Lecture 7 Pneumonia (missed lecture) Flashcards Preview

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Flashcards in Lecture 7 Pneumonia (missed lecture) Deck (20):
1

gold standard for diagnosis of pneumonia?

Chest X ray (although may be normal in up to 7% of patients)

2

3 classes of initial clinical classification of pneumonia

major immunodefeciency, Tb, normal hosts

3

4 classes of aquired pneumonia in normal hosts

Community, hospital acquired;
ventilator, health-care associated

4

suspect Tb in patients with 2 of more of the classic symptoms:

hemoptysis, cough more than 2 weeks, night sweats, weight loss.

order airbone isolation and CXR

5

CXR characteristics in patients with Tb:
____ lobe infilitrates, ____ pattern, ____ lesions , ____ infiltrate

upper, milliary, cavitary, nodular

6

the _____ and the pneumonia severity index are used to determine weather treatment should be ____ or ____

CURB-65, in vs outpatient

7

CURB65 is what?

scores above ____ should be considered for hospital stay

Confusion,
urea ( greater than 7 mmol/L),
respiratory rate greater than 30,
BP less than 90 systolic or 60 diastolic;
greater than 65 years of age;

scores above 1 (2 = short hospital stay, 3 = hospital)

8

major criteria (2) designating need for ICU admission:

invasive mechanical ventilation or septic shock (need just one)

minor criteria (need 3, see notes)

9

what somewhat new test helps indicate presence of bacterial infection?

PCT (pro-calcitonin) - indicates severe infection

10

increased risk of pseudomonas is seen in patients with structural lung disease such as ______; extended _____ therapy, broad-spectrum Ab use, or malnutrition

bronchiectasis;
corticosteroid

11

is it better to wait for results of culture/sputum sample before treating or to treat right away?

treat ASAP as possible,

12

2 vaccines patients should get to prevent pneumonia

influenza, pneumococcus

13

Lobar pneumonia is characterized by a ____ exudate which causes ____ of a lobar or the entire lung

intra-alveolar; consolidation

14

according to FA, what 3 bacteria cause lobar pneumonia?

S. pneumo by far, legionalla, klebsiella

15

bronchopneumonia is characterized by acute inflammatory infiltrates from the ____ into adjacent ____; distribution is characteriszed as ____

bronchioles, alveoli;
patchy (or multifocal)

16

4 organisms listed in FA that cause bronchopneumonia

S. pneumo, S. aureus, H influenza, klebsiella;

also pseuodomonas

17

interstitial/atypical pneumonia is characterized by ____ ____ inflammation localized to interstitial areas at alveolar walls. there is an increase in "lung ____"

diffuse patchy;
marking

18

in addition to viruses, what bacteria can cause atypical pneumonia, according to FA

mycoplasma, legionella, chlamydia, coxiella

19

what is empyema? What bacteria usually causes it?

pus in the alveolar space, s aureus

20

do breath sounds increase or decrease with pneumonia? there is ____ to percussion

decrease; dullness