Pneumonia

Question 1

Symptoms of Pneumonia

Answer 1

fevers, rigors, cough +/- sputum, dyspnoea, haemoptysis, malaise, pleuritic pain

Question 2

4 classifications of Pneumonia

Answer 2

1. Community acquired - strep pneumonia or haem influenza most common
2. Hospital acquired - gram neg or staph aureus
3. Aspiration Pneumonia
4. Immunocompromised Pneumonia

Question 3

Examination findings

Answer 3

fever, cyanosis, confusion, tachypnoea, tachycardia, hypotension, consolidation chest findings

Question 4

Investigations? Scoring?

Answer 4

CXR - 
O2 saturation - ABG if severe 
bloods -CBC, UEC, CRP, B.culture
Sputum culture and microscopy
Urine - for pneumococcal and legionella antigen 
PCR sputum, BAL if in ICU 

CURB65

Question 5

management

Answer 5

Antibiotics - oral or IV 
O2 as required 
IVF 
Analgesia - if pleurisy 
repeat CXR if not improving - and in 6-8weeks 

Pneumococcal vaccine to at risk people

Question 6

Complications

Answer 6

pleural effusion, empyema, lung abscess, Resp failure, septicaemia, pericarditis