Lobular Pneumonia

Question 1

definition of Lobular Pneumonia

Answer 1

consolidation of 1+ lobes in response to bacterial pneumonia

Question 2

What are 4 symptoms of a Lobular Pneumonia

Answer 2

productive cough w/dyspnoea

Pyrexia w/pleuritic pain

Question 3

What is heard on auscultation in Lobular Pneumonia?

what is heard on percussion in Lobular Pneumonia?

Answer 3

Crackles on auscultation

Dull Percussion

Question 4

Within the lobes, what does Lobular Pneumonia affect and what does it spare

Answer 4

Lobular Pneumonia ==> Alveoli Spaces

Spares Bronchi

Question 5

What is the general cause of Lobular Pneumonia

Answer 5

Streptococcus Pneumoniae

***remember bacterial cause

Question 6

What are the 4 other bacterial causes of Lobular Pneumonia

Answer 6

Klebsiella Pneumoniae

Legionella Pneumophilia

Haem. Influenzae

M.TB

Question 7

What type of test can be done in Lobular Pneumonia to diagnose:

Pneumococcal Antigens
Legionella Antigens

Answer 7

Urinary Antigen Test

==> pneumococcal
==> Legionella

Question 8

what is the treatment of Lobular Pneumonia (….)

Answer 8

BAPP

B reathing ==> O2
A ntibiotics
P ain ==> analgesics
P neumococcal vaccines

Question 9

Why is Pneumococcal vaccines given in Lobular Pneumonia? (3 types of people)

Answer 9

Those at risk of having Lobular Pneumonia

==> T2DM
==> Immunosuppressed
==> >65

Question 10

What score system is used in pneumonia (…. .)

Answer 10

CURB-65

C onfusion
U rea (>7mmol)
R espiratory Rate (>30/min)
B p (<90/<60)

> 65 years old

Question 11

What is the point scoring system in pneumonia

Answer 11

1 point ==> outpatient
2 points ==> Admission
3 points ==> ICU

Question 12

What are 5 complications of a Lobular Pneumonia

Answer 12

Respiratory Failure

Pulmonary Abscess

Pleural Effusion ==> Empyema

Sepsis

Hypotensive

Question 13

Persistent fever despite antibiotic treatment with a plerual aspirate thats pH 7.2 could indicate what

Answer 13

Empyema