name of the pneumonia grading scale?
A
CURB 65
7
Q
What is the treatment for pneumonia with CURB 0-1?
A
amoxycillin or clarithromycin/doxycycline
8
Q
What is the treatment for pneumonia with CURB 2?
A
amoxycillin and clarithromycin/levofloxacin
9
Q
What is the treatment for pneumonia with CURB 3-5?
A
co-amoxoclav and clarithromycin/levofloxacin
10
Q
When should levofloxacin be used instead of clarithromycin?
A
If penicillin allergic
11
Q
What additional treatment would you give a patient with pneumonia?
A
- oxygen
- IV fluids
- CPAP
- intubation and ventilation
- analgesia
