Pulmonary Disorders

Question 1

Would you expect on a smear if this was the pts. clinical picture:

Chronic cardiopulmonary dz, follows URI

Answer 1

S. pneumonia

Gram + diplococci

Question 2

what are complications of S. pneumonia infections

Answer 2

bacteremia, meningitis, endocarditis, pericarditis, empymea

Question 3

Would you expect on a smear if this was the pts. clinical picture:
Chronic cardiopulmonary dz, follows URI

Answer 3

H. influenza

Pleomorphic gram - negative coccobacilli

Question 4

Complications of H. infelunzae infxn

Answer 4

empyema, endocarditis

Question 5

Would you expect on a smear if this was the pts. clinical picture:
Residence in chronic care facility, health care associated, influenza epidemic, CF, bronchiectasis, injection drug use

Answer 5

S. aureus: plump gram - encapsulated rods

Question 6

Complications S. aureus infxn

Answer 6

empyema, cavitation

Question 7

Would you expect on a smear if this was the pts. clinical picture:

alcohol abuse, DM, heath care associated

Answer 7

Klebsiella pneumonia

Plump gram - encapsulated rods

Question 8

complications of Klebsiella infxn

Answer 8

Cavitation, empyema

Question 9

Would you expect on a smear if this was the pts. clinical picture:
Health care associated rarely community aqcuired

Answer 9

E coli

Gram - rods

Question 10

Complications e coli PNA

Answer 10

empyema

Question 11

Would you expect on a smear if this was the pts. clinical picture:
health care, CF, bronchiectasis

Answer 11

Pseudomans aeruginosa

Gram - rods

Question 12

Complication
Pseudomonas aeruginosa
gram - rods

Answer 12

cavitation

Question 13

Would you expect on a smear if this was the pts. clinical picture:
Young adults, summer and fall

Answer 13

mycoplasma pneumonia
PMN and monocytes

NO bacteria

Question 14

complications mycoplasma PNA

Answer 14

skin rashes, bullous myringitis, hemolytic anemia

Question 15

Would you expect on a smear if this was the pts. clinical picture:
poor dental hygiene, aspiration

Answer 15

anaerobes

mixed flora

Question 16

complications of anerobe infxn

Answer 16

necrotizing pneumonia abscess, empyema

Question 17

Would you expect on a smear if this was the pts. clinical picture:

summer and fall, exposure to contaminated construction site, water source, air conditioner, CAP, health care associated

Answer 17

legionella species

Few PMN no bacteria

Question 18

complication legionella infexn

Answer 18

empyema, cavitation , endocarditis

pericarditis

Question 19

Would you expect on a smear if this was the pts. clinical picture:
prodromal sx up to 2 wks, sore throat with hoarsness

mild PNA in teens / young adults

Answer 19

Chlamydophilia PNA

nonspecific

Question 20

complications chlamydophilia PNA

Answer 20

reinfection older adults with underlying COPD or HF may be severe or even fatal

Question 21

Would you expect on a smear if this was the pts. clinical picture:
preexisting lung issues, elderly, cortcosteriod or immunosuppressive therapy

Answer 21

Moraxella catarrhalis

gram - diplococci

Question 22

complications of Moraxella infxn

Answer 22

rare - pleural effusions and bacteremia

Question 23

Would you expect on a smear if this was the pts. clinical picture:

AIDS, IC or cytotoxic drug therapy, cancer

Answer 23

pneumocystis jroveci

nonspecific

Question 24

complications of pneumocystitis jroveci

Answer 24

pneumothorax, respiratory failure, ARDS, death