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Respiratory > Pneumonia > Flashcards

Pneumonia Flashcards

1
Q

What are characteristic signs of pneumonia

A

Bronchial breath sounds
Focal coarse crackles
Dull to percussion

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2
Q

What is used to assess mortality of pneumonia?

A 
CURB 65
Confusion
Urea >7
Resp rate >30
BP <90 systolic 
Age >65

> 2 admit
3 ITU

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3
Q

What are examples of atypical pneumonias?

A

Legionella
Mycoplasma
Clyamydophila
Q fever

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4
Q

what additional thing can legionelle cause

A

SiADH- hyponatraemia

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5
Q

What skin presentations come with mycoplasma pneumonia?

A

Erythema multiforme

(Target lesions_

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6
Q

Who gets PCP fungal pneumonia?

A

HIV with low CD4

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7
Q

How does PCP present?

A

Dry cough

night sweats

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8
Q

How is PCP treated?

A

Trimoxazole

ALso given prophylactically

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9
Q

What causes focal infiltrates?

A

Bacterial
Aspergillus
Cryptococcus
Mycobacteria

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10
Q

What causes diffuse infiltrates?

A

CMV

PCP

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11
Q

WHat causes nodular cavitation?

A

S aureus
Aspergillus (ground glass, halo)
G-ve bacterai

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12
Q

What organism causes CAP and what are signs?

A

S pneumoniae
Rusty sputum
Or Mycoplasma (non productiuve)

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13
Q

How would you investigate for TB?

A

Acid fast bacilli stain and culture for TB if relevant

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14
Q

How would you manage CAP?

A

Mild- Amox (doxy if pen allergic)
Mod- Amox and Clarith
Severe- Co-Amox and clarith
ALternatives- Cefuroxime and clarithromycin or benzylpenecillin

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15
Q

How would you treat pneumonnia caused by P aeruginosa?

A

IV Ceftazidime or Piperacillin-tazobactam and gentamycin/tobramycin/ciprofloxacin

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16
Q

WHat is the pneumococcal vaccine

A

Polysaccharide pneumococcal vaccine

17
Q

Who is indicated for the pneumonia vaccine?

A

> 65
Splenic dysfunction
Immunocompromised
Chronic condition

18
Q

How do you treat HAP?

A

Meropenem and gentamycin, potentially with vancomycin to cover for MRSA

19
Q

WHat is the investigation for Legionnaires?

A

Urinary legionella antigen

20
Q

HAP treatment

A

Tazocin

21
Q

CAP treatment

A

Amoxicillin

Clarithro to cover for atypicals

22
Q

What are chest signs of PCP?

A

Normal
But desaturate fast on exertion
Ground glass CT

23
Q

Management of legionnaires

A

Clarithromycin

Respiratory (13 decks)

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