Details Title: Community Acquired Pneumonia Description: Community Acquired Pneumonia Total Flash Cards: 19 Created: 04/26/2009 22:15:30		New Users: To study from this flashcard set, or to create your own your own study flash cards, REGISTER HERE. Existing Users: CLICK HERE. Additional Environmental Studies Flashcards
Cards in this set: Term Pneumonia Classical symptoms Definition cough, fever, chest pain Term Dry cough, ear ache, fever Gram Stain: no squamous cells, lots of PMNs person to person; young adults; bullocucs myringitis Definition Mycoplasma pneumonae Term smoker, yellow sputum and fever, child sick Culture: grow on chochlate agar but not sheep agar X and V factor needed for growth URI, otitis, sinuitis, gram neg coccobacilli, alcoholics, kids, smokers, COPD, plueral effusion Definition Haemophilus influenza Term Chochlate agar Definition lysed blood so releases factors, X and V factor need to be added parainfluenza grown with V factor only Term productive cough and fever, RR of 32. diffuse rhonchi grow on choch.; direct flour. +; urine +, gram - bacilli; no org. on gram stain water inhale, smoker, diabetic, immunocompromised, chest X ray shows intersticial infiltrate Definition Legionella Pneumonia Term cough, shortness of breath, fever, crackles can't pass person to person urine antigen test + person in caves Definition Histoplasma Capsulatum mold infectous but yeast grows in body and causes pathology so can't pass, dimorphic, aerosolized from soil acute pulmonary infection Term splenectomy, fever, chills, disorinetaation, shortness of breath rusty sputum RR 34; shock, low BP, acrocyanosis plural effusion, lung collapse Definition strep. pneumoniae elderly, alcoholics, immuno comp. bacteriaemia gram stain: gram +; diplococci, lacent shaped, + blood culture Pen. G resistance emerging. Term Pneumonia General - Diag. Definition Gram stain good for prelim. diag. culture takes long time and could be normal flora, so not good antigen test are good, use urine, serum, serology Term cough, rusty sputum elderly, alcoholic, immunocomp, kids gram + diplococci bacteremia in old Pen. G, 3rd gen. ceph., etc. Definition Strepoccus pneumonia Term URT, otitis, sinuitits, epiglottis alcoholics, smokers, COPD, kids gram - coccobacilli Plueral effusions and progressive emphysema beta-lactamaase production limits antibiotic choices Definition haemophilus influenza Term habitat water, naturally aerosolized noscomial smoker, diabetics, immunocomp, cancer sputum gram stain: WBC, no org. high fever, GI symptoms, altered mental status Chest X ray bilat. interstitial infiltrates Erythomycin, rifampin, Definition Legionella Pneumophila Term URT, otitis and sinusitis alcoholics, COPD, immunocomp. gram - cocci beta lactamse producers treat same as H. influenza Definition moraxella catarrhalis Term person to person in enclosed pop. younger pop. under 30 cough, fever, sore throat, lymphandenopathy and bullous myringitis bronchopneumonia on chest Xray tetracyclines Definition Mycoplasma pneumoniae Term influenze A or B, adenovirus, RSV, parainfluenza, CMV epidemics chest Xray: bilat. interstitial infiltrates fever, chills, m. aches, cough Definition Viral Pneumonia Term nose, axilla, groin, and/or pneumonia gram + cocci in clusters bacteremia Chest xray: cavitation, pleural effusions, and nodules cephalosporins and vanc Definition Straphylococus auerus Term oral colonization alcoholic, diabetic, nursing home, patients recently hospitalized Klebsiella in alcoholics Pseudommonas in CF patients aggressive chest Xray: cavitation and pleural effusion aminoglycosides with cethaphlo Definition Enteric Gram - penumonias Term aspiration from oral cavity causes disease swallowing disorders, poor dentitia, chronic obstructive lesions in the lung foul smelling sputum chest xray: cavitation peng, clinda Definition anaerobic pneumonias Term person to person long incuabtion period (1 mo) often asymptomatic Definition chlamydia pneumoniae (TWAR strain) Term from birds (parrots, pigeons) long incubation period mental status chagens, muscle aches spelnomegaly serology Definition Chlamydia psittaci