Types of Pneumonia

Community Acquired
Hospital Acquired
Immunocompromised / Structurally Abnormal

Community Acquired  Pneumonia

Clinical Features

Fever, rigor, chills, headache, malaise, cough, chest pain, dysponea, confusion
Pyrexia, tachycardia, tachypnoea, cyanosis
Pleural rub, bronchial breathing, impaired resonance, increased increased VF and VR creps
Investigations
CBC
Radiological
Bacteriological
Blood gas

S. PNEUMONIAE  PNEUMONIA

Young to middle age
Acute onset
High fever, toxic, rigor
High TC, Europhilia,, toxic granules
X-ray : labar non homogr\enous opacity
Gram +ve diplococci in sputum

CHLAMYDIA PNEUMONIA
Young and middle age
Sporadic or epidemic
Onset mild may be self limiting
Associated URI
Small segmental infiltates
Normal WBC count + raised SGPT
+ve serology

MYCOPLASMA PNEUMONIA

Children and young
Insidious onset
More systemic features
Few respiratory findings
Assoc:EN, myo/pericarditis, meningoencephalitieis, heamolysis, rach
Patchy/lobar consolidation + / -hilar lymph node

UNCOMMON ORGANISMS

H. Influeza: pre-existing lung disease,