Pneumonia

Question 1

What is Pneumonia?

Answer 1

Lower Resp Tract Infection affecting alveoli.

Question 2

Classification of Pneumonia?

Answer 2

CAP: outside hospital
HAP: presents >48h AFTER Admission
Aspiration: inhaled foreign object

Question 3

Interpreting CURB-65 score?

Answer 3

<2: consider home management
≥2: consider hospital admission
≥3: Admit to ICU

Question 4

Investigating suspected pneumonia?

Answer 4

1) FBC, U+Es, CRP (Bloods)
2) CXR (patchy consolidation)
3) Blood + Sputum cultures
4) Atypical Screen - Legionella/Pneumococcal urinary antigen

Question 5

Management of Pneumonia?

Answer 5

1) Assess Severity: CURB-65 Score + Judgement
2) Antibiotics: local guidelines
Low: Oral Amoxicillin - 5 days
Moderate: Amoixcillin + Clarithromycin 7-10 days
Severe: IV broad spectrum antibiotics + consult seniors

Question 6

Distinguishing signs of Pneumonia?

Answer 6

Productive Cough, Fever, Gradual Onset Sharp Chest Pain, Hemoptysis, Dyspnoea + Confusion