Flashcards in Community Aquired Pneumonia Deck (18)
what proportion of patients with pneumonia need admission?
men are affected twice as often as women. True/ False?
True. We don't know why
Risk factors for pneumonia?
-chronic illnesses (heart failure, diabetes, chronic lever disease, HIV)
-respiratory disease (COPD, asthma)
-influenze and other respiratory tract infections
Risks for aspiration?
-chronic neurological disease e.g. MS
What are some treatments which can increase the risk of pneumonia?
-proton pump inhibitors
What are some treatements which can decrease the risk of pneumonia?
-ACE-I in Asian patients
What can cause pneumonia?
most common causative organisms of pneumonia?
-no organism fond
symptoms of CAP?
malaise, anorexia, sweating, rigors, myalgia, arthralgia, headache, breathlessness, cough and sputum (often green), haemoptysis (rust coloured in pneumococcal pneumonia), pleuritic chest pain, confusion, (other signs are typical of particular organisms)
Signs of pneumonia (on examination)
-dull to percussion
investigations of CAP?
-Bloods (WCC, CRP - may be normal)
-sputum and blood cultures
-atypical serology: mycoplasma IgM, legionella urinary antigen, respiratory viruses, chlamydia serology, other specific tests
how is the severity of CAP assessed?
(score of 3 or greater = severe pneumonia)
Where should a patient with CURB65 = 0-1 be treated?
Where should a patient with CURB65 = 2 be treated?
short inpatient stay
Where should a patient with CURB65 = 3 be treated?
admit to hospital
Where should a patient with CURB65 = 4-5 be treated?
consider for HDU/ ITU
What are some possible complications of pneumonia?
Complications can result from highly virulent organisms or inadequate treatment.
-lung abscess/ cavitation
-metastatic infection/ abscesses
-ARDS/ multiorgan failure