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Pneumonia, Jaundice, Fine crepitations, Medium sized, consonating, Coarse…
Pneumonia
Clinical pictures
Symptoms
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As fever, anorexia, headache and malaise
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- Features of the complications
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Treatment
1- General:-
- Bed rest - plenty of fluid - nutrient diet
2- Symptomatic:-
- Analgesic : pain killer
- Antipyretic :- NSAIDs
- Mucolytic and expectorant :- bromhexine
- oxygen therapy in severe cases
3- Specific Antibiotic therapy:- Antibiotic selection
A- The usual regimen is -
- Crystalline pencillin G :- 1 million unit / 6 hrs IV for 7 days
- Erythromycine 500 mg/6 hrs (for penecillin allergic)
if no response or severe case :-3rd generation cephalosporine - piperacillin - or
aminoglycoside can be used
B- Severity dependant regimen:-
Mild (outpatient)
Moderate
Severe
Amoxacyllin or
Doxacyclin or
Macrolids
- Benzyle-Pencillin IV +
doxacyclin or Macrolids
or
- Cefotriaxon + Gentamycin
- Benzyle-Pencillin iv +
azithromycin +
Gentamycin or Cefotriaxon or
impenem
C- After culture and sensitivity
o Pencillin for gm +v
o Clindamycin and metronidazole for anaerobic
o Cloxacillin and vancomycin for staph. Aureus
o Aminoglycosides and cephalosporin for gm –v
o Anti tuberculous for TB
4- Treatment of complication
Complications:- as usual (page 3) +
- Unresolving pneumonia:- persistent for longer than 2 weeks
- imapired immunity
- undetected underlying lung diseases as cancer
- inadequate treatment
- specific organism as TB
- Recurrent pneumonia
- in severe cases :- DIC - SIADH
- in severe bronchopneumonia :- respiratory failur
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