cirus
Forum Guru
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Posts: 740
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Classific of Pneum
1. Unilat
2. Bilat
3. HIV
4. Associat with other Ds
5. Allergic
1 Unilat:
a. St Pneum---> MC
b. Smoker--> Klebs
c. Alcoholic--> Hemoph Inf
c. IV Drug--> Staph aur
d. Coccidomycosis--> Unilat infilt + Hilar LNs on same side +/- Erythema Multiform or Nodosum
2. Bilat:
a. Mycoplasma Pn:
Good Pt, ERYTHEMA MULTIFORME MINOR, gm st PMN & no org, Urine serology +ve
b. Legionella:
Pn + GIt ( Abd pain, diarrh), Urine serology +ve
c. Q Fever:
Farmers & Vets, Serology.
3 HIV: Acc to CD4
a. > 200:
i. Regular infec (as before)
ii. TB (Hilar LNs + Night sweats + +ve X-Ray)
b. < 200--- >100:
i. Pneumocystis Carinii
Pneum + Normal C X-Ray...(TMP/SMZ, all--> Pentamid or Atoquav, Prophyl--> TMP/SMZ or Dapsone)
ii. Histoplasmosis:
Miliary affection, PALATAL ULCERS & HEPATO-SPLENO megaly ( + Geogr)
c. < 50:
i. CMV--> Interst bilat affection
ii. Mycobact Avium---> High Fever + Eryhtema Mult minor
4. Associated with Ds:
a. Cystic Fib--> Pseud--> Ceftriaxone + Gentamycin
b. Chidak Higashi---> Staph auer, Pseudom, St Pneu
c. Chronic Glucocorticoid TTT--> Nocardia, TB
d. COPD---> Hemoph Infl, Morax, St Pneum
5. Allergic:
Will write it later
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