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Resp - mine > Pneumonia > Flashcards

Pneumonia Flashcards

1
Q

most common type

A

pneumococcus

(Streptococcus pneumoniae

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2
Q

associated with herpes labialis

A

Pneumococcal (Streptococcus pneumoniae)

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3
Q

type in IVDU

A

Staphylococcal

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4
Q

specific treatment of Staphylococcal

A

flucloxicillin

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5
Q

type associated with alcoholic

A

Klebsiella

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6
Q

Klebsiella on CXR

A

cavitating pneumonia particularly in upper lobes

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7
Q

post-surgery

A

Pseudomonas

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8
Q

dry cough + atypical CXR

A

Mycoplasma Pneumoniae

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9
Q

reticular-nodular shadowing

A

Mycoplasma Pneumoniae

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10
Q

specific treatment of Mycoplasma Pneumoniae

A

Clarithromycin or Tetracycline or Fluroquinolone (e.g. ciprofloxacin or norfloxacin)

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11
Q

water tanks

A

Legionella Pneumophilia

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12
Q

foreign holiday

A

Legionella Pneumophilia

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13
Q

specific treatment of Legionella Pneumophilia

A

Clarithromycin + rifampicin OR

Fluoroquinolone (e.g. cirporfloxin) for 2-3 weeks

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14
Q

birds

A

Chlamydiophilia Psittaci

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15
Q

immunosupressed

A

Pneumocystis Pneumonia (PCP) aka Pneumocystis jiroveci

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16
Q

HIV patients

A

Pneumocystis Pneumonia (PCP) aka Pneumocystis jiroveci

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17
Q

high fever + rapid onset

A

pneumococcus (Streptococcus pneumoniae )

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18
Q

type that COPD patients get

A

Haemophilus influenzae

19
Q

after a influenza infection

A

Staphylococcus aureus

20
Q

erythema multiforme

A

Mycoplasma pneumoniae

21
Q

haemolytic anaemia

A

Mycoplasma pneumoniae

22
Q

what is the score used to rate severity

A

CURB65

23
Q

What does CURB65 stand for

A 
C = new onset of confusion
U = Urea>7mmol/L
R = RR> 30
B = BP, systolic <90, diastolic <60
65 = aged >65yrs
24
Q

CURB65 score of 0 means what?

A

patients should be managed in the community (mild)

25
Q

CURB65 score of 1 means what?

A

patients should be managed in the community (mild)

26
Q

CURB65 score of 2 means what?

A

patients should be managed in the hospital (moderate)

27
Q

CURB65 score of more than 2 means what?

A

patients should be managed in the hospital (severe)

28
Q

type that affects CF patients

A

Pseudomonas

29
Q

type that affects bronchiectasis patients

A

Pseudomonas

30
Q

bi-basal consolidation

A

Legionella Pneumophilia

31
Q

what is the specific treatment for non-severe HAP with no allergies

A

Amoxicillin (oral) + Metronidazole for 5 days

32
Q

what is the specific treatment for non-severe HAP with penicillin allergies

A

Co-trimoxazole + Metronidazole (oral)

33
Q

what is the specific treatment for severe HAP with penicillin allergies

A

IV Co-trimoxazole + Metronidazole + Gentamicin

34
Q

what is the specific treatment for severe HAP with no allergies

A

IV Amoxicillin + Metronidazole + Gentamicin for 7 days

35
Q

what is the specific treatment for non-severe CAP with no allergies

A

amoxicillin (oral)

36
Q

what is the specific treatment for non-severe CAP with penicillin allergies

A

Doxycycline (oral)

37
Q

what is the specific treatment for non-severe CAP with penicillin allergies and pregnant

A

clarithromycin

38
Q

what is the specific treatment for severe CAP with no allergies

A

Co-amoxiclav IV + Doxycycline (oral)

39
Q

what is the specific treatment for severe CAP with penicillin allergies

A

IV Levofloxacin + Doxycycline (oral)

Step down to doxycycline only

40
Q

when would you consider HAP

A

if paint has been in hospital 48hrs before symptoms started

41
Q

red jelly sputum

A

Klebsiella Pneumoniae

42
Q

rusty sputum

A

Pneumococcal pneumonia

43
Q

what would you find on percussion

A

dullness

44
Q

what would you hear in the chest

A

crackles

Resp - mine (18 decks)

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