Pulmo: Pneumonia Flashcards

1
Q

Identify

Most common route of infection by microorganisms in pneumonia

A

Aspiration from the oropharynx

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2
Q

type of pneumonia

Grey hepatization

  • Predominant cell: neutrophils
  • Abundant: fibrin deposits

No new RBCs are extravasating, present RBCs have been lysed.

A

LOBAR pneumonia

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3
Q

identify what phase

Lung appears red and doughy due to proteinaceous exudates and bacteria in alveoli

A

Congestion and edema

1st 24hrs

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4
Q

identify what phase

RBC in the intracellular alveolar exudates, increased neutrophil influx

A

RED hepatization

2nd phase

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5
Q

type of pneumonia

  • Poorly demarcated
  • Neutrophilic infiltrates center in bronchi
  • Most common etiologic organism: staphylococcal gram (+)
A

BRONCHOPNEUMONIA

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6
Q

type of pneumonia

  • Inflammation in the:
  • interstitial space
  • alveolar wall
  • connective tissue space
A

INTERSTITIAL PNEUMONIA

Usually caused by viral or atypical infection

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7
Q

type of pneumonia

Spread widely in both lung fields
Usually due to hematogenous spread

A

MILIARY PNEUMONIA

TB is the most common

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8
Q

what condition

Chest xray reveals meniscus sign
Homogenous density with a concave surface

A

PLEURAL EFFUSION

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9
Q

Identify

Most common cause of transudative effusion

A

HEART FAILURE

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10
Q

identify

Diagnostic laboratory marker for CHF

A

Pleuritic fluid

N-T pro-BNP

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11
Q

identify

2nd most common cause of exudative effusion

A

MALIGNANT EFFUSION

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12
Q

identify

Most common cause of exudative effusion

A

PARAPNEUMONIC EFFUSION

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13
Q

choose

Diagnostic TB markers from the following:

A. ADA >45 IU/L
B. Interferon gamma >140pg/ml
C. TNF-alpha

A

A, B

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14
Q

case

Patient presents with fever, weight loss, DOB and chest pain. Pleural fluid of patient showed predominant small lymphocytes and positive geneXpert results. What is the possible diagnosis?

A

TB PLEURITIS

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