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Flashcards in PULM Deck (28)
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1

MCC of CAP

strep pneumo

2

Which type of pneumo is most common in pts with underlying pulm dz such as COPD, Bronchiectasis, CF?

Haemophilus Influenzae

3

Which pneumo is MC found in school aged, college students, military recruits

mycoplasma

4

What is the Cpx of pts with mycoplasma pneumo (atypical pneumo)? 

- pharyngitis

- bullous myringitis

5

What are the symptoms associated with Legionella Pneumophila? 

GI sxs: Increased LFTs, hyponatremia

6

When is staph aureus mainly seen? 

after viral illness

Ex: flu

7

With what conditions would you expect to see a pt with klebsiella pneumonia? 

Alcoholics

debiliated

chronic illness

aspirators

8

which pneumo is most associated with cavitary lesions? 

klebsiella pneumonia

9

Risk factors for pseudomonas aerignosa

immunocompromised (HIV, neutropenic, s/p transplant)

CF

bronchiectasis

10

What is the MC viral cause of pneumo in infants/small children? 

parainfluenza & RSV

11

MC viral cause in adults of pneumo

influenza

12

What kind of hosts would you see Pneumocystis jiroveci carinii (PCP) in? 

compromised host w/ fatigue, dry cough, dyspnea on exertion

13

This fungus/parasite is found in Mississippi & Ohio river valley and is contaminated with bird/bat droppings

Histoplasma capsulatum 

14

What is the most common hospital acquited agent that causes pneumonia? 

Pseudomonas 

15

What two situations are considered as part of Community acquired pneumonia? 

1. acquired outside of the hospital setting 

2. pt that was ambulatory prior to admission who develops pneumonia within 48 hours of initial hospital admission

16

What is considered Hospital acquired (nosocomial) pneumo

pneumonia occurring >48hours after hospital admission

17

HAP is usually caused by what two agents? 

pseudomonas & MRSA

18

What are the clinical manifestations of typical pneumonia? 

rigors** in strep pneumo

19

What will you see in physical exam of typical pneumo? 

signs of consolidation 

bronchial breath sounds

dullness on percussion

Inc. Tactile fremitus, egophony 

20

Dx workup for mycoplasma

serum cold agglutinins**

21

What must you order if you suspect mycoplasma? 

serum cold agglutinins 

22

Dx workup for pneumonia

1. CXR/CT scan

2. Sputum (gram stain/culture)

23

What would you see in CXR if suspecting staph aureus? 

abscess formation

24

What would you see in CXR if Klebsiella? 

R upper lobe with bulging fissure, cavitations 

25

pathogen of rusty blood tinged gram stain

strep pneumo

26

pathogen of currant jelly on gram stain

klebsiella

27

PE findings of pneumonia

dullness to percussion due to the fluid filled alveoli 

increased fremitus 

+ bronchial breath sounds

+ egophany

28