Pneumonia

Question 1

What is pneumonia

Answer 1

Acute infection with inflammatory response in the lung parenchyma

Question 2

What are the important subtypes

Answer 2

Community acquired pneumonia
health-care associated and hospital-acquired
Pneumonia in immune - insufficient (deficient) such as HIV

Question 3

What is the clinical picture (important triad),

Answer 3

Signs of infection (feverish, sweating, chills, fever as measured resting tachycardia, dryskin, blood test snow increased who especially neutrophils, increased CRP (c-reactive protein), elevated pct (procalcitonin)

Signs of consilidation dull to percuss (bronchial e breathing ), voice sounds (increased increased resonance),vocal remits and pectorilqug, crackles, over a lobe of lung

Abnormal x-ray chest= lung infiltrates with air bronchograms

Question 4

CURB-65.

Answer 4

C=confusion
U= serum urea more then 7mol/L
R= respiratory rate 30 breaths/min
B=bp 90/60 mm Hg or lower

65 years or older each item 1 point

Question 5

Patha logical stages

Answer 5

1. Edema of a lobe
2. Red hepatization
3. grey hepatization
4. resolution

Question 6

Therapy of CAP

Answer 6

Beta-lactam + macrolide

Question 7

Complications

Answer 7

1. Spreading of infection on the lung and to other organs
2. pleural effusion which can become infected and then called empyema
3. ARDS
4. lung abscess
5. Cardiac complications eg MI