Chronic obstructive pulmonary disorders COPD is a [preventable and treatable disease with some significant extra pulmonary effects that may contribute to the severity in individual clients.
It is characterized by airflow limitation that is not completely reversible.
Chronic obstructive pulmonary disorders COPD is a [preventable and treatable disease with some significant extra pulmonary effects that may contribute to the severity in individual clients.
It is characterized by airflow limitation that is not completely reversible.
Bronchiectasis is a chronic, irreversible dilation of the bronchi and bronchioles. Or •Bronchiectasis is characterized by permanent, abnormal dilation of one or more large bronchBronchiectasis.
Asthma is a condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath. For some people, asthma is a minor nuisance.
Typhoid fever, also known as enteric fever, is a potentially fatal multisystemic illness caused primarily by Salmonella enterica, subspecies enterica serovar typhi and, to a lesser extent, related serovars paratyphi A, B, and C.
The protean manifestations of typhoid fever make this disease a true diagnostic challenge. The classic presentation includes fever, malaise, diffuse abdominal pain, and constipation. Untreated, typhoid fever is a grueling illness that may progress to delirium, obtundation, intestinal hemorrhage, bowel perforation, and death within 1 month of onset. Survivors may be left with long-term or permanent neuropsychiatric complications.
Pneumonia is an inflammatory condition of the lung affecting primarily the small air sacs known as alveoli. Typically symptoms include some combination of productive or dry cough, chest pain, fever, and trouble breathing. Severity is variable.
Pneumonia is usually caused by infection with viruses or bacteria and less commonly by other microorganisms, certain medications and conditions such as autoimmune diseases. Risk factors include cystic fibrosis, chronic obstructive pulmonary disease (COPD), asthma, diabetes, heart failure, a history of smoking, a poor ability to cough such as following a stroke, and a weak immune system. Diagnosis is often based on the symptoms and physical examination. Chest X-ray, blood tests, and culture of the sputum may help confirm the diagnosis. The disease may be classified by where it was acquired with community, hospital, or health care associated pneumonia.
Vaccines to prevent certain types of pneumonia are available. Other methods of prevention include handwashing and not smoking. Treatment depends on the underlying cause. Pneumonia believed to be due to bacteria is treated with antibiotics. If the pneumonia is severe, the affected person is generally hospitalized. Oxygen therapy may be used if oxygen levels are low.
Pneumonia affects approximately 450 million people globally (7% of the population) and results in about four million deaths per year. Pneumonia was regarded by William Osler in the 19th century as "the captain of the men of death". With the introduction of antibiotics and vaccines in the 20th century, survival improved. Nevertheless, in developing countries, and among the very old, the very young, and the chronically ill, pneumonia remains a leading cause of death. Pneumonia often shortens suffering among those already close to death and has thus been called "the old man's friend"
Lung abscess is a type of liquefactive necrosis of the lung tissue and formation of cavities (more than 2 cm) containing necrotic debris or fluid caused by microbial infection.
Pneumonia is an inflammation of the lung parenchyma caused by various microorganisms, including bacteria, mycobacteria, fungi, and viruses.
Pneumonitis is a more general term that describes the inflammatory process in the lung tissue that may predispose and Pneumonia is an inflammation of the lung parenchyma that is caused by a microbial agent.
place the patient at risk for microbial invasion.
Pneumonia is classified into four: community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP), pneumonia in the immunocompromised host, and aspiration pneumonia.
Bronchiectasis is a chronic, irreversible dilation of the bronchi and bronchioles. Or •Bronchiectasis is characterized by permanent, abnormal dilation of one or more large bronchBronchiectasis.
Asthma is a condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath. For some people, asthma is a minor nuisance.
Typhoid fever, also known as enteric fever, is a potentially fatal multisystemic illness caused primarily by Salmonella enterica, subspecies enterica serovar typhi and, to a lesser extent, related serovars paratyphi A, B, and C.
The protean manifestations of typhoid fever make this disease a true diagnostic challenge. The classic presentation includes fever, malaise, diffuse abdominal pain, and constipation. Untreated, typhoid fever is a grueling illness that may progress to delirium, obtundation, intestinal hemorrhage, bowel perforation, and death within 1 month of onset. Survivors may be left with long-term or permanent neuropsychiatric complications.
Pneumonia is an inflammatory condition of the lung affecting primarily the small air sacs known as alveoli. Typically symptoms include some combination of productive or dry cough, chest pain, fever, and trouble breathing. Severity is variable.
Pneumonia is usually caused by infection with viruses or bacteria and less commonly by other microorganisms, certain medications and conditions such as autoimmune diseases. Risk factors include cystic fibrosis, chronic obstructive pulmonary disease (COPD), asthma, diabetes, heart failure, a history of smoking, a poor ability to cough such as following a stroke, and a weak immune system. Diagnosis is often based on the symptoms and physical examination. Chest X-ray, blood tests, and culture of the sputum may help confirm the diagnosis. The disease may be classified by where it was acquired with community, hospital, or health care associated pneumonia.
Vaccines to prevent certain types of pneumonia are available. Other methods of prevention include handwashing and not smoking. Treatment depends on the underlying cause. Pneumonia believed to be due to bacteria is treated with antibiotics. If the pneumonia is severe, the affected person is generally hospitalized. Oxygen therapy may be used if oxygen levels are low.
Pneumonia affects approximately 450 million people globally (7% of the population) and results in about four million deaths per year. Pneumonia was regarded by William Osler in the 19th century as "the captain of the men of death". With the introduction of antibiotics and vaccines in the 20th century, survival improved. Nevertheless, in developing countries, and among the very old, the very young, and the chronically ill, pneumonia remains a leading cause of death. Pneumonia often shortens suffering among those already close to death and has thus been called "the old man's friend"
Lung abscess is a type of liquefactive necrosis of the lung tissue and formation of cavities (more than 2 cm) containing necrotic debris or fluid caused by microbial infection.
Pneumonia is an inflammation of the lung parenchyma caused by various microorganisms, including bacteria, mycobacteria, fungi, and viruses.
Pneumonitis is a more general term that describes the inflammatory process in the lung tissue that may predispose and Pneumonia is an inflammation of the lung parenchyma that is caused by a microbial agent.
place the patient at risk for microbial invasion.
Pneumonia is classified into four: community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP), pneumonia in the immunocompromised host, and aspiration pneumonia.
Pneumonia is a leading cause of illness and death in Nepal, particularly among young children and the elderly. This PowerPoint presentation provides a comprehensive overview of pneumonia in Nepal, including the causes, symptoms, risk factors, and treatment options.
Through powerful images and personal stories, we showcase the impact of pneumonia on individuals, families, and communities in Nepal. We highlight the challenges of accessing healthcare in remote and impoverished areas, the lack of awareness and education about the disease, and the importance of early diagnosis and treatment.
The presentation provides detailed information about the various types of pneumonia and the risk factors associated with each. We also discuss the diagnostic procedures, including chest x-rays and blood tests, and the treatment options, such as antibiotics and oxygen therapy.
In addition, we explore the efforts being made to prevent and control pneumonia in Nepal. We highlight the importance of vaccination, particularly among children and high-risk groups, and the role of community-based interventions in improving access to healthcare and promoting healthy behaviors.
Through this PowerPoint presentation, we aim to raise awareness about pneumonia in Nepal and the importance of early diagnosis and treatment. We showcase the latest research and innovations in pneumonia prevention and treatment, and the importance of collaboration and partnership to address the disease.
We urge the audience to take action in the fight against pneumonia, whether it be through spreading awareness, supporting organizations working on the ground, or advocating for policy change. Let us come together to create a world where no one has to suffer from the devastating effects of pneumonia.
Community Acquired Pneumonia and other types of pneumonia
for medical students
Detailed information on pneumonia including the following
Definition
Classification
Aetiology
Pathogenesis
Pathological states
Investigations
Treatment & follow up
Complications
Medication
Hospital acquired pneumonia and it’s treatment and management and prevention
Other types of pneumonia
And pneumonia in immune compromised patients
, on 7 January, Chinese authorities confirmed that they had identified a new virus. The new virus is a coronavirus, which is a family of viruses that include the common cold, and viruses such as SARS and MERS.
This new virus was temporarily named “2019-nCoV
Bacterial flora in sputum and antibiotic sensitivity in exacerbations of bron...Dr.Aslam calicut
http://jmscr.igmpublication.org/home/index.php/current-issue/5487-bacterial-flora-in-sputum-and-antibiotic-sensitivity-in-exacerbations-of-bronchiectasis
http://jmscr.igmpublication.org/v6-i8/65%20jmscr.pdf
Muhammed Aslam et al JMSCR Volume 06 Issue 08 August 2018
Obstructive Sleep Apnoea and the Metabolic SyndromeDr.Aslam calicut
Introduction
OSA and the Metabolic Syndrome
OSA and Obesity
OSA and Hypertension
OSA and Insulin Resistance
OSA and Dyslipidemia
Pathogenesis
Effect of Treatment
Conclusion
Napcon 2014 presentation abstract Page 14 - Presentation28
High Dose Rate Endobronchial Brachytherapy for Palliative Treatment of Lung Cancer – A Case Report Muhammed Aslam N K , Rajeev Ram , Achuthan V , Manoj D K ,Rajani M Pariyaram medical colleg , kannur
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
2. KUHS Exam - Model Question
Essay Question- 10 Marks (1+2+3+2+2=10)
60 yrs old male smoker with DM presented
to OPD with high grade fever , right sided chest pain and cough with
rusty sputum for 1 week ?
•Give your provisional diagnosis ?
•How will you diagnose?
•What are the causes and pathogenesis ?
•How will you Manage?
•What are the complications ?
4. Pneumonia
Pneumonia is an infection
in one or both lungs.
Pneumonia causes
inflammation in the alveoli.
The alveoli are filled with
fluid or pus, making it
difficult to breathe.
5. DEFINITION
•“inflammation and consolidation of lung
tissue due to an infectious agent”
• COSOLIDATION = ‘Inflammatory
induration of a normally aerated lung
due to the presence of cellular exudative
in alveoli’
6. How does Pneumonia develop?
•Most of the time, the body filters organisms.
•This keeps the lungs from becoming infected.
•But organisms sometimes enter the lungs and
cause infections.
•This is more likely to occur when:
•immune system is weak.
•organism is very strong.
•body fails to filter the organisms.
•
•
7. Factors that predispose to Pneumonia
Cigarette smoking
Upper respiratory tract infections
Alcohol
Corticosteroid therapy
Old age
Recent influenza infection
Pre-existing lung disease
8. Factors that predispose to Pneumonia
Reduced host defences against bacteria
•Reduced immune defences (e.g. corticosteroid treatment,
diabetes, malignancy)
•Reduced cough reflex (e.g. post-operative)
•Disordered mucociliary clearance (e.g. anaesthetic agents)
•Bulbar or vocal cord palsy
9. Factors that predispose to Pneumonia
Aspiration of nasopharyngeal or gastric secretions
•Immobility or reduced conscious level
•Vomiting, dysphagia, achalasia or severe reflux
•Nasogastric intubation
Bacteria introduced into lower respiratory tract
•Endotracheal intubation/tracheostomy
•Infected ventilators/nebulisers/bronchoscopes
•Dental or sinus infection
10. Factors that predispose to Pneumonia
Bacteraemia
Abdominal sepsis
Intravenous cannula infection
Infected emboli
13. RED HEPATIZATION
•Presence of erythrocytes in the cellular
intraalveolar exudate
•Neutrophils are also present
•Bacteria are occasionally seen in
cultures of alveolar specimens collected
15. GRAY HEPATIZATION
•No new erythrocytes are extravasating, and those
already present have been lysed and degraded
•Neutrophil is the predominant cell
•Fibrin deposition is abundant
•Bacteria have disappeared
•Corresponds with successful containment of the
infection and improvement in gas exchange
16.
17. RESOLUTION
Macrophage is the dominant cell type in the alveolar space
Debris of neutrophils, bacteria, and fibrin has been cleared
19. ANATOMICAL CLASSIFICATION
1.Bronchopneumonia affects the lungs in
patches around bronchi
1.Lobar pneumonia is an infection that
only involves a single lobe, or section, of
a lung.
1.Interstitial pneumonia involves the
areas in between the alveoli
21. Community Acquired Pneumonia (CAP)
DEFINITION:
•An infection of the pulmonary parenchyma
•Associated with symptoms of a/c infection
•Presence of a/c infiltrates on CXR or auscultatory findings
consistent with Pneumonia
•In a patient not hospitalized or residing in LTC facility for >
14 days prior
•
22. Hospital Acquired pneumonia - HAP
•HAP is defined as pneumonia that occurs 48 hours or more
after admission, which was not incubating at the time of
admission.
•
23. Ventilator Associated Pneumonia- VAP
•VAP refers to pneumonia that arises
more than 48–72 hours after
endotracheal intubation .
•
24. Health Care Associated Pneumonia HCAP
HCAP includes any patient
•Who was hospitalized in an acute care hospital for 2 or more days
within 90 days of the infection
•Resided in a nursing home or long-term care facility
•Received recent i.v antibiotic therapy, chemotherapy, or wound care
within the past 30 days of the current infection
•Attended a hospital or hemodialysis clinic
•
25. ATYPICAL PNEUMONIA - Why ‘Atypical’?
Clinically
•Subacute onset
•Fever less common or intense
•Minimal sputum
Microbiologically
•Sputum does not reveal a predominant microbial etiology
on routine smears (Gram’s stain, Ziehl-Neelsen) or cultures
•
26. ATYPICAL PNEUMONIA - Why ‘Atypical’?
Radiologically
•Patchy infiltrates or
•Interstitial pattern
Haemogram
•Peripheral leukocytosis are less common or intense
28. Aspiration pneumonia
•Overt episode of aspiration or
bronchial obstruction by a foreign body.
•Seen in - alcoholism, nocturnal
esophageal reflux, a prolonged session
in the dental chair, epilepsy
•Usually Anaerobes
29. ELDERLY
•Infection has a more gradual onset, with
less fever and cough
•often with a decline in mental status or
confusion and generalized weakness
•often with less readily elicited signs of
consolidation
36. Additional symptoms
•Sharp or stabbing chest pain
•Headache
•
•Excessive sweating and clammy skin
•
•Loss of appetite and fatigue
•
•Confusion, especially in older people
•
•
51. OTHER TESTS
•Bacterial antigen in sputum and urine
•Rapid viral antigen detection in respiratory secretion
•Serological- mainly for atypical
•Molecular study
•C-reactive Protein, serum procalcitonin, and neopterin
54. Outpatients Treatment(empirical)
Previously healthy and no antibiotics in past 3 months
•A macrolide (clarithromycin or azithromycin or
Doxycycline )
Comorbidities or antibiotics in past 3 months:
•Respiratory fluoroquinolone [moxifloxacin ,levofloxacin ] or β-
lactam ( high-dose amoxicillin or amoxicillin/clavulanate)
55. Inpatients, non-ICU
•A respiratory fluoroquinolone [moxifloxacin ,levofloxacin ]
•β -lactam [cefotaxime ,ceftriaxone ,ampicillin] plus a
macrolide [oral clarithromycin or azithromycin)
57. Pseudomonas
•An antipneumococcal, antipseudomonal β-lactam
[piperacillin/tazobactam, cefepime , imipenem , meropenem plus
flouroquinolons
•Above β-lactams plus an aminoglycoside and azithromycin
•Above β-lactams plus an aminoglycoside plus an
antipneumococcal fluoroquinolone
61. Course
Most healthy people recover from pneumonia in one to
three weeks, but pneumonia can be life-threatening.
The mortality rate associated with community-acquired
pneumonia (CAP) is very low in most ambulatory patients
and higher in patients requiring hospitalization, being as
high as 37 percent in patients admitted to the intensive care
unit (ICU).
63. Conclusion
•The presence of an infiltrate on plain chest radiograph is considered the
"gold standard" for diagnosing pneumonia when clinical and
microbiologic features are supportive
•Most initial treatment regimens for hospitalized patients with
community-acquired pneumonia (CAP) are empiric
•The mortality rate associated with community-acquired pneumonia
(CAP) is very low in most ambulatory patients and higher in patients
requiring hospitalization
64. THANK YOU !!!
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