FN: Specific Pneumonias Flashcards Preview

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Flashcards in FN: Specific Pneumonias Deck (24):
1

Pneumococcus RF

Elderly
EtOH
Immunosuppressed
CHF
Pulmonary disease

2

Pneumococcus Pulmonary features

Lobar consolidation

3

Pneumococcus extrapulmonary

Herpes labialis

4

Pneumococcus Mx

Amoxicillin
Benpen
Cehalosporins

5

S. aureus Pulmonary features

Bilateral cavitating bronchopneumonia

6

S. aureus Mx

Fluclox
Vancomycin

7

Klebsiella RF

Rare
Elderly
EtOH
DM

8

Klebsiella Pulmonary features

Cavitating pneumonia
Esp. upper lobes

9

Klebsiella Mx

Cefotaxime

10

Mycoplasma RF

Epidemics

11

Mycoplasma Pulmonary features

Dry cough
Reticulo-nodular shadowing or patchy consolidation

12

Mycoplasma Extra pulmonary

Flu-like prodrome
- headache
- myalgia/arthralgia
Cold agglutinins → AIHA Cryoglobulin
Erythema multiforme SJS
GBS Hepatitis

13

Mycoplasma Ix and Mx

Dx: serology
Clarithro Cipro

14

Legionella RF

Travel
Air conditioning

15

Legionella Pulmonary features

Dry cough Dyspnoea
Bi-basal consolidation

16

Legionella extrapulmonary

Flu-like prodrome
Anorexia
D&V
Hepatitis Renal Failure Confusion SIADH → ↓Na

17

Legionella Mx

Lymphopenia ↓Na+
Deranged LFTs
Dx: Urinary Ag or serology
Clarithro ± rifa

18

Chlam pneumoniae pulmonary features

Pharyngitis, otitis􏰂pneumonia

19

Chlam pneumoniae exrapulmonary features

sinus pain

20

Chlam pneumoniae Dx and M

Serology
Clarithro

21

Chlam pneumoniae RF

Parrots

22

PCP RF

Immunocomprimised

23

PCP Pulmonary features

Dry cough Exertional dyspnoea Bilateral creps
CXR: normal or bilateral perihilar interstitial shadowing

24

PCP Dx and Mx

Dx: visualisation from BAL, sputum, biopsy
High dose co- trimoxazole or pentamidine
Prophylaxis if CD4

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