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Billy Week 118 > Pneumonia cheat sheet > Flashcards

Pneumonia cheat sheet Flashcards

(60 cards)

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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
Most common atypical pneumonia cause
Mycoplasma
26
Epidemic e.g. in fit and well at hotel
Legionella
27
Splenomegaly
Psittacosis (Chlamydia psittaci)
28
Hepatomegaly
Psittacosis
29
Birds
Psittacosis
30
Air conditioning
Legionella pneumophilla
31
Typical presentation in pre-existing lung disease
H Flu
32
Chronically ill in pre-existing lung disease
Pseudomonas
33
Cystic fibrosis
Pseudomonas
34
Elderly patient from a nursing home
Gram negatives | e.g. H flu, E coli
35
Which ones affect immunocomprimised
PCP CMV Fungal
36
Epistaxis
Psitacosis
37
Intracellular bacteria causing epidemics
Legionella
38
Epidemic / outbreak in previously fit and well
Legionella
39
Ground glass shadowing
PCP / PJP
40
Copious green sputum
Pseudomonas
41
CF patient with chronic pneumonia recurrences
Pseudomonas
42
Strep pneumo
Gram positive diplococci Alpha haemolytic
43
Strep pyogenes
Gram positive streptococci Group A beta hemolytic
44
Neisseria meningitidis
Gram negative diplococcus Epidemics in military recruits
45
Gram positive strep causing pneumonia in 0-2 month old (due to inhalation down birth canal)
Strep agalactiae Gram positive Group B streptococcus Also E coli (gram -ve rod)
46
Actinomyces
Gram positive rod Aspiration pneumonia; anaerobe
47
Moraxella catarrhalis
Gram negative diplococcus
48
Klebsiella
Bulging fissure sign on chest xray COPD, ETOH, elderly Aspiration pneumonia Gram negative rod
49
E coli
Gram -ve rod; usually in neonats
50
Pseudomonas
Gram -ve rod
51
Acinetobacter
Gram -ve rod Hard to treat due to multiple drug resistance
52
Yersinia
Plague, flea bites Gram -ve rod
53
H flu
Gram -ve rods COPD, ETOH, elderly
54
Bordetella pertussis
Whooping cough Bronchopneumonia Gram -ve rod
55
Bacteroides
Aspiration pneumonia Anaerobic gram -ve rod Abscesses w/ fluid-air levels
56
TB
No consistent staining due to waxy coating (mycolic acid) AFB stain positive Highly aerobic (hence often apical) Tuberculin skin test +ve
57
Abnormal renal and liver function tests w/ pneumonia
Legionella
58
Legionella
Aerobic gram-negative
59
Chlamydia
Gram negative
60
Q-fever
Coxiella burnetii Abnormal LFTs PARASITE

Billy Week 118 (1 decks)

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