Pneumonia Flashcards
(42 cards)
What does CURB 65 stand for?
C - onset of confusion U - Urea >7 R - Respiratory rate >30 B - Systolic BP 65 - over this age
What is the commonest cause of community acquired pneumonia?
Streptococcus pneumonia
pneumococcus
How does streptococcus pneumonia present?
Fever, pleurisy and herpes labialis
Which organism is associated with pneumonia following influenza?
Stapholococcus aureus
Which organism is commonest in patients who have COPD?
Haemophilus influenzae
Who is most likely to get staphylococcal pneumonia?
Elderly, IV drug users or patients with an underlying disease
What is the commonest cause of pneumonia in alcoholics?
Klebsiella pneumonia
Which is commonest in those with bronchiectasis and CF?
Pseudemonas
Which pneumonia generally has epidemics about every four years?
Mycoplasma pneumonia
What are the symptoms of mycoplasma pneumonia?
Flu like symptoms and a dry cough
What are the complications of mycoplasma pneumonia?
Guillian-Barre syndrome
Where is legionella pneumonia colonised?
Water tanks typically
What are the clinic features of legionella pneumonia?
Flu like symptoms, deranged LFTs and haematuria
Which pneumonia usually follows a hoarseness of voice?
Chlamoydophila pneumonia
How is chlamydophilia pneumonia spread?
Person to person
Which is commonly associated with birds?
Chlamydophila psittaci
What would a CXR show in chlamoydophila psittaci?
Patchy consolidation
How would chlamoydophila psittaci present clinically?
Headache, fever, dry cough and lethargy
Which is commonest in those who are immunosuppressed e.g. have HIV?
Pneumocystic pneumonia
How is pneumocystis pneumonia diagnosed?
Bronchioalveolar lavage or lung biopsy
What is the treatment for pneumococcal pneumonia?
Amoxicillin (Cephalosporin if penicillin allergic)
What is the treatment for staphlococcal pneumonia?
Flucloxacillin +/- Rifampacin
If MRSA, what should be used?
Vancomycin
What is the treatment for Klebsiella?
Cefotaxime
