Pneumonia

Amirul Aiman
Mind Map by Amirul Aiman, updated more than 1 year ago
Amirul Aiman
Created by Amirul Aiman over 3 years ago
15
0

Description

MBBS Medicine CR (Respi) Mind Map on Pneumonia, created by Amirul Aiman on 04/02/2018.

Resource summary

Pneumonia
  1. Classification
    1. CAP
      1. HAP
        1. Others
          1. Aspirated
            1. Atypical
          2. SnS for CAP
            1. Symptoms
              1. Fever ± chills n rigors
                1. Productive Cough
                  1. Pleuritic chest pain
                    1. Ear Pain
                      1. Myalgia
                        1. Arthralgia
                        2. Signs
                          1. Vitals
                            1. Tachypnea
                              1. Tachycardia
                                1. Hypotension
                                  1. Pyrexia
                                    1. Cyanosis (Hypoxemia)
                                    2. Focal Chest
                                      1. Reduce Chest Expansion
                                        1. Increased Tactile Fremitus
                                          1. Dullness on Percussion
                                            1. Increased Vocal resonance
                                              1. Bronchial Breath sounds
                                                1. Coarse crepitations
                                            2. Ddx
                                              1. PE
                                                1. Acute Hx
                                                  1. SOB
                                                    1. Pleuritic Chest pain
                                                    2. CCF
                                                      1. Bibasal crepitation
                                                        1. RHF
                                                      2. Pulmonary Vasculitis
                                                        1. Haemoptysis
                                                          1. NO response to antibiotics
                                                          2. Lung cancer
                                                          3. Complications
                                                            1. Resp Failure
                                                              1. ALI (Acute Lung Injury)
                                                                1. ADRS (Adult Respiratory Distress Syndrome)
                                                                2. Sepsis
                                                                  1. Delirium
                                                                    1. Excebation of co-morbidity
                                                                      1. Parapnuemonic Effusion
                                                                        1. Empyema
                                                                        2. Lung Abscess
                                                                          1. Tachyarrhythmia
                                                                          2. Pathogens
                                                                            1. Standard
                                                                              1. Strep Pneumo
                                                                                1. Haemophilus Influenza
                                                                                  1. Staph Aureus
                                                                                    1. Viral (Influenza)
                                                                                    2. Atypical
                                                                                      1. Mycoplasma Pnuemoniae
                                                                                        1. Chlamydia Pneumoniae
                                                                                          1. Legionella Pnuemophillia
                                                                                          2. According to most common
                                                                                          3. Diagnostic testing
                                                                                            1. Blood Test abnormalities
                                                                                              1. FBC
                                                                                                1. + WCC
                                                                                                  1. Neutrophilia
                                                                                                    1. Bacterial
                                                                                                    2. Lymphocytosis
                                                                                                  2. U&E
                                                                                                    1. Hypo Na+
                                                                                                      1. Acute kidney injury
                                                                                                        1. + Creatnine
                                                                                                          1. + Urea
                                                                                                        2. LFT
                                                                                                          1. + Transaminases
                                                                                                          2. Glucose
                                                                                                            1. Hyperglycemia
                                                                                                              1. Hypoglycemia
                                                                                                              2. ++CRP
                                                                                                              3. Radiology
                                                                                                                1. CXR
                                                                                                                  1. Patchy Infiltrate
                                                                                                                    1. Lobar/Multi Lobar
                                                                                                                      1. Pleural Effusion
                                                                                                                        1. Parapnuemonic
                                                                                                                          1. Empyema
                                                                                                                      2. MIcrobe
                                                                                                                        1. Bloods
                                                                                                                          1. C&S
                                                                                                                          2. Urinary Antigen
                                                                                                                        2. Risk Tools
                                                                                                                          1. CURB65
                                                                                                                            1. Confusion
                                                                                                                              1. Urea
                                                                                                                                1. >7 mmol/L
                                                                                                                                2. Resp Rate
                                                                                                                                  1. RR > 30/min
                                                                                                                                  2. BP
                                                                                                                                    1. < 90/60 mmHg
                                                                                                                                    2. >65 y/o
                                                                                                                                      1. Score
                                                                                                                                        1. 0-1
                                                                                                                                          1. OutPx
                                                                                                                                          2. 2
                                                                                                                                            1. Supervised outPx
                                                                                                                                            2. 3-5
                                                                                                                                              1. Inpatient
                                                                                                                                                1. ICU @ 5
                                                                                                                                            3. PSI
                                                                                                                                              1. Poor Prognostic Features
                                                                                                                                                1. Altered Mental Status
                                                                                                                                                  1. RR > 30/min
                                                                                                                                                    1. Sys BP < 90mmHg
                                                                                                                                                      1. Temp
                                                                                                                                                        1. <35C
                                                                                                                                                          1. Worse
                                                                                                                                                          2. > 40C
                                                                                                                                                          3. Arterial pH
                                                                                                                                                            1. < 7.35
                                                                                                                                                            2. Urea NItrogen
                                                                                                                                                              1. 11 mmol/L
                                                                                                                                                              2. Sodium
                                                                                                                                                                1. <130 mEq/L
                                                                                                                                                          4. Treatment
                                                                                                                                                            1. Antibiotic
                                                                                                                                                              1. OutPx
                                                                                                                                                                1. Co-amoxyclav P.O.
                                                                                                                                                                2. InPx
                                                                                                                                                                  1. Co-amoxyclav I.V.
                                                                                                                                                                    1. Clarithromycin P.O.
                                                                                                                                                                    2. ICU
                                                                                                                                                                      1. Piptazobactam I.V.
                                                                                                                                                                        1. Clarithromycin I.V.
                                                                                                                                                                      2. Management
                                                                                                                                                                        1. Early Antibiotics (broad Spec)
                                                                                                                                                                          1. Maintain O2
                                                                                                                                                                            1. Maintain BP (IV fluids)
                                                                                                                                                                              1. Steroids (if COPD)
                                                                                                                                                                                1. Influenza Vaccine
                                                                                                                                                                                  1. Inactivated for Adults
                                                                                                                                                                                    1. At Risk groups
                                                                                                                                                                                      1. Yearly
                                                                                                                                                                                        1. Healthcare Personel
                                                                                                                                                                                        2. Pnuemococal Vaccine
                                                                                                                                                                                          1. chronic/structural lung disease
                                                                                                                                                                                            1. Previous Pneumo
                                                                                                                                                                                              1. Post Splenectomy
                                                                                                                                                                                          2. Empyema
                                                                                                                                                                                            1. Def
                                                                                                                                                                                              1. Collection of Pus in Pleural Cavity
                                                                                                                                                                                              2. Sequalle of Pneumo
                                                                                                                                                                                                1. Duration
                                                                                                                                                                                                  1. Weeks B4 presentation
                                                                                                                                                                                                  2. Fluid
                                                                                                                                                                                                    1. Exudate
                                                                                                                                                                                                      1. Acidic
                                                                                                                                                                                                        1. - Glucose
                                                                                                                                                                                                          1. + WCC
                                                                                                                                                                                                          2. Sign
                                                                                                                                                                                                            1. ++ CRP
                                                                                                                                                                                                              1. - Serum Albumin
                                                                                                                                                                                                              2. Tx
                                                                                                                                                                                                                1. Chest Drain
                                                                                                                                                                                                                  1. Antibiotics
                                                                                                                                                                                                                    1. Surgical Decortication
                                                                                                                                                                                                                  2. HAP
                                                                                                                                                                                                                    1. Def
                                                                                                                                                                                                                      1. HAP
                                                                                                                                                                                                                        1. Hospital Acquired Pneumo
                                                                                                                                                                                                                        2. VAP
                                                                                                                                                                                                                          1. Ventilator Acquired Pneumo
                                                                                                                                                                                                                        3. Dx Criteria
                                                                                                                                                                                                                          1. HAP
                                                                                                                                                                                                                            1. > 48 Hrs After admission
                                                                                                                                                                                                                              1. Early
                                                                                                                                                                                                                                1. < 5 days
                                                                                                                                                                                                                                2. Late
                                                                                                                                                                                                                                  1. > 5 days
                                                                                                                                                                                                                                3. VAP
                                                                                                                                                                                                                                  1. 48 - 72 hrs after intubation
                                                                                                                                                                                                                                  2. CXR
                                                                                                                                                                                                                                    1. Fever
                                                                                                                                                                                                                                      1. Leucocytosis/penia
                                                                                                                                                                                                                                        1. Purulent Sputum
                                                                                                                                                                                                                                        2. Organism
                                                                                                                                                                                                                                          1. Gram -ve
                                                                                                                                                                                                                                            1. E.coli
                                                                                                                                                                                                                                              1. Klebsiella
                                                                                                                                                                                                                                                1. Enterobacter
                                                                                                                                                                                                                                                  1. Pseudomonas
                                                                                                                                                                                                                                                  2. Staph Aureus
                                                                                                                                                                                                                                                    1. MRSA
                                                                                                                                                                                                                                                    2. Legionella
                                                                                                                                                                                                                                                    3. Tx
                                                                                                                                                                                                                                                      1. Piptazobactam
                                                                                                                                                                                                                                                        1. Vancomycin (for MRSA)
                                                                                                                                                                                                                                                      Show full summary Hide full summary

                                                                                                                                                                                                                                                      Similar

                                                                                                                                                                                                                                                      Pulmonology - Diseases
                                                                                                                                                                                                                                                      Elle Ashe
                                                                                                                                                                                                                                                      Exemplar 9.5: Pneumonia
                                                                                                                                                                                                                                                      Olivia McRitchie
                                                                                                                                                                                                                                                      Pneumonia and Chest infections
                                                                                                                                                                                                                                                      Lucy Richardson
                                                                                                                                                                                                                                                      TYPES OF PNEUMONIA
                                                                                                                                                                                                                                                      Mohamed Saad
                                                                                                                                                                                                                                                      Pneumonia
                                                                                                                                                                                                                                                      bessimajamal
                                                                                                                                                                                                                                                      Spirometry
                                                                                                                                                                                                                                                      bessimajamal
                                                                                                                                                                                                                                                      Lung cancer
                                                                                                                                                                                                                                                      bessimajamal
                                                                                                                                                                                                                                                      Lung function test
                                                                                                                                                                                                                                                      tysle
                                                                                                                                                                                                                                                      Algebra
                                                                                                                                                                                                                                                      Alex Maraio
                                                                                                                                                                                                                                                      GRE Word of the Day
                                                                                                                                                                                                                                                      SAT Prep Group