pneumonias Flashcards

1
Q

example of walking pneumonia

A

myocplasma penumonia
coxiella burnetii
legionella

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2
Q

pneumonia due to anaerbos usually is asccoiated with what

A

aspiration pneumonia

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3
Q

rf

A

immuno suprresenetion

decreased level of consciousneness

ventilator associated pneumonia

congetsion of the lungs e.g L to R shunts

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4
Q

types of pnemonia

A

LOBAR
INTERSTITIAL
BRONCHOPNEUMONIA

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5
Q

which pnuemoni ahas the 4 stages

A

lobbar

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6
Q

red hepatisation

A

alveoli are filled entirely with red blood cell and fibrin.

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7
Q

Hyperemia

A

Hyperemia – the alveoli are partially filled with exudate

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8
Q

lobar pneumonia common agent

A

s. pneumonia

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9
Q

lobar pneumonia location

A

predominantly lower lobes

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10
Q

physical findings in hepatisation

A

bronchophony, pectiriloquay

VF increased

absolute dull sound

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11
Q

complications of pneumonia

A

PARAPNEUMONIC EFFCUSION (common)
sepsis
abscess
empyema
ARDS
RESP FAILURE

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12
Q

key word for bronchopneumoia

A

LOBULES

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13
Q

how do people usually get brochopneumonia

A

usually a descending infection from copd example

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14
Q

location bronchopneumonia

A

lower lobes

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15
Q

how to differentiate between pulmonary edema and pnuemonia

A

on examination you will hear the same crackles

but you will look for signs of heart failure in edema ( not the only exclusive cause)

pneumonia you will look for fever, and inflammatory markers

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16
Q

most important sympotms to note for PE

A

SUDDEN ONSET
PLEURTIC CHEST PAIN
HEMOMPTYIS
Tachycaridc, tachypnic

17
Q

TYPICAL TRIAD FOR PE

A

PLEURTIC CHEST PAIN
HEMOMPTYIS
S.OB

18
Q

massive p.e will cause death by what

A

hypotension

19
Q

when someone is having a pe what shall you think of

A

look for signs of a DVT QUCIK

20
Q

SIGNS OF RH STRAIN in PE

A

JVP
LOUD P2

21
Q

DIAGNOSIS OF PE

A

ecg - signs of right heart strain like p pulmonale, right axis deviation…
bloods- ABG , anemia if massive hemoptysis
ct pulmonary angigrpahy
chest x ray - more to rule out but you can find specific signs on there sometimes Fleischner sign (an enlarged pulmonary artery), Hampton’s hump (a peripheral wedge shaped opacity), and Westermark’s sign (regional oligaemia).

22
Q

tx for pe

A

ABCDE
LMWH
B: oxygen
C;fluids
D ; unreamrkable
E- dvt

embolectomy if thrombolysis CI

23
Q

PE IS ASSOSCITED WITH WHAT OTHER COMPLICATION

A

pulmonary effusion

24
Q

if patient is unstable with PE whats the main tx

A

thrombolysis

25
Q

how long to take anticoags for

A

3 months - provoked
6 months - unprovojed

25
Q

how long to take anticoags for

A

3 months - provoked
6 months - unprovojed

26
Q

What is the treatment of a non-massive pulmonary embolis

A

anticoags

27
Q

whats the best thing to quickly exclude a PE

A

d dimer