Pulmonary Microbiology

Question 1

5 A’s of Klebsiella

Answer 1

Aspiration pneumonia, Abscess in lungs and liver, Alcoholics and di-A-betics; currAnt jelly sputum

Question 2

ARDS MOA? Results in? CXR? Recovery is complicated by?

Answer 2

MOA: Neutrophils make Free Radicals to Type 1 and 2 pneumocytes=>protein fluid entery=>hyaline membrane=>thickened wall

Hyaline Membrane

CXR: White out

Recovery complicated by interstitial fibrosis

Question 3

NRDS MOA? Causes? Supplemental O2 can result in?

Answer 3

MOA: surfactant deficiency

Causes: Prematurity (underdeveloped lungs), Maternal DM (increased insulin), C-section delivery (decreased glucocorticoids)

Supplemental O2=>RIB (Retinopathy, Intraventricular hemorrhage, Bronchopulmonary dysplasia)