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Flashcards in FB: Complications of Pneumonia Deck (12):
1

Complications (6)

Resp Failure
Hypotension
AF
Pleural effusion
Empyema
Lung Abscess

2

Resp failure definition and management

􏰀 Type 1: PaO2 6kPa
􏰀 Mx: O2 therapy, ventilation

3

Hypotension cause and management

􏰀 Cause: dehydration + septic vasodilatation
􏰀 Mx
􏰁 If SBP

4

AF def and management

􏰀 Usually resolves ̄c Rx
􏰀 Mx: Digoxin or β-B for rate control

5

Pleural effusion

􏰀 Exudate
􏰀 Mx: tap and send for MC+S, cytology and chemistry

6

Empyema
Definition

􏰀 Pus in the pleural cavity
􏰀 Anaerobes, Staph, Gm-ve
􏰀 Assoc. ̄c recurrent aspiration
􏰀 Pt. ̄c resolving pneumonia develops recurrent fever

7

Empyema tap and management

􏰀 Tap: turbid, pH

8

Lung Abscess Causes

􏰀 Aspiration
􏰀 Bronchial obstruction: tumour, foreign body
􏰀 Septic emboli: sepsis, IVDU, RH endocarditis
􏰀 Pulmonary infarction
􏰀 Subphrenic / hepatic abscess

9

Lung Abscess features

􏰀 Swinging fever
􏰀 Cough, foul purulent sputum, haemoptysis
􏰀 Malaise, wt. loss
􏰀 Pleuritic pain
􏰀 Clubbing
􏰀 Empyema

10

Lung Abscess tests

s
􏰀 Blood: FBC, ESR, CRP, cultures
􏰀 Sputum: micro, culture, cytology
􏰀 CXR: cavity ̄c fluid level
􏰀 Consider CT and bronchoscopy

11

Lung Abscess Mx

􏰀 Abx according to sensitivities
􏰀 Aspiration
􏰀 Surgical excision

12

Lung Abscess other complications

􏰀 Sepsis
􏰀 Pericarditis / myocarditis 􏰀 Jaundice
􏰁 Usually cholestatic
􏰁 Causes: sepsis, drugs (fluclox, Augmentin),
Mycoplasma, Legionella

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