Difference between revisions of "Pneumonia"

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Pneumonia (view source)

Revision as of 15:26, 5 March 2017

1,825 bytes removed ,  15:26, 5 March 2017
→‎Aspiration pneumonia: split out
 
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*+/-[[Granuloma]]s.
*+/-[[Granuloma]]s.
==Aspiration pneumonia==
==Aspiration pneumonia==
===General===
{{Main|Aspiration pneumonia}}
*Not associated with microorganisms - though empiric antibiotics are relatively common to cover infectious pneumonias that cannot be excluded easily on clinical grounds.<ref name=pmid21263315>{{Cite journal  | last1 = Raghavendran | first1 = K. | last2 = Nemzek | first2 = J. | last3 = Napolitano | first3 = LM. | last4 = Knight | first4 = PR. | title = Aspiration-induced lung injury. | journal = Crit Care Med | volume = 39 | issue = 4 | pages = 818-26 | month = Apr | year = 2011 | doi = 10.1097/CCM.0b013e31820a856b | PMID = 21263315 }}</ref>
 
*Usually seen in the context of a toxin and/or pathology that affects the swallowing and cough reflexes.<ref name=pmid16082150>{{Cite journal  | last1 = Ohrui | first1 = T. | title = Preventive strategies for aspiration pneumonia in elderly disabled persons. | journal = Tohoku J Exp Med | volume = 207 | issue = 1 | pages = 3-12 | month = Sep | year = 2005 | doi =  | PMID = 16082150 }}</ref>
 
Common associations:<ref name=pmid16082150/>
*[[Stroke]].
*[[Multiple sclerosis]].
*[[Alcohol]] intoxication.
 
Other risk factors:<ref name=pmid21263315/>
*Traumatic brain injury.
*Seizure disorder.
*Bowel obstruction.
*Drugs.
*[[Obesity]].
*Labour.
 
Note:
*A special type of aspiration pneumonia is ''lipoid pneumonia''. It is dealt with in the ''[[lipoid pneumonia]]'' article.
 
===Gross===
*More common in the right lung.
**Right main stem bronchus is more vertical.
 
===Microscopic===
Features:
*Neutrophils.
*Foreign material, e.g. plant matter.
*+/-Foreign body giant cells.
*+/-Microorganisms.
 
DDx:
*[[Acute infectious pneumonia]].
 
====Images====
<gallery>
Image:Aspiration_pneumonia_%281%29.jpg | Aspiration pneumonia - 1 - (WC)
Image:Aspiration_pneumonia_%282%29.jpg | Aspiration pneumonia - 2 - (WC)
Image:Aspiration_pneumonia_%283%29.jpg | Aspiration pneumonia - 3 - (WC)
</gallery>


==Cytomegalovirus pneumonia==
==Cytomegalovirus pneumonia==
Michael
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