Pneumonias new pathoma 12/07

Question 1

Most common m/o of community-acquired pneumonia? Type of pneumonia?

Answer 1

S. pneumonia.

Lobar pneumonia/broncho

Question 2

Alcoholic/diabetic/debilitated. What m/o causes pneumonia? Type?

Answer 2

Klebsiella pneumonia.

Lobar pneumonia.

Question 3

2 M/Os: One cause lobar, other bronchopneumonia. Both cause abscess. What are those 2 m/os?

Answer 3

Lobar –> klebsiella

Bronchopneumonia –> S.aureus

Question 4

How looks Klebsiella sputum?

Answer 4

currant jelly

Question 5

What 3 M/Os cause secondary pneumonia?

Answer 5

1st. S. pneumonia
2nd. S. aureus
3rd H.influenza
it’s pneumonia after viral infection, usually influenza

Question 6

Nosocomial bugs?

Answer 6

Klebsiella, E.coli, Pseudomonas aeruginosa, Enterobacter, Acinetobacter

Question 7

What m/o causes pneumonia in cystic fibrosis? type?

Answer 7

P. aeruginosa. Bronchopneumonia

Question 8

Superimposed pneumonia on COPD. What 3 m/os? type of pneumonia?

Answer 8

H. influenza; Moraxella catarrhalis; legionella pneumophilla

Bronchopneumonia. EXACRBATES COPD.

Question 9

What are m/os causing community-acquired pneumonia?

Answer 9

Typical: 
S.pneumonia;
H.influenza;  
S.aureus;
other: M. catarrhalis; klebsiella

Atypical:
Mycoplasma
Chamydia
Leigonella

Question 10

Aspiration pneumonia results in abscess. What lobe?

Answer 10

Šiaip dėl anatomijos –> right lower, bet priklauso nuo pozicijos:
RLL - if upright
RUL and RML - if recumbert

Question 11

Pneumonia in dorms, military. M/o?

Answer 11

Mycoplasma pneumonia

Question 12

What are M/Os (2) most common for atypical pneumonia in young adults?

Answer 12

1. Mycoplasma pneumonia

2. Chlamydia pneumophila

Question 13

Atypical pneumonia in infants M/O?

Answer 13

RSV (respiratory syncytial virus)

Question 14

CMV cause what type of pneumonia in what patients?

Answer 14

Atypical in posttransplant patients under immunosupressive drugs

Question 15

First line treatment in aspiration pneumonia?

Answer 15

Clindamycin