pneumonias Flashcards
example of walking pneumonia
myocplasma penumonia
coxiella burnetii
legionella
pneumonia due to anaerbos usually is asccoiated with what
aspiration pneumonia
rf
immuno suprresenetion
decreased level of consciousneness
ventilator associated pneumonia
congetsion of the lungs e.g L to R shunts
types of pnemonia
LOBAR
INTERSTITIAL
BRONCHOPNEUMONIA
which pnuemoni ahas the 4 stages
lobbar
red hepatisation
alveoli are filled entirely with red blood cell and fibrin.
Hyperemia
Hyperemia – the alveoli are partially filled with exudate
lobar pneumonia common agent
s. pneumonia
lobar pneumonia location
predominantly lower lobes
physical findings in hepatisation
bronchophony, pectiriloquay
VF increased
absolute dull sound
complications of pneumonia
PARAPNEUMONIC EFFCUSION (common)
sepsis
abscess
empyema
ARDS
RESP FAILURE
key word for bronchopneumoia
LOBULES
how do people usually get brochopneumonia
usually a descending infection from copd example
location bronchopneumonia
lower lobes
how to differentiate between pulmonary edema and pnuemonia
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
most important sympotms to note for PE
SUDDEN ONSET
PLEURTIC CHEST PAIN
HEMOMPTYIS
Tachycaridc, tachypnic
TYPICAL TRIAD FOR PE
PLEURTIC CHEST PAIN
HEMOMPTYIS
S.OB
massive p.e will cause death by what
hypotension
when someone is having a pe what shall you think of
look for signs of a DVT QUCIK
SIGNS OF RH STRAIN in PE
JVP
LOUD P2
DIAGNOSIS OF PE
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).
tx for pe
ABCDE
LMWH
B: oxygen
C;fluids
D ; unreamrkable
E- dvt
embolectomy if thrombolysis CI
PE IS ASSOSCITED WITH WHAT OTHER COMPLICATION
pulmonary effusion
if patient is unstable with PE whats the main tx
thrombolysis
