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Pulmonology > Pneumonias > Flashcards

Pneumonias Flashcards

1
Q

Viral Pneumonias bugs

A

Usually influenza virus

Also other viruses

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2
Q

Viral pneumonia presentation

A 
Bilateral pneumonia
Hemorrhage
Edema
Necrosis
Serum antibodies
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3
Q

Influenza pneumonia meds

A

Influenza A-Amantadine Hydrochloride

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4
Q

Vaccination Strategies

A

Annual influenza

Pneumococcal every 6 yrs for elderly and immunicompromised

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5
Q

Community acquired pneumonias (CAP) bugs

A 
Strep pneumo (most common)
H-flu
Staph
Group A strep
others
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6
Q

When to suspect H-flu in CAP

A

Elderly and underlying pulmonary dz

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7
Q

When to suspect Mycoplasma in CAP

A

School-aged children
college students
military recruits

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8
Q

CAP from alcohol abuse =?

A

Klebsiella

Also likes the upper lobes

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9
Q

Bloody, rust colored sputum =?

A

pneumococcal

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10
Q

Bloody, Currant jelly sputum =?

A

klebsiella

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11
Q

Green sputum =?

A

Pseudomonas

Also think shivering rigor and chills

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12
Q

Foul smelling sputum =?

A

Anaerobic bugs

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13
Q

Cavitary lesions and pleural effusions =?

A

H flu
Staph A
Anaerobic, TB

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14
Q

Where does TB like to colonize in the lungs?

A

The apices

obtain apical lordotic view

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15
Q

Hospital Acquired Pneumonia (HAP)

A

Leading cause of death due to nosocomial infxn

Occurs more than 48 hrs after admission

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16
Q

Common HAP bugs

A 
Pseudomonas
Staph A
Enterobacter
Klebsiella
E-coli
17
Q

Aspiration Pneumonia

A

Secondary to entrance of foreign materials or gastric contents
gram- rods

18
Q

Fungal pneumonia

A

Uncommon
May occur in immunocompromised individuals
Typically the spores are inhaled

19
Q

Where is coccidiomycosis common?

A

Southwest US

20
Q

Parasitic Pneumonia

A

Enter body through skin or swallowed

Generally travel to lungs through blood

21
Q

Most common parasites causing pneumonia

A

Toxoplasma gondii
Strongyloides
Ascariasis

22
Q

Primary atypical pneumonia

A

Mycoplasmal Pneumonia
Walking pneumonia
Common in children and young adults

23
Q

Where is histoplasmosis common?

A

mississippi river valey

24
Q

Lobar pattern infiltrate =

A

S pneumo, Kleb, H Flu

25
Q

Patchy infiltrate =

A

Atypicals, viral, legionella

26
Q

Interstitial infiltrate =

A

VIral, legionella

27
Q

Cavitary infiltrate =

A

anaerobes, kleb, TB, Staph. A

28
Q

Large effusion

A

Staph, anaerobes, kleb

29
Q

Abx of choice for outpatient pneumonia if healthy pt

A

Macrolide (Azithro, clarithro)
or
Doxycycline

30
Q

Abx of choice for outpatient pneumonia in patient with comorbidities

A

Respiratory quinolone
or
Advanced macrolide

31
Q

In-patient pneumonia mgmt

A

Respiratory flouroquinolone or

Advanced macrolide + beta lactam

Pulmonology (15 decks)

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