pneumonia

Question 1

CXR changes

Answer 1

consolidation

Question 2

classifications

Answer 2

community acquired, hospital acquire (>48hrs after admission), aspiration pneunomia

Question 3

presentation

Answer 3

SOB, cough, sputum, fever, heamoptysis, pluritic chest pain, delirium, sepsis

Question 4

signs

Answer 4

tachypnoea, tachycardia, hypoxia, fever, confusion, bronchial breath sounds, focal crackles, dullness on percussion

Question 5

severity assessment

Answer 5

CURB 65

Question 6

CURB 65: C

Answer 6

confusion (orientated in person, time, place??)

Question 7

CURB 65: U

Answer 7

urea > 7

Question 8

CURB 65: R

Answer 8

RR 30+

Question 9

CURB 65: B

Answer 9

BP <90 systolic or <60 diastolic

Question 10

CURB 65: 65

Answer 10

age 65+

Question 11

CURB 65: score 0-1

Answer 11

consider treatment at home

Question 12

CURB 65: score 2+

Answer 12

consider hospital admission

Question 13

CURB 65: 3+

Answer 13

consider intensive care assessment

Question 14

most common causes

Answer 14

step pneumoniae

heamophilus influenxae

Question 15

atypical pneumonia

Answer 15

caused by an organism that cannot be cultured in normal way or detected using gram stain , –>

dont respond to penicillins and treated with macrolides, fluoroquinolones, or tetracycloines

Question 16

5 causes of atypical pneumonia

Answer 16

Legionella pneumophila
mycoplasma pneumonia
chalmydophila pheumonia

Question 17

PJP

Answer 17

pneumocystitis kiroveci pneumonia

Question 18

PJP presentation

Answer 18

dry cough wihtut sputum, SOB, night sweats

Question 19

PJP Mx

Answer 19

co-trimoxazole (trimethropim + sulfamethoxazole)

Question 20

Pneumonia Ix

Answer 20

CXR, FBC, U&Es, CRP, sputum + blood cultures

Question 21

complications

Answer 21

sepsis, pleural effusion, empyema,, lung abscess, death

Question 22

mild CAP Mx

Answer 22

5 days oral antib - amoxicillin

Question 23

mod-severe CAP Mx

Answer 23

7-10 day course dual antib (amoxicillin + calrithromycin)