Respiratory Flashcards
(26 cards)
CAP likely pathogens
Strep pneumoniae
Haemophilus influenzae
Atypicals (Mycoplasma, Legionella, Chlamydia, Coxiella)
Rarely Staph aureus post influenza
Test for Legionella
Legionella urinary antigen
Elements of CURB65 score
Confusion (new) Urea > 7 Resp rate > 30 BP <90 systolic, <60 diastolic >65 years old
0-2 = mild/moderate
3 or more = severe
Treatment and duration for mild/moderate CAP
Amoxicillin
If penicillin allergic –> Doxycycline
Treat for 5 days
Treatment and duration for severe CAP
Co-amoxiclav IV + Doxycycline PO
Treat for 7 days
Hospital acquired pneumonia likely pathogens
Strep pneumoniae
Haemophilus influenzae
Coliforms e.g. E.coli, Klebsiella, Pseudomonas
Treatment and duration for non-severe HAP
Amoxicillin
If penicillin allergic –> Doxycycline
Treat for 5 days
Treatment and duration for severe HAP
IV Amoxicillin and Gentamicin
Treat for 7 days
Treatment of non severe aspiration pneumonia
Amoxicillin and metronidazole PO
5 days
Treatment of severe aspiration pneumonia
IV Amox Met and Gent
7 days
Exacerbation of COPD likely pathogens
Strep pneumoniae
H. influenzae
Treatment of infective exacerbation of COPD
Amoxicillin or doxycycline
5 days
Which organism causes whooping cough
Bordetella pertussis
Who gets mycoplasma pneumoniae?
children and young adults
What is Q fever?
pneumonia or fever of unknown origin caused by Coxiella burnetti
from sheep/goats
Where does Chlamydophilia psittacosis come from?
Pet birds
Opportunistic infection seen in HIV patients
PCP (pneumocystis jirovecii)
Which treatment should be given as PCP prophylaxis and when?
Co-trimoxazole
When CD4 < 200
Clinical features of lung abscess
Swinging fever Cough Purulent foul-smelling sputum Pleuritic chest pain Haemoptysis Malaise Weight loss
Which organisms cause caveatting lesions on CXR?
TB
Klebsiella
Enterobacteria
Which type of pneumonia may complicate the flu?
Staph aureus
Who gets Klebsiella pneumonia?
Elderly
Diabetics
Alcoholics
Red jelly sputum
Klebsiella
Mucoid sputum
Chlamydia psittaci
