Term
Pneumonia
Classical symptoms |
|
Definition
|
|
Term
Dry cough, ear ache, fever
Gram Stain: no squamous cells, lots of PMNs
person to person; young adults; bullocucs myringitis |
|
Definition
|
|
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
|
|
Term
|
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
|
|
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
|
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
|
|
Term
URT, otitis, sinuitits, epiglottis
alcoholics, smokers, COPD, kids
gram - coccobacilli
Plueral effusions and progressive emphysema
beta-lactamaase production limits antibiotic choices |
|
Definition
|
|
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
|
|
Term
URT, otitis and sinusitis
alcoholics, COPD, immunocomp.
gram - cocci
beta lactamse producers
treat same as H. influenza |
|
Definition
|
|
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
|
|
Term
influenze A or B, adenovirus, RSV, parainfluenza, CMV
epidemics
chest Xray: bilat. interstitial infiltrates
fever, chills, m. aches, cough |
|
Definition
|
|
Term
nose, axilla, groin, and/or pneumonia
gram + cocci in clusters
bacteremia
Chest xray: cavitation, pleural effusions, and nodules
cephalosporins and vanc |
|
Definition
|
|
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
|
|
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
|
|
