Pneumonia and pulmonary tuberculosis

Summarize the lung infections: pneumonia and pulmonary tuberculosis in terms of etiology, pathogenesis, clinical picture, diagnosis, and treatment rationale.

 

The 5 General Topics of Disease Summary
1. Etiology & risk factors
2. Pathogenesis: The molecular mechanism of the disease process (How the disease process evolves)
3. Clinical Picture: Signs& Symptoms, Sequelae, and Complications
4. Diagnosis: Labs & tests (as well as screening tests and follow up tests whenever applicable)
5. Pathophysiologic rationale of treatment

 

Pneumonia

Etiology: Types of pneumonia (Community-acquired, Hospital-acquired, Ventilator-related). Major causative organisms in each type.

Pathogenesis: The 4 pathologic phases of lobar pneumonia (Congestion/Red Hepatization(aka: Consolidation)/ Grey Hepatization/ Resolution)

Clinical Picture: Signs and symptoms

Diagnosis: Chest X-ray findings. Indications of hospitalization

Pathologic rationale of treatment: e.g. when to suspect pseudomonas and which antibiotics are effective against it.

 

Pulmonary T.B.

Etiology: Causative bacteria, mode of transmission and risk factors

Pathogenesis: Steps from organism entry till symptom development

Clinical picture: Signs and symptoms

Diagnosis: Chest X-ray, sputum culture. Tuberculin skin test. Interferon Gamma Release Assay (IGRA) blood test.

Pathophysiologic Rationale of Treatment: For treating T.B. as well as asymptomatic Tuberculin-positive cases.

 

This is the textbook information McCance, K.L., Huether, S. E. (2018) Pathophysiology: The Biological Basis for Disease in Adults and Children. (8th Ed) St. Louis, MO. Elsevier Mosby ISBN-13: 978-0323583473 ISBN-10: 9780323583473

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