Pneumoniae

Question 1

Most common causes of pnemoniae

Answer 1

Streptococcus Pnemoniae
Haemophillus influenzae
Moraxella Catharallis

mycoplasm pneumoniae
legionella pnaeumoniae
chlamydophila pneumoniae
chlamydophilla psittaci

Question 2

key symptoms for pneumoniae Strep + hemophillis

Answer 2

Abrupt:

Cough,
fever
pleuritic chest pain

gradual:

• dull percussions
• coarse crepitations
• increased vocal resonance

Question 3

Strep pneumoniae treatment + allergic options

Answer 3

Amoxicillin, Benzylpenicillin

allergy:

clartihromycin, doxycycline.

Question 4

Haemophillis treatment, including beta lactamase strains + allergy

Answer 4

Amoxicillin
Coamoxiclav

clartihromycin, doxycycline

Question 5

Symptoms for atypical pneumoniae, such as Mycoplasm pneumoniae

Answer 5

Sore head, fever, aches - more like flu . Maybe still a bit of a cough

STILL CONSOLDATION ON CXR

Question 6

Treatment for mycoplasm

Answer 6

no cell wall so beta lactams useless

• Ciprafloxacin
• Clarithromycin
• Doxycyline

Question 7

Legionella pneumophila treatment

Answer 7

Again cannot use beta lactams as the bacteria is normally inside macrophages

• Clarithromycin
• Ciprofloxacin
• Doxycline (less good)

Question 8

State CURB65 meanings

Answer 8

Confusion
Urea >7
Resp rate =>30
BP D <60, S<90

age >=65