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23 Cards in this Set
- Front
- Back
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What is the MC bacterial cause of pneumonia in all age groups? |
Streptococcus pneumonia |
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Typical Pneumonia: - Outpatient Treatment? - Inpatient Treatment? |
Outpatient antibiotics: - Doxycycline - Erytromycin - Macrolides (clarithromycin, azithromycin) - Fluroquinolones Inpatient treatment: - Cover Streptococcus pneumonia and Legionella with ceftriaxone or cefotaxime plus azithromycin or a fluoroquinolone |
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PPV vaccine recommendations |
- Persons > 65 y/o - Persons with chronic illnesses that increases the risk of CAP including cardiopulmonary disease, sickle cell, splenectomy, and liver disease - Boosters are needed every 6 years |
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Myocplasma pneumonia: - Typical manifestations? |
- Low-grade fever - Cough - Bullous myringitis |
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Pneumocystis jiroveci: - Typical manifestations? |
- Slower onset, immunosuppression - Increased lactate dehydrogenase - More hyperemic than appears on chest X-ray - Interstitial infiltrates |
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Legionella pneumoniae: - Typical manifestations? |
- Chronic cardiac or respiratory disease - Hyponatremia - Diarrhea, other systemic symptoms |
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Chlamydia pneumonia: - Typical manifestations? |
- Longer prodrome - Sore throat, hoarseness |
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Streptococcus pneumoniae: - Typical manifestations? |
- Rust colored sputum - Single rigor |
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Klebsiella pneumoniae: - Typical manifestations? |
- Currant jelly sputum - Chronic illness, including alcohol abuse |
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Pneumonia pathogen for: - Alcohol abuse? |
Klebsiella pneumoniae |
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Pneumonia pathogen for: - COPD |
Haemophilus pneumoniae |
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Pneumonia pathogen for: - Cystic fibrosis |
Pseudomonase sp. |
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Pneumonia pathogen for: - Young adults, college settings |
- Mycoplasma pneumoniae - Chlamydia pneumoniae |
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Pneumonia pathogen for: - Air conditioning/aerosolized water |
Legionella pneumoniae |
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Pneumonia pathogen for: - Postsplenectomy |
- Encapsulated organisms - Streptococcus pneumoniae - Haemophilus pneumoniae |
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Pneumonia pathogen for: - Leukemia, lymphoma |
Fungus |
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Pneumonia pathogen for: - Children < 1 year |
RSV |
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Pneumonia pathogen for: - Children < 2 years |
Parainfluenza virus |
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Atypical pneumonia Treatment? |
Erythromycin (for suspected mycoplasma pneumonia and legionella) and tetracycline (for suspected chlamydia) |
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MC cause of hospital acquired pneumonia? |
- Staphylococcus aureus and Gram-negative bacilli - Pseudomonase is the MC pathogen in ICUs and carries the worst prognosis |
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Hospital acquired pneumonia treatment |
- Cefepime - Ticarcillin/clavulanic acid - Piperacillin/tazobactam - Merrem |
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HIV related pneumonia: - MC pathogens? - Imaging? - Treatment? |
MC pathogens: - P. jiroveci - Streptococcus - Haemophilus - Pseudomonase - Mycobacterium Imaging: - XCR will show diffuse or perihelia infiltrates. Treatment: - Bactrim is the treatment of choice |
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HIV prophylaxis? |
Give bacterium for CD4 counts <200 to protect against pneumocystis |
