Pneumonia Flashcards
(23 cards)
What are characteristic signs of pneumonia
Bronchial breath sounds
Focal coarse crackles
Dull to percussion
What is used to assess mortality of pneumonia?
CURB 65 Confusion Urea >7 Resp rate >30 BP <90 systolic Age >65
> 2 admit
3 ITU
What are examples of atypical pneumonias?
Legionella
Mycoplasma
Clyamydophila
Q fever
what additional thing can legionelle cause
SiADH- hyponatraemia
What skin presentations come with mycoplasma pneumonia?
Erythema multiforme
(Target lesions_
Who gets PCP fungal pneumonia?
HIV with low CD4
How does PCP present?
Dry cough
night sweats
How is PCP treated?
Trimoxazole
ALso given prophylactically
What causes focal infiltrates?
Bacterial
Aspergillus
Cryptococcus
Mycobacteria
What causes diffuse infiltrates?
CMV
PCP
WHat causes nodular cavitation?
S aureus
Aspergillus (ground glass, halo)
G-ve bacterai
What organism causes CAP and what are signs?
S pneumoniae
Rusty sputum
Or Mycoplasma (non productiuve)
How would you investigate for TB?
Acid fast bacilli stain and culture for TB if relevant
How would you manage CAP?
Mild- Amox (doxy if pen allergic)
Mod- Amox and Clarith
Severe- Co-Amox and clarith
ALternatives- Cefuroxime and clarithromycin or benzylpenecillin
How would you treat pneumonnia caused by P aeruginosa?
IV Ceftazidime or Piperacillin-tazobactam and gentamycin/tobramycin/ciprofloxacin
WHat is the pneumococcal vaccine
Polysaccharide pneumococcal vaccine
Who is indicated for the pneumonia vaccine?
> 65
Splenic dysfunction
Immunocompromised
Chronic condition
How do you treat HAP?
Meropenem and gentamycin, potentially with vancomycin to cover for MRSA
WHat is the investigation for Legionnaires?
Urinary legionella antigen
HAP treatment
Tazocin
CAP treatment
Amoxicillin
Clarithro to cover for atypicals
What are chest signs of PCP?
Normal
But desaturate fast on exertion
Ground glass CT
Management of legionnaires
Clarithromycin
