Chest Infections Flashcards

(30 cards)

1
Q

most common cause of community acquired pneumonia

A

strep pneumoniae

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2
Q

what causes pneumonia in COPD patients

A

H.Influenzae

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3
Q

what organism typically causes pneumonia following influenza

A

Staph. Aureus

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4
Q

who gets pneumonia caused by Klebsiella

A

alcoholics

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5
Q

how is pneumonia caused by coxiella burnetii acquired

A

from sheep

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6
Q

how is pneumonia caused by Chlamydia Psciati acquired

A

from birds

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7
Q

who gets pneumonia caused by pseudomonas

A

patients with cystic fibrosis

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8
Q

how do people get pneumonia from Legionella

A

infection water supplies / air conditioning unit

- typically holiday abroad

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9
Q

complication of Legionella

A

hyponatraemia from SIADH

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10
Q

which pathogen causes rusty sputum

A

step pneumoniae

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11
Q

which pathogen causes red jelly sputum

A

klebsiella

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12
Q

sign of pneumonia on chest XRAY

A

consolidation

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13
Q

complications of pneumonia caused by mycoplasma

A

haemolytic anaemia
erythema multiform
Guillian Barre

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14
Q

what is used to assess pneumonia in the community

A

CURB65 score

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15
Q

components of CURB65 score

A
Confusion 
Urea >7
Resp rate > 30
BP <90 systolic or <60 diastolic 
Age > 65
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16
Q

at what CURB65 score should you consider hospital admission

17
Q

treatment of CAP score 0-2 (mild)

A
Oral Amoxicillin (1g three times a day) for 5 days
(doxycycline if allergic)
18
Q

treatment of CAP score 3-5 (mod-severe)

A

IV Co-Amoxiclav + Clarithromycin for 7 days

19
Q

how is hospital acquired pneumonia defined

A

pneumonia acquired after 48 hours of admission

20
Q

treatment of mild HAP

A

amoxicillin 5 days

21
Q

treatment of severe HAP

A

IV amoxicillin + Gentamicin 7 days

IV co-trimoxazole + gentamicin if allergic

22
Q

treatment of pneumonia caused by legionella

23
Q

treatment of pneumonia caused by Klebsiella

24
Q

treatment of pneumonia caused by psciati / burnetti

25
who gets pneumonia caused by pneumocystis jiroveci
patients with HIV
26
Presentation of pneumonia caused by jiroveci
dry cough SOB on exertion night sweats
27
treatment of pneumonia caused by jiroveci
co-trimoxazole
28
signs of pneumonia on auscultation
bronchial breath sounds coarse crackles dull percussion due to consolidation
29
common complication of pneumonia caused by pneumocystis jiroveci
pneumothorax
30
features of mycoplasma pneumonia
``` gradual onset flu like symptoms precede dry cough bilateral consolidation on xray erythema multiforme cold autoimmune haemolysis ```