Pneumonia and emphysema

PNEUMONIA AND EMPOHYSEMA

Pneumonia

  • Classify - Broncho. Lobar., Intgerstitial, Br. Vascular, Thromboemoblic,
  • Granulomatous, Atelectasis
  • Etiopath - Physical, chemical, biological agents
  • damage resp. mucosa, Inflam, reduced cilliary activity, fluid accumulation, Pneumonia
    • - Ecoli, Pseudo, Pasteu. Proteus, Strep, Staph
  • Bordetella. Virus, Fungal.
  • Parasitic - A. Abstrusus, P. Kellicott
  • Signs - Anorexia, depression, dehydration, fever
  • Prod. cough, Rhinitis, Sinusitis, Conjectivitis, moist roles on Auscultation. Dyspnea, activity.
  • Dx - MDB, Leukocytosis, "Stress response" degenerative left shift. Metabolic and Resp. acidosis. x-ray-alveolar pattern
    • - Culture & Sensitivity through Bronchial wash or Percutaneous route
  • Rx - Same as in chr. Bronchitis, AB. through clinical recovery Anthilminitics

Pulmonary Infilterates with Eosinophils

  • Etiopath - Unknown, Hypersensitivity, Biroflariasis
  • Chr. Pneumonia. Auto immune disease
  • Signs - A Chr. dry cough, anorexia, fever, dyspnea, wheezing, resp, failure
  • Dx - Eosinophilia, Eosinophilic Infilterate,
  • Leukocytesis, neutrophilia, x-ray, diffuse
  • alveolar Infilt. and Peri-Bronchial thickening
  • Rx - Symp. relief, prednisolone C.l mg/lb/day Bid.

Emphysema

  • Over distension of distal alveoli
  • Etio - Obst. of Bronchioles, trapping of air weakening of airways and narrowing.
  • Signs -Obscure, expiratory dyspnes, Barrel chest, Abducted Elbows
  • Dx - X-ray R/o Pneumothorax, Bullae Formation. Pneum
  • Rx - as in Chr. Bronchitis
Last modified: Tuesday, 5 June 2012, 12:21 PM