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pneumonia

PNEUMONIA respiratory disease is associate degree accumulation of secretions and inflammatory cells within the alveolar areas of lungs caused by infection. The touching organism,the inflammatory response and also the distrubences of gas exchange caused by alveolar involvement area unit chargeable for clinical manifestations. CLASSIFICATION OF respiratory disease one.Community noninheritable  respiratory disease two.Hospital noninheritable  respiratory disease three.Aspiration pneumonia four.Reccurent respiratory disease five.unusual respiratory disease

ETIOLOGY OF respiratory disease one microorganism @streptococus pneumoniae @mycoplasma pneumoniae @chlamydia pneumoniae @H.influenzae,lengionella @spp,m.tuberculosis @staphylococcus aurius two.VIRUS @ metabolism syncitial virus @measels,influenza @influenza viruses @cytomegalo virus @adenovirus @herpes herpes virus three.PROTOZOA @Entaamoeba histolytica four.YEAST AND FUNGAS @Actinomyvosis @Aspergillosis @Nocardiosis @Histoplasmosis five.CHEMICAL respiratory disease @Aspiration of puking @Dyphagic pneumonia-pharyngeal herniation,achalsia internal organ,hiatus hernia or oesophageal. Strincture half-dozen.RADIATION respiratory disease CLINICAL options OF respiratory disease 

SYMTOMS 1.malaise 2.fever with rigor three.night sweat four.vomiting 5.in the older patients confusion and disorientation half-dozen.dyspnea 7.cough with rusty blood stain mucus eight.pain in chest that aggravated by coughing, deep respiration and movement sometimes localised to web site of infection SIGN one.patient seem sick two.tachycardia three.rapid rate of respiration four.high grade fever five.flushed dry skin half-dozen.hypotension seven.herpes labialis eight.slight impairment of percussion note over the affected space nine.weakness of breath sound ten.fine tales on deep inspiration eleven.sign of consolidation twelve.crackels associate degree rales   infections two.CHEST X-RAY Clear wedge shadow seen that is characteristics of microorganism pneumoniam-homogenous shadowing involving most ordinarily at lower lob three.MICROBIOLOGICAL check -sputum Gram\'s procedure culture -blood culture four.SEROLOGICAL check -infection by some orgenision is change by activity specific protein response thereto organism by part fixation or indirect I millimeter uno maturation five.C-RECTIVE PROTIEN check options OF SEVERE respiratory disease (curb criteria) For induction to hospitalized patient (C)ONFUSION OF MIND (U)REA over 7MMOL/L (R)ASPIRATORY RATE over thirty BRETH/MINUTE (B)LOOD PRESSURE but sixty millimeter OF HG(DIASTOLIC PRESSURE) CURB CRITERIA FOR HOSPITALIZATION MANAGMENT one.HISPITALIZATION IFadvanced age  ,sign of severe unhealthiness these are often bear in mind as curb severity score two.INTERAVENOUS FLUIDS Iv aldohexose saline in people who is severely i will and have frequent puking that leads dehydration three.OXYGEN If initial blood gas indicates hypoxemia four.ANTIBIOTIC In gentle case oral tab amoxycillin five hundred mg TDs

In severe case blood vessel amoxy clavuanate one.2gm TDs or inj. Cefuroxine one.5gm TDs or ceftroxone two metric weight unit beside injection mikacin five hundred mg bachelor\'s degree

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