Pulm Popcorn 2 Flashcards
Most important bacteria causing Pneumonia?
Streptococcus (Gram + diplococci)
Staph
Hemophilus influenza (gram neg)
Legionella
may cause pneumonia if inhaled
from humidifiers/AC systems
“rust-colored sputum”
Strep pneumo
(cause of pneumonia)
Rales, rhonchi
pneumonia
Dx of pneumonia
CXR
PNA associated w/ leukocytosis (neutrophilia)
bacterial pneumonia
PNA associated w/ lymphocytosis
Viral pneumonia
St. pneumoniae (gram + diplococci)
bacterial pneumonias

Pneumo vaccine
pneumococcal pneumonia
>65y/o
PNA that causes abscesses
staph aureus

current red jelly sputum
Klebsiella pneumonia (gram neg enteric rod)
Mycoplasma pneumoniae
atypical pneumonia (walking pneumonia)
Cryptococcosis
PNA in AIDs patients
pigeon droppings in the soil
Cryptococcosis

Spherules filled w/ Endospores
Coccidiodomycosis
dimorphic (mold in enviro–> yeast in us)
Coccidiomycosis
stain for Mycobacterium tuberculosis
Acid fast stain

Cell wall contains mycolic acid
M. tuberculosis
Is TB an acute bacterial infection?
No
Granulomas
Caseous necrosis
Granulomas and caseous necrosis
TB
Ghon Complex
(Parenchymal granuloma + draining hilar lymph node)
TB

“progressive Primary TB”- population
kids
immunocompromised
Secondary TB
= reactivation of dormant TB
Miliary spread
main complication of TB
Scrofula
Miliary spread of TB:
- lymphatic spread to the hilar lymph nodes w/ infection to the neck area
- Unilateral cervical adenitis, presents w/ swollen non-tender nodes
Pott’s disease
Miliary spread of TB to bone

Acid fast staining
Dx of TB
Strongest association w/ smoking
Small cell carcinoma and squamous cell carcinoma
lung cancer in nonsmoker
Adenocarcinoma
peripheral lung cancer
adenocarcinoma
only cancer responsive to chemo
Small cell carcinoma
K-ras oncogene
Myc oncogene
lung cancer
p53 gene
Retinoblastoma gene (Rb)
tumor suppressor genes assoc w/ lung cancer
from neuroendocine cells
small or oat-cell carcinomas
tumor of mucous producing cells
adenocarcinomas

AKA “scar carcinoma”
Adenocarcinoma
AKA “oat cell carcinoma”
small cell carcinoma
firm, gray-white ulcerative masses
squamous cell carcinomas
slower growing lung cancer
squamous cell carcinoma
lowest association with smoking
adenocarcinoma
gray-white, soft, glistening
adenocarcinoma
grows along preexisting alveolar walls
BAC
hormone producer- lung cancer
small cell carcinoma
spindle-shaped cells
small cell carcinoma
lung cancer- dx of exclusion
Large cell carcinoma
cells are large and irregular and exhibit ample cytoplasm
large cell carcinoma
Adrenal gland
most freq. site of extranodal metastisis in lung cancer
exposure to Asbestos
Malignant Mesothelioma
AKA Rind Tumor
Malignant Mesothelioma