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Billy Week 118 > Pneumonia cheat sheet > Flashcards

Pneumonia cheat sheet Flashcards

1
Q

Mediterranean travel

A

Legionella

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2
Q

SE Asia travel

A

Pseudomonas

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3
Q

N Australia travel

A

Pseudomonas

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4
Q

USA travel

A

Histioplasmosis

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5
Q

Dodgy country travel

A

TB

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6
Q

Rust coloured sputum

A

Strep pneumonia

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7
Q

Fast onset and most common

A

Strep pneumonia

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8
Q

Fast onset in young fit and well, leading to intubation and ventilation within hours

A

Strep pneumonia

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9
Q

Gram +ve diplococci causing typical pneumonia

A

Strep pneumonia

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10
Q

Recent viral flu

A

Staph aureus or strep pneumo

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11
Q

IVDU

A

Staph aureus

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12
Q

Which bacteria cause aspiration pneumonia?

A

Anaerobes
Gram -ves
e.g. Klebsiella, E Coli, Bacteroides

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13
Q

Fast onset in pre-existing lung disease

A

H flu

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14
Q

Cavitations / Abscesses

A

CStaph aureus, klebsiella, TB, PCP, fungal.

There are more flashcards to narrow this down

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15
Q

What might make you think abscesses in pneumonia are caused by S AUREUS (as opposed to another bacteria?)

A 
IVDU
Endocarditis
Rusty sputum
Long stay in an institution
Gram +ve grapes
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16
Q

What might make you think abscesses in pneumonia are caused by KLEBSIELLA (as opposed to another bacteria?)

A

Aspiration risk factors
Hospital acquired
Red coloured sputum
Already chronically ill

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17
Q

What might make you think abscesses in pneumonia are caused by TB (as opposed to another bacteria?)

A 
Homeless
Night sweats
Foreign travel
Poland / eastern europe
Loss of weight
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18
Q

What might make you think abscesses in pneumonia are caused by PCP/PJP (as opposed to another bacteria?)

A

Gradual onset
Ground glass shadowing
Malnourished child in third world
Immunocomprimised

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19
Q

What might make you think abscesses in pneumonia are caused by ASPERGILLUS or CRYPTOCOCCUS (as opposed to another bacteria?)

A

Immunocomprimised

Rapid onset + fast fatal

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20
Q

Exacerbation of COPD

A

Moraxella catarrhalis

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21
Q

Atypical presentation initially with skin eruptions / xanthema

A

Mycoplasma

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22
Q

Male ETOH w/ red sputum

A

Klebsiella

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23
Q

Most common cause of bacterial pneumonia

A

Strep pneumonia

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24
Q

Recent viral flu and now typical pneumonia

A

Staph aureus

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25
Q

Most common atypical pneumonia cause

A

Mycoplasma

26
Q

Epidemic e.g. in fit and well at hotel

A

Legionella

27
Q

Splenomegaly

A

Psittacosis (Chlamydia psittaci)

28
Q

Hepatomegaly

A

Psittacosis

29
Q

Birds

A

Psittacosis

30
Q

Air conditioning

A

Legionella pneumophilla

31
Q

Typical presentation in pre-existing lung disease

A

H Flu

32
Q

Chronically ill in pre-existing lung disease

A

Pseudomonas

33
Q

Cystic fibrosis

A

Pseudomonas

34
Q

Elderly patient from a nursing home

A

Gram negatives

e.g. H flu, E coli

35
Q

Which ones affect immunocomprimised

A

PCP
CMV
Fungal

36
Q

Epistaxis

A

Psitacosis

37
Q

Intracellular bacteria causing epidemics

A

Legionella

38
Q

Epidemic / outbreak in previously fit and well

A

Legionella

39
Q

Ground glass shadowing

A

PCP / PJP

40
Q

Copious green sputum

A

Pseudomonas

41
Q

CF patient with chronic pneumonia recurrences

A

Pseudomonas

42
Q

Strep pneumo

A

Gram positive diplococci

Alpha haemolytic

43
Q

Strep pyogenes

A

Gram positive streptococci

Group A beta hemolytic

44
Q

Neisseria meningitidis

A

Gram negative diplococcus

Epidemics in military recruits

45
Q

Gram positive strep causing pneumonia in 0-2 month old (due to inhalation down birth canal)

A

Strep agalactiae

Gram positive Group B streptococcus

Also E coli (gram -ve rod)

46
Q

Actinomyces

A

Gram positive rod

Aspiration pneumonia; anaerobe

47
Q

Moraxella catarrhalis

A

Gram negative diplococcus

48
Q

Klebsiella

A

Bulging fissure sign on chest xray

COPD, ETOH, elderly

Aspiration pneumonia

Gram negative rod

49
Q

E coli

A

Gram -ve rod; usually in neonats

50
Q

Pseudomonas

A

Gram -ve rod

51
Q

Acinetobacter

A

Gram -ve rod

Hard to treat due to multiple drug resistance

52
Q

Yersinia

A

Plague, flea bites

Gram -ve rod

53
Q

H flu

A

Gram -ve rods

COPD, ETOH, elderly

54
Q

Bordetella pertussis

A

Whooping cough

Bronchopneumonia

Gram -ve rod

55
Q

Bacteroides

A

Aspiration pneumonia

Anaerobic gram -ve rod

Abscesses w/ fluid-air levels

56
Q

TB

A

No consistent staining due to waxy coating (mycolic acid)

AFB stain positive

Highly aerobic (hence often apical)

Tuberculin skin test +ve

57
Q

Abnormal renal and liver function tests w/ pneumonia

A

Legionella

58
Q

Legionella

A

Aerobic gram-negative

59
Q

Chlamydia

A

Gram negative

60
Q

Q-fever

A

Coxiella burnetii

Abnormal LFTs

PARASITE

Billy Week 118 (1 decks)

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