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Flashcards in Infections Deck (32):
1

Risk factors for CAP

low BMI
Smoking
Chronic Disease
Resp. Disease - COPD/Asthma
Aspiration (epilepsy, smoke, neurological disease, alcohol abuse)

2

Which treatments increase risk of CAP?

Steroids (ICS, Oral)
Proton pump inhibitors

3

Which treatments decrease risk of CAP?

Flu vaccine
Pneumococcal vaccine
Statins
ACE Inhibitors

4

Most common causative organism in CAP

strep. pneumonia

5

Common causative organism of CAP in younger patients

Mycoplasma

6

Legionella is a common cause of CAP in...

patients who have been on holiday to a dodgy hotel/area (air conditioning systems)

7

24% of CAP is caused by?

viruses

8

Symptoms of CAP

breathless, cough, wheeze, chest pain, fever, pleuritic pain, sometimes haemoptysis

9

Non-specific symptoms of CAP

malaise, myalgia, rigors, sweats, arythalgia, anorexia, headache

10

Where is confusion common in CAP?

Sepsis or older patients

11

In CAP, percussion would be resonant - TRUE OR FALSE

FALSE - percussion would be dull

12

Investigations that may be carried out in CAP?

CXR
Blood culture
FBC --> increased neutrophils and WCC
U&E
Throat swab
LFTs
Sputum
Atypical serology

13

The CURB 65 score is an indicator of...

mortality on admission

14

C of CURB 65

Confusion (new onset)

15

U of CURB65

Urea > 7mmol/l

16

R of CURB 65

resp rate >30

17

B of CURB65

BP systolic <90mmHg or diastolic <60mmHg

18

65 of CURB65

>=65 years of age

19

Antibiotic which puts patient at risk of C.difficile

Ciprofloxin

20

In common and atypical pneumonia the first treatments are...

amoxicillin 250mg daily 5 days
doxcycline 200mg day 1, 100mg TD2-5

21

In severe CAP treatment is...

IV co-amoxiclav and clarithromycin

22

In penicillin allergic patients with severe CAP, you treat with...

IV levofloxin

23

What may clarithromycin be replaced with in severe CAP?

oral doxycycline

24

What might be suspect if patient does not start to get better with CAP treatment?

resistance, pleural effusion (empyema), Abscess or cavitation, metastatic infection, ARDS, death

25

Common causative organisms in empyema?

strep. milleri, strep in general, klebsiella

26

Common causative organisms of lung abscesses?

staph, klebsiella, anaerobes

27

treatment for lung abscesses?

flucloxacillin, augmentin, metronidazole

28

Common patient presentation of atypical chlamydia pneumonia

40 yr old pigeon fancier

29

common patient presentation of atypical klebsiella pneumonia

alcoholic or TB

30

common patient presentation of atypical staph aureus pneumonia

IV drug user

31

common patient presentation of atypical H.influenzae pneumonia

COPD

32

If you suspect someone might have TB, do you treat straight away?

Yes, detain and treat until you have an answer, if its not TB no harm done