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11122624
Faisal with fever and respiratory distress
Description
Mind Map on Faisal with fever and respiratory distress, created by Menna Emam on 28/10/2017.
Mind Map by
Menna Emam
, updated more than 1 year ago
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Created by
Menna Emam
almost 7 years ago
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Resource summary
Faisal with fever and respiratory distress
presented with
Cough
definition
A reflex explosive expiration that prevents aspiration and promotes the removal of secretions and foreign particle from lung.
causes
Acute
Inhaled foreign body
Respiratory tract infection
Chronic
either
Productive
Blood stained
Lung cancer
Pulmonary embolism
TB
purulent
COPD
Bronchiectasis
pink, frothy
Pulmonary edema
or
Non-productive
Asthma
Postnasal drip
GERD
Drugs (ACE inhibitors)
Sarcoidosis
later diagnosed with
Pneumonia
Definition
Pneumonia is inflammation of the lung parenchyma
resulting in
consolidation
due to
exudate within lung tissues and airspaces.
classifications
Etiological types
Infective
Mycoplasmal / Chlamydial
Tuberculosis
Fungal
Bacterial
Viral
Non-infective
Toxins
Chemical
Aspiration
Radiation
Hypostatic
Duration
either
Acute
or
Chronic
causative agents
Histoplasmosis
Blastomycosis
Coccidioidomycosis
Morphological types
include
Lobar
Characteristics
90% strept pneumonea
Other organism; Klebsiella in extremes of ages, DM)
High fever, cough with sputum, pleuritic chest pain
4 stages
Congestion (24 hr)
Red hepatization (48 hr)
Gray hepatizaiton (96 hr)
Resolution (8days)
Few macrophages, normal
Neutrophils & Macrophages
Exudation +RBC
Vasodilatation→ congestion.
Middle age (20 - 50)
Primary in healthy individuals
Common in males
Entire lobe consolidation
Limited by anatomic boundaries
Usually unilateral
Interstitial pneumonitis
Bronchopneumonia
Extremes of age
Secondary
Both genders
Patchy consolidation
Not limited by anatomic boundaries
Usually bilateral
Characteristics
Staph, Strept and H. Influenza
Suppurative inflammation filling bronchi, bronchioles and alveoli
4 stages
Clinical Setting
include
Primary or Secondary to another disease
Aspiration pneumonia
characteristics
usually occurs in
unconscious patients
prolonged bedrest
Alcoholics
Mostly affects posterior lobes, especially the superior segments of the lower lobes
Often lead to abscesses
In immunocompromised patient
Causative agents
Pneumocystis jrovecii
Cytomegalovirus
Fungi
Hospital-acquired (nosocomial)
or
Community-acquired
could be
Atypical
causative agents
viral
mycoplasma pneumoniae
chlamydia
Unlike in "typical" acute pneumonias
Sputum production is modest
No physical findings of consolidation
WBC count is only moderately elevated
Bacteria could not be isolated
Typical
Causative agents
streptococcus pneumoniae
haemophilus influenzae
moraxella
staphylococcus
klebsiella pneumoniae
pseudomonas aeruginosa
legionella pneumophilia
Occurs in patients with debilitation or have catheters or are on ventilators
causative agents
MRSA, P. aeruginosa, Klebsiella, E. coli, S. pneumonia, H. influenza
Treatment
complications
Respiratory distress
Pleural effusion
Empyema
Lung abscess
Atrial Fibrillation
investigations
Chest X-ray
CBC
Arterial blood gas
Serum electrolytes
Blood urea nitrogen
Glucose levels
Blood or sputum culture
Media attachments
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