pneumonia Infection

Apr 8th, 2015
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Study guide on Pneumonia infection

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DR YUBRINE M GACHEMBAAn acute infection of the pulmonaryparenchyma that is associated with at leastsome symptoms of acute infection,accompanied by an acute infiltrate on CXR orauscultatory findings consistent withpneumoniaThe major cause of death in the worldThe 6th most common cause of death in theU.S.Annually in U.S.: 2-3 million cases, ~10million physician visits, 500,000hospitalizations, 45,000 deaths, with averagemortality ~14% inpatient and <1% outpatientCough (productive ornon-productive)DyspneaPleuritic chest painFever or hypothermiaMyalgiasChills/SweatsFatigueHeadacheDiarrhea (Legionella)URI, sinusitis(Mycoplasma)Physical: Vitals: Fever or hypothermia Lung Exam: Crackles, rhonchi, dullness to percussionor egophany.Labs: Elevated WBC Hyponatremia Legionella pneumonia Positive Cold-Agglutinin Mycoplasma pneumoniaRULLULRULLingulaLULRMLRLLLingulaLLLRMLRLLLLLCommunity-Acquired (CAP)Health-Care Associated Pneumonia (HCAP)Hospitalization for > 2 days in the last 90 daysResidence in nursing home or long-term care facilityHome Infusion TherapyLong-term dialysis within 30 daysHome Wound CareExposure to family members infected with MDR bacteriaHospital-Acquired Pneumonia (HAP) Pneumonia that develops after 5 days of hospitalization Includes:Venti

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