trigger - lower respiratory infections part 2 Flashcards
pneumonia that is bilateral, diffuse, symmetric
description of interstitial pneumonia
peribronchial thickening and poorly defined air-space opacities
lobular/bronchopnuemonia
presentation is viral-like prodrome with nonproductive cough
interstitial pneumonia
later in disease, presents like ARDS.
interstitial pneumonia
risk of necrotizing tissue is most prominent with which pneumonia
aspiration pneumonia or lobular/bronchopneumonia
MC pathogens include pneumocystis and anaerobes.
IV drug users
multi drug resistant gram negative bacteria is MC in which pneumonia
ventilator associated pneumonia
frequently leads to abscesses, cavitation, necrosis and pleural effusions
lobular/bronchopneumonia
elevated LDH
pneumocystis jiroveci pneumonia
also has:
elevated BD glucan
elevated BD glucan
pneumocystis jiroveci pneumonia
also has:
elevated LDh
presents as CXR with ground glass opacities and CT with diffuse bilateral interstitial infiltrates.
pneumocystitis jirovecci pneumonia
treated with azithro+rocephin OR levo/moxi
non-ICU inpatient CAP
or
outpatient CAP w comorbidities
treated with clindamycin or inpatient vanc
pneumonia caused by Staph pneumo
presents with clear auscultation and CXR
mycoplasma pneumonia
rust colored sputum
s pneumo
MC pathogens include klebiella, s pneumo, anaerobes
pneumonia in alcoholics
MC pathogens include serratia marcescens and acinetobacter
health care acquired pneumonia
urine antigen testing
s pneumo and legionella
what type of patient would you treat with aztreonam + levofloxacin
a CAP pt placed in ICU that has a PCN alllergy
what type of patient would receive pip/taz or a carbapenem (imi/mero)
nosocomial pneumonia that is low risk for multiple drug-resistant pathogens
also include:
levaquin and cefepime
which pneumonia has idiopathic etiology
interstitial pneumonia
presentation is immunocompromised patient with cough and fever
pneumocystitis jiroveci pneumonia
treat with bactrim
pneumocystitis jiroveci pneumonia also start ART if not already started
MC pathogens include M tuberculosis, cryptococcus, histoplasmosis
HIV
also includes pneumocystitis jiroveci
MC pathogens include CMV, fungi and nocardia
transplant patients
MC pathogens include aspergillosis and gram - bacteria
neutropenic patients
bullous myringitis and non productive cough
mycoplasma pneumonia
clear auscultation with normal CXR or patchy bilateral infiltrates
mycoplasma pneumonia
supportive treatment only
viral pneumonia (unless flu for first 48hrs)