Pneumonia Flashcards
1
Q
Pneumonia
A
Inflammation of one or both lungs caused by infection
2
Q
Classified by
A
Clinical Setting
Organism
Morphology
3
Q
Clinical context
A
COPD, cardiac failure elderly, complication of viral infection, aspiration of gastric contents
4
Q
Symptoms
A
Malaise Anorexia Sweats Headaches and confusion Cough Pleurisy Haemoptysis Dyspnoea Preceding URTI Abdominal pain and diahorrea
5
Q
Signs
A
Fever Rigor Herpes labialis Tachypnoea Crackles Rub Cyanosis Hypertension
6
Q
Investigation
A
Blood culture Serology ABG's FBC Urea Liver function CXR
7
Q
Pathology
A
Classical acute inflammatory response
Exudation of fibrin rich fluid, neutrophils, macrophages and resolution
8
Q
Community Acquired Pneumonia
A
Use CURB65 score
9
Q
CURB65 score
A
Confusion Urea >7 Resp rate >30/min Blood presure systolic <90 65 over? One point for each
10
Q
Complications of pneumonia
A
Resp failure Pleural effusion Empyema Abscess Bronchiectasis Death
11
Q
Causative organisms
A
Strep Pneumonia
Haem Influenza, common in COPD
Staph Aureus, follows flu
12
Q
Mycoplasma pneumonia
A
Common in CAP
Young people
13
Q
Chlamydia Pstacci
A
Pets
14
Q
Coxiella Burnetti
A
Sheep and goats
Q fever
15
Q
Legionella Pneumophilia
A
Water
Spain
