Pneumonia Flashcards Preview

Pediatrics > Pneumonia > Flashcards

Flashcards in Pneumonia Deck (20):
1

Aetiology

Viral most commonly Bacterial cause: Neonates-->GBS, E. coli, Listeria 1-3 months-->S. aureus, H influenza, S pneumonia, B. pertussis 3mo-5 years-->Similar + GAS >5 years-->S pneumonia, H Influenza, S aureus

2

Aetiology

Viral most commonly Bacterial cause: Neonates-->GBS, E. coli, Listeria 1-3 months-->S. aureus, H influenza, S pneumonia, B. pertussis 3mo-5 years-->Similar + GAS >5 years-->S pneumonia, H Influenza, S aureus

3

Atypical bacterial causes

Mycoplasma Chlamydia trachomatis TB Legionella pneumophilia

4

Most common pathogen >5, typical symptoms

Mycoplasma pneumonia Symptoms of systemic, unwell, headache before cough Cough prominent, crackles, focal signs in chest

5

Clinical features

TachyP Fever Cough Respiratory distress CXR

6

What are young infants with severe disease at risk of

SIADH Monitor sodium and fluids

7

Management

1. Decision to admit 2. Initial ABC assessment->well/unwell, breathing/oxygenation, perfusion, LOC 3. Pleural effusion 4. CXR 5. Clinical picture of mycoplasma? 6. Improvement in 24 hours

8

When to consider home management

>3 months, well, no extensive consolidation/pleural effusion Amoxycillin PO 7 days Roxithromycin 10 days if treating mycoplasma

9

When to admit to hospital

10

If improvement after 24 hours, discharge plans

Amoxycillin PO 7 days Early medical review Formal f/u 6 weeks Routine CXR not required

11

Clinical picture of mycoplasma

Age >5 years Subacute Prominent cough +/- Cough +/- Sore throat

12

Atypical bacterial causes

Mycoplasma Chlamydia trachomatis TB Legionella pneumophilia

13

Most common pathogen >5, typical symptoms

Mycoplasma pneumonia Symptoms of systemic, unwell, headache before cough Cough prominent, crackles, focal signs in chest

14

Clinical features

TachyP Fever Cough Respiratory distress CXR

15

What are young infants with severe disease at risk of

SIADH Monitor sodium and fluids

16

Management

1. Decision to admit 2. Initial ABC assessment->well/unwell, breathing/oxygenation, perfusion, LOC 3. Pleural effusion 4. CXR 5. Clinical picture of mycoplasma? 6. Improvement in 24 hours

17

When to consider home management

>3 months, well, no extensive consolidation/pleural effusion Amoxycillin PO 7 days Roxithromycin 10 days if treating mycoplasma

18

When to admit to hospital

19

If improvement after 24 hours, discharge plans

Amoxycillin PO 7 days Early medical review Formal f/u 6 weeks Routine CXR not required

20

Clinical picture of mycoplasma

Age >5 years Subacute Prominent cough +/- Cough +/- Sore throat

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