Lung Pathology V Flashcards

(38 cards)

1
Q

anaerobic oral flora**

A

bacteroides
prevotella
fusobacterium
peptostreptococcus

aspiration pneumonia

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2
Q

aspiration pneumonia

A

anaerobe, aerobes, gram -, gram +

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3
Q

necrotizing pneumoniae

A

often with aspiration

-anaerobes

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4
Q

two patterns of bacterial pneumonia

A

bronchopneumonia and lobar

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5
Q

early pneumococcus

A

bronchopneumonia

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6
Q

late pneumococcus

A

lobar

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7
Q

stages of pneumococcal lobar pneumonia

A
  • edema and congestion
  • hemorrhage
  • macrophages hepatization
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8
Q

hepatization

A

can occur with lobar pneumonia

red and white

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9
Q

viral pneumonia

A

pandemic H1N1
SARS
bird flu

antigenic shift** - animal virus recombination

antigenic drift - minor mutation

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10
Q

pulmonary abscess

A

staph aureus
mixed - with anaerboes
-bacteroides fragilis, fusobacterium, peptococcus

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11
Q

common cause pulmonary abscess

A

aspiration

  • standing - right lower lobe
  • lying - left upper lobe
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12
Q

ascending infection

A

transcervical

  • inhale amniotic fluid
  • bacterial and viral
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13
Q

hematologic infection

A

transplacental
-parasitic, viral, few, bacterial

TORCH - toxoplasma, rubella, cytomegalovirus, herpes, treponema pallidum

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14
Q

post deliver infection 0-7 days

A

group B strep and E. coli

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15
Q

post delivery infection 7-90 days

A

listeria and candida

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16
Q

most common cause of bronchiolitis and pneumonia in children <1 year

A

respiratory syncytial virus

associated with otitis media

CXR - hyperinflated lung fields

17
Q

chronic pneumonias

A

often granulomas

18
Q

tuberculosis

A

ghon complex - parenchymal lesion with involved lymph node

secondary infection - reactivation of walled off lesion - apical (high O2)
-cavitary caseous necrosis

19
Q

miliary TB

A

tubercle erodes into vessel - widespread

20
Q

TB without granulomas

A

seen in immunosuppressed

21
Q

michigan, ohio fungal pneumonia

A

histoplasma capsulatum

-small

22
Q

west, mexico, california fungal pneumonia

A

cocciodes immitis

-large

23
Q

georgia, NC, SC

fungal pneumonia

A

blastomyces dermatidis

medium size

24
Q

histoplasma capsulatum

A

michigan, ohio

coin lesion

budding yeast

smaller than RBC

25
blastomyces dermatidis
georgia, NC, SC larger than neutrophils thick wall and nuclei
26
cocciodes immitis
west, mexico, cali contain endospores
27
silver stain, budding yeast with narrow based budding
histoplasmosis
28
silver stain broad based budding
blastomycosis
29
HIV pulmonary pneumonia
pneumocystitis jirovecii also CMV and mycobacterium avium complex
30
HIV diffuse pneumonia
pneumocystis jirovecii
31
HIV focal pneumonia
aspergillus | candida
32
chronic rejection of lung transplant
bronchiolitis obliterans
33
cough up foamy cotton candy exudate and cup and saucer organisms
pneumocystits jirovecii HIV positive
34
large nuclear inclusions
CMV
35
sphagetti and meatballs
candida
36
septate hyphae at 45 degree branching
aspergillus
37
primary lung malignancy
most who develop - die
38
benign neoplasms of lung
hamartoma inflammatory myofibroblast uncommon