Pneumonia

Question 1

what is pneumonia

Answer 1

acute inflammation of the lungs, associated with infection

Question 2

describe the symptoms of pneumonia

Answer 2

productive cough, dyspnoea, SOB, chest pain(may be pleuritic), malaise

Question 3

describe the signs of pneumonia

Answer 3

fever, crackles, hypotension, tachypnoea, cyanosis

Question 4

what are some investigations that can be done for pneumonia

Answer 4

CXR, LFTs, ABGs, sputum culture

Question 5

what system is used to determine the severity of pneumonia

Answer 5

evidence of consolidation on CXR, plus;
CURB 65
Confusion, Urea, Resp rate, Blood pressure and >65y/o
(1 point for each of CURB 65)

Question 6

what are the levels of urea, resp rate and blood pressure that score a point in the CURB 65

Answer 6

urea = >7mmol
resp rate = >30breaths/min
blood pressure = <90 systolic, <60 diastolic

Question 7

what is the most common causitive organism for pneumonia

Answer 7

strep. pneumoniae

Question 8

what is a common causitive organism of pneumonia in COPD patients

Answer 8

haemophilus influenza

Question 9

what is a common causitive organism for people who inject drugs(PWID), young or elderly people

Answer 9

staph. aureus (often following influenza)

Question 10

describe the gram stain of strep. pneumoniae

Answer 10

gram positive cocci(chains)

Question 11

describe the gram stain of haemophilus influenza

Answer 11

gram negative coccobacili

Question 12

describe the gram stain of staph. aureus

Answer 12

gram positive cocci(grape-like clusters)